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Biomedical subjects

P Distelmaier

Publications and source records attributed to P Distelmaier.

At least 19 recordsLinked to original sources

[Diagnosis of hypophyseal abscess using MRI and high resolution CT].

Preoperative diagnosis of pituitary abscess is very difficult. In particular, differentiation from other cystic processes of the sellar region is delicate. The clinical and radiological findings of a case of pituitary abscess are presented. Since CT and MRI are of major importance for routine pituitary screening, the aspects of these methods are emphasized. In our experience, both methods can contribute to preoperative diagnosis.

Adenoma↗

[Neurologic complications in hereditary multiple exostoses].

Based on the radiological and clinical findings in two patients suffering from hereditary multiple cartilaginous exostoses, the importance of identification and x-ray confirmation of neurological signs within the framework of the overall disease patterns is shown. This is a rare complication, bat it is highly important for the patient. Early clarification is imperative; if surgical intervention is not instituted directly, a closely meshed control network is considered mandatory to prevent severe irreversible neurological deficits.

Adult↗

[Computed tomography in hypophyseal abscess].

This is a report on a rare case of a recurring abscess in the pituitary gland. Diagnosis was extremely difficult to establish preoperatively. This is demonstrated via various radiological methods. Anamnesis and clinical disease pattern are important assisting factors in diagnosis.

Abscess↗

[Computer tomographic ventriculography (author's transl)].

A method for elucidating complex abnormalities of CSF circulation by using a positive contrast medium (metrizamide) and computer tomography is described. The technique for the method, the results and their clinical significance is demonstrated. The value of this method is compared with traditional ventriculography and with computer tomography without the use of contrast medium. It is shown that the technique represents an important extension of the scope of computer tomography.

Adolescent↗

[The clinical and radiological picture of degenerative disease of the extra- and intra-cranial vessels (author's transl)].

The clinical and angiograms of 500 patients with degenerative disease of their cerebral vessels were evaluated. The clinical severity of the ischaemic changes was graded and compared with localisation and extent of the angiographic abnormality. In these patients there is an increased risk during angiography and a careful technique has to be employed. Two examples are used to show that it is possible to clarify even complex neurological and angiographic problems by means of an appropriate technique, 90% of our patients with a definite cerebral infarct gave a history of previous transitory ischaemic attacks. In our opinion patients with these attacks are of particular interest to the angiographer and the surgeon.

Adult↗

[Cervical spine injuries and compression of the vertebral artery (author's transl)].

Six patients were angiographically examined. A compression of the cerebral artery was verified angiographically only in one patient with a severe dislocation of the cervical spine. Only severe trauma to the cervical spine seems to involve the vertebral arteries. The history of this patient with a verified compression of the vertebral artery is described. It is characterised by primary discrete neurological symptoms gradually getting worse. The cause and resulting consequences are discussed.

Angiography↗

[The diagnostic value of kymography in aortic isthmus stenosis (author's transl)].

The value of kymography was studied in 133 patients in whom a coarctation had been demonstrated angiographically, operatively or pathologically; its value was compared with conventional radiographic examinations. The difference in pulsation between the pib notching, dilatation of the ascending aorta and increased size of the left ventricle on plain films make it possible to diagnose an haemodynamically significant coarctation without any invasive methods. In 124 haemodynamically significant coarctations (93%), the kymogram showed increased pulsation of the dilated left subclavian artery. In nine haemodynamically insignificant or mild coarctations (7%), this sign was absent. Since the radiographic signs are to some extent reversible, it is possible to evaluate the results of surgery by plain chest films and the kymogram.

Adolescent↗

[Unusual course of traumatic intracranial bleedings (author's transl)].

Intracranial bleedings occurred in three patients as complications of h-ad trauma, without any initial acute disturbance of consciousness. Only careful observation, which revealed slow deterioration in consciousness, made it possible to establish the diagnosis of intracranial haemorrhage, confirmed angiographically in all three instances.

Adult↗