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Biomedical subjects

P Distelmaier

Publications and source records attributed to P Distelmaier.

23 records · Page 2Linked to original sources
PubMed1976

[Atypical termination of the vertebral artery and of the inferior posterior cerebellar artery (author's transl)].

A rare varient in the termination of the vertebral artery is described associated with a low origin of an unpaired inferior posterior cerebellar artery lying between C. 1 and C. 2. This is illustrated radiographically. An attempt is made to explain this radiologically and to classify it. Possible clinical significant of this anomaly, particularly in relation to subarachnoid haemorrhage, is discussed.

Abnormalities, Multiple↗
PubMed1976

[Complications of the operative neurosurgical treatment of trigeminal neuralgia].

The complications after neurosurgical treatment of trigeminal neuralgia of 161 patients treated in the neurosurgical hospital university medical school Bonn from 1971 to 1974 are referred. Emphasis is layed on severe complications. After rhizotomia (Dandys method) 3 patients died, one of them because of a meningitis, one of them because of damage of the superior petrosal vein and one after ligature of an irregular auditive artery. One patient died after electrocoagulation of the ganglion Gasseri (Kirschner's method) after having had an important bleeding during coagulation. Another patient developed hemiparesis after a strong arterial bleeding during electrocoagulation. The damage of importance arterial vessels seems to be decisive. Three proposals in order to diminish the risk of the operations are settled: 1. Preoperative neuroradiological checks by means of contrast. 2. Carefully sparing of vessels, especially when precedent scars had alterated the field of operation, perhaps if necessary by means of the operation mikroscope. 3. Control of the lokalisation of the needle during electrocoagulation by X-rays.

Aged↗
PubMed1976

[Liquorrhoea and acute meningitis. Complications of a cerebrospinal fluid fistula secondary to a skull fracture suffered 45 years previously].

A case is described in which liquorrhoea and meningitis occur as complications of cerebrospinal fluid fistula. The patient incurred the initial skull fracture 45 1/2 years prior to that. Three hypotheses as to the long interval are discussed. The authors propose to look for a cerebrospinal fluid fistula after every important trauma of the skull.

Acute Disease↗
PubMed1976

[Technique and value of discography for the cervical syndrome (author's transl)].

Discography produces relatively many false pasitive findings. Their number, about 28% in our material, may be reduced decisively to below 10% when clinical, electro-physiologic and myelographic findings are considered together. It can be further reduced when results are judged in groups of varying value. Findings of high value are: 1) entry of the contrast fluid from the disc behind the posterior longitudinal ligament. 2) Exact reproduction of spontaneous pain during injection 3) The extension of a contrast band along the roots on the side and level of clinical findings. With such strict evaluation discographic findings are correct in 88%. In additon discography may be in certain cases the only method to elucidate a syndrome which clinically and in the myelogram permits various interpretations. Discography should always preceded operation. On the basis of 368 discographies with control of the diagnosis at operation its value is explained.

Cervical Vertebrae↗