[General and high epidural anesthesia in relation to general anesthesia in patients at risk in abdominal surgery].
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Biomedical subjects
Publications and source records attributed to R Basevska.
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In the last ten years (1973-1983) we operated and followed up 6 patients with intraventricular meningiomas, of these 4 were children and 2 adults. In 3 of the children the meningiomas occupied the lateral ventricles and were attached to the choroid plexus and the medial brain structures. The fourth childhood tumor was localized in the posterior third of the third ventricle. The first three children were operated by the established procedure for ventricular tumors, while the fourth was subjected to the procedure of Cl. Lapras (Lyon, France) for meningiomas and other tumors in the posterior part of the third ventricle. All four children survived the procedure. In the follow-up period they showed normal mental and physical development.
During the last 10 years (1973-1982), we have surgically treated 9 children for large echinococcus cysts with intraventricular localization. In 7 cases the cysts were localized in lateral ventricles and in 2 cases in IVth ventricle and cerebellum. The children were from 3 to 11 years old. All cases were with signs of mental retardation and immediately before surgical treatment with signs of brain incarceration. In 7 children there was a disorder of consciousness, from drowsiness to deep sleep. The treatment was conducted with two surgical methods. All children survived the surgical treatment.
The clinical course and surgical treatment of 48 children with lipomatous lesions of spinal dysraphism are presented. Preoperative studies consisted of complete neurological examination, IVP, myelography and CT scan if indicated. The complete clinical course and surgical treatment of the children with lipomatous lesions of the lower spine is reviewed. The surgical aim was to free all intra- and extradural adhesions by dural grafting if necessary. The results of surgical treatment are dependent upon the time of treatment (as early as possible), the location and extent of the malformation and the quality of surgical treatment.
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