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Biomedical subjects

R Campiche

Publications and source records attributed to R Campiche.

At least 19 recordsLinked to original sources
PubMed1995

Long-term results after ventriculo-atrial shunting in children.

A consecutive series of 120 patients with infantile hydrocephalus who were submitted to ventriculo-atrial shunting was studied. The average follow-up was 11 years. There was no operative mortality; 7 patients died during the follow-up period, but only in 1 case was the cause of death a consequence of the shunt procedure. The incidence rates of infection and slit ventricle syndrome were 4.2% and 1.8%, respectively. Shunt revision was performed on 253 occasions yielding a revision rate of 2.2 per patient. Of these 253 revisions 167 (66%) took the form of elective lengthening of the atrial catheter. The number of reoperations to adjust the length of the atrial catheter or to revise the distal end of the shunting system is a major disadvantage, which actually favors ventriculo-peritoneal shunting as the primary procedure for the treatment of pediatric hydrocephalus.

Cerebrospinal Fluid Shunts↗
PubMed1993

Long-term results after ventriculoatrial shunting in children.

A consecutive series of 120 patients with infantile hydrocephalus who were subjected to ventriculoatrial shunting was studied. The average length of follow-up was 11 years. Operative mortality was zero. Seven patients died during the follow-up period; in all cases but one of these the cause of death was not a consequence of a shunt-related procedure. The incidences of infection and slit ventricle syndrome were 4.2% and 1.8% respectively. Two hundred and fifty-three shunt revisions were performed, yielding a revision rate of 2.2 per patient. Of these 253 revisions 167 (66%) were elective lengthening of the atrial catheter. The number of reoperations for adjusting the length of the atrial catheter of for revision of the distal end of the shunting system is a major disadvantage of ventriculoatrial shunting which actually speaks in favor of ventriculoperitoneal shunting as the primary procedure for the treatment of pediatric hydrocephalus.

Adolescent↗
PubMed1986

[Diagnosis, treatment and course of hypophyseal tumors. Retrospective study of 123 cases].

To assess the diagnostic and therapeutic problems associated with pituitary tumors, the clinical records of 123 consecutive patients presenting with radiological changes consistent with pituitary tumors were analyzed retrospectively. This diagnosis was established in 109 cases while the remaining 14 had other intrasellar pathologies. Prolactinoma in women was diagnosed at a significantly younger age (34.3 years) than in men (54.2 years) or than non-secreting adenoma in both sexes (52.1 years). In the two latter instances there was, on diagnosis, a larger proportion of visual field impairment due to tumor impingement on the visual pathway. Acromegaly was also recognized late, when skeletal changes were marked. The presence of certain symptoms could have suggested the diagnosis of pituitary tumor earlier in most cases. Surgical treatment was somewhat less effective in correcting hormone hypersecretion than in other series but, on the other hand, it caused less pituitary insufficiency and, thus, less additional discomfort to the patients. Hypopituitarism was frequent after transcranial surgery and radiotherapy (more than 50%) but was very rare after transsphenoidal tumorectomy. It appears that earlier diagnosis would result in less frequent visual impairment and hypopituitarism secondary to tumor extension and the necessary treatment.

Adrenocorticotropic Hormone↗
PubMed1982

Redundant nerve roots of the cauda equina. A rare disease?

6 cases of so-called redundant nerve roots of the cauda equina are reported, which brings the total number of cases described in literature to 27. The differential diagnosis of the myelographic picture of tortuous filling defects is discussed. The authors believe that the majority of these cases is caused by chronic compression of the nerve roots.

Aged↗
PubMed1980

[Amnestic syndrome in children. Observation of a girl after craniopharyngioma operation].

We have followed up the very severe memory troubles of a 12 year old girl after a craniopharyngiomectomy. We discuss the interest of this observation referring in particular to age, since the amnesic syndrome of the child is a little documented area. A tumoral etiology for an amnesic syndrome is rare. In most of such cases craniopharyngioma is at the origin of mnesic troubles in the adult. When craniopharyngioma is quite frequent in the child, an amnesic syndrome is rarely observed.

Adult↗
PubMed1977

Cerebral coenurosis. Report of a case with arteritis.

A case of the unusual clinical condition of cerebral coenurosis, the unique parasitic disease that is localized only in the CNS, is reported. The patient had repeated attacks of transient hemiparesis due to intracranial arteritis which was demonstrated by several angiographic studies. The CSF showed a discreet lymphocytosis and increased immunoglobulins. This inflammatory reaction which preceeded the manifestations of the intracranial mass can be explained by the parasitic foreign bodies, the liberation of somatic and metabolic parasitic toxins and the immunological reaction of the organism. The arteritis of the basal intracranial vessels was probably secondary to the inflammatory reaction of the leptomeninges. In presence of the rare association of meningovascular disease and an expanding intracranial lesion a parasitic condition due to a larval stage of Cestodes (Hydatidosis, Cysticercosis, Coenurosis) should be always considered.

Adult↗
PubMed1975

[Neuroradiology of hydrocephalus in newborns and infants].

Up-to-date views on the various types of infantile hydorcephalus are exposed from a practical neurosurgical point of view. The neuroradiological procedures are divided in 3 groups: the neuroradioisotopes, the angiographies and the pneumographies. They are described and analyzed. Indicators and possibilities are outlined. Their complementary value is stressed.

Cerebral Angiography↗