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Biomedical subjects

R Dondelinger

Publications and source records attributed to R Dondelinger.

At least 19 recordsLinked to original sources

Palmar hyperhidrosis CT guided chemical percutaneous thoracic sympathectomy.

Palmar hyperhidrosis or excessive sweating of the hands causes, to those affected, emotional and physical disturbance and impediment in professional and social life. The cause is unknown. Sweat glands are innervated by the sympathetic chain of the autonomous nervous system. The center of sympathetic regulation of the upper extremities is located between the segments of D.2-D.9 of the spinal cord. Accepted treatment consists of surgery aimed to excise the third thoracic sympathetic ganglion. Besides the surgical procedure as such, and its complications, there are complications inherent to the excision of the ganglion. These are Horner's syndrome, compensatory sweating in other parts of the body, and recurrence of sweating. CT guided chemical percutaneous thoracic sympathectomy presents an alternative, which in the event of failure does not prevent ensuing surgery. The preliminary experience with this procedure in 50 patients is presented and discussed.

Adolescent↗

Computed tomographic arteriography (CTA) of the liver. Evaluation of technique, results and indications.

Computerized tomographic liver angiography was performed in 57 patients, of which 47 had metastatic disease. The goals of the investigation were to preoperatively 1. determine number, extent and nature of liver lesions, 2. define the hepatic vasculature. Early CTA could in 14 of the patients correctly direct further clinical management. CTA is a good examination modality for selecting candidates for liver surgery for neoplastic disease.

Angiography↗

Fatty infiltration of the pancreas in Shwachman's syndrome: computed tomography demonstration.

The authors report the case of three siblings with Shwachman's syndrome in whom computed tomography (C.T.) gave the diagnosis of fatty infiltration of the pancrease, by virtue of its specificity in identifying fat. The clinical and radiological features of Shwachman's syndrome as well as the differential diagnosis of fatty infiltration of the pancreas in childhood are reviewed.

Bone Marrow Diseases↗

[Computed tomography guided percutaneous aspiration and drainage of thoracic and abdominal fluid collections (author's transl)].

Computed tomography can be of value in guiding percutaneous aspiration and drainage of thoracic and abdominal fluid collections of various origins and localizations. Puncture-aspiration is of diagnostic importance when computed tomography findings are non-pathognomonic. Techniques employed for percutaneous drainage of infected fluid are described. Puncture-aspirations and percutaneous drainage of infected fluid are described. Puncture-aspirations and percutaneous drainage under computed tomography guidance are free from major complications, and represent a more valid therapeutic method than surgery, being simpler to perform and supplying identical results.

Adult↗