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Biomedical subjects

R H PUDENZ

Publications and source records attributed to R H PUDENZ.

17 recordsLinked to original sources

Head injuries in infants and young children.

Head injury in infants and young children may produce lesions that are relatively unique for this age group. The uniqueness is generally due to the structural immaturity of the skull, meninges and brain."Derby-hat" and diastatic fractures are common in this age group. Spurious meningoceles result from tearing of the dura which is closely adherent to the skull. The syndrome of "delayed" concussion is more commonly manifested in children. Extradural and subdural hemorrhage may develop from lacerations of the major venous sinuses. A classical extradural hematoma may occur in the absence of fracture across meningeal arterial channels. The management of patients with head injury has been improved by the more frequent use of tracheotomy, hypothermic techniques and drugs of the "lytic cocktail." Solutions of urea in 10 per cent invert sugar are administered intravenously to control cerebral edema in selected patients.

Brain↗

A technique for hypophysectomy.

The procedure of hypophysectomy may offer some hope in metastatic carcinoma of the breast. Certainly further clinical trial is indicated. The anterior intracranial approach through the sphenoid sinus was used in eight cases. It offers a technically easier route by which to perform hypophysectomy. The immediate risk of operation does not appear to be too great. Caution must be urged against delaying this procedure until the patient is in a terminal condition.

Carcinoma↗