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Biomedical subjects

R Steimlé

Publications and source records attributed to R Steimlé.

15 recordsLinked to original sources

[Cervical osteoid osteoma. Report of a case and review of the literature].

One case of a cervical osteoid osteoma is presented and compared with infrequent similar cases from the literature. The authors recall the diagnosis difficulties, facing a long standing not explained neck pain due to poor neurological and current radiological informations. The interest of the bone scintigraphy, CT scan and M.R.I. are emphasized. Like in other cases, the pain disappeared after surgical removal of the tumor. The eventually associated scoliosis often rectify too.

Adult↗

Spinal subdural hematoma.

The authors report a case of spinal subdural hematoma in a 51-year-old man who experienced a sudden onset of back pain accompanied by vomiting and headache without paralysis or paraparesis. CT Scan, myelography and MRI revealed a subdural hematoma at the levels of 6th, 7th and 8th thoracic vertebrales. Laminectomy allowed the removal of an encapsulated cyst formation filled with xanthochromic fluid and some blood clots. The follow-up was uneventful.

Diagnosis, Differential↗

[Chronic subdural hematoma in the elderly and computerized tomography. Study of 80 cases].

The pathogenesis of chronic subdural hematoma, especially the reason why it becomes chronic is still under discussion. A series of 80 patients older than 60 years (47% older than 75 years) were studied clinically and by CT. As compared with angiography, CT allows the subdural hematoma to be detected earlier. In some cases the subdural hematoma might have been missed without CT. The indication for surgery remains unchanged and surgical techniques too. In 80% of the patients good results from the clinical point of view could be achieved. There was no correlation between clinical signs and the findings obtained by CT. Postoperatively it usually took 60 to 70 days for CT findings to disappear. The prognosis of subdural hematoma in the elderly remains guarded. The mortality rate in our series was 11% possibly as a consequence of age.

Aged↗

[Not Available].

Explore the source record for details and available documents.

France↗

Cranioplasty with acrylic methyl methacrylate resin. Modified procedure--technical note.

A modified methylmethacrylate cranioplasty is presented. After preparation of the skull defect, a Teflon net is placed and fitted over it, overlapping the border by one centimeter. The plastic material is spread over the Teflon net in the skull defect and is removed as soon as it becomes firm. Next, the plate is perforated at several points and then is fixed with Vicryl stiches between the Teflon net and the epicranium. This procedure is simple and fast. The fixation is firm; the result is good.

Bone Cements↗

Lipoma in the cerebellopontine angle.

A case of lipoma in the cerebellopontine angle is reported. Intracranial lipomas are very rare, especially in the cerebellopontine angle. To our knowledge, only four cases, including our own, have been operated upon. Until now, total extirpation has not been possible. The singular appearance on computed tomography scanning of this dysembryoplasia is presented together with a bibliography of this subject.

Adult↗

Suprasellar choristoma.

A case of choristoma of the posterior lobe of the pituitary is presented. The clinical presentation suggested chromophobe pituitary adenoma and the true diagnosis was only established on histological esamination. Despite the patient's advanced age her-operative course was satisfactory, but the disturbances of endocrine and visual function remained virtually unchanged. Perusal of the literature shows that this is the twentieth case of suprasellar or neurohypophyseal choristoma so far published. It provides an opportunity to review the clinical presentation, radiology and treatment, as well as to discuss the histiogenesis and nature of this rare pituitary tumor.

Aged↗

[Paraplegia with a cauda equina syndrome due to stenosis of the spinal canal caused by tabes arthropathy].

The authors present a case of cauda equina paraparesis due to compression by tabetic osteo-arthropathy. Diagnosis was confirmed by the typical clinical picture of tabes and by the history of a chancre 53 years earlier. Radiography of the spine showed vertibral osteo-arthropathy. Opaque contrast myelography showed compression at the D 11/D 12 and L 4/L 5 levels, with poor contrast filling athe the L 1/L 3 level. Surgical treatment by decompressive laminectomies from D 12 to L 4 led to a satisfactory result with motor recovery and regression of the cauda equina syndrome.

Aged↗

[Intrasellar epidermoid cyst (author's transl)].

The authors present a case of epidermoid cyst in an unusual (intrasellar) situation and with untypical symptomatology (endocrine disorder without ophthalmological manifestations). The treatment was essentially surgical, and the patient's progress has been satisfactory.

Adult↗

[Spinal cord compression caused by spinal aneurysmal bone cyst (author's transl)].

Spinal aneurysmal bone cyst is sufficiently rare for the authors to report this case with rapid evolution and development of paraplegia. Total removal was achieved, and clinical recovery remained complete six months after operation. The pathogenic, clinical, radiological, histological and therapeutic aspects are briefly reviewed and discussed.

Adolescent↗