Malleable surgical instruments used for transsphenoidal hypophysectomy.
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Biomedical subjects
Publications and source records attributed to R de Leo.
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A combined supra- infrasellar approach for the resection of very large pituitary tumors is described. We think that it is superior to either the transsphenoidal or the intracranial approaches to these difficult tumors.
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The authors report on a retrospective analysis of 81 patients undergoing laminectomy for the clinico-radiological diagnosis of lumbar stenosis. One hundred and eighty-five variables were considered and a computer system was used in their evaluation. The most frequent site of involvement was at L4-5. Follow-up time ranged from 3 months to 12 years. 95% good results were obtained, and the re-operation rate was 7%. The complication rate was 11%. There was no mortality. No significant correlation between factors investigated and the outcome was found. This is in contrast to our series of lumbosacral disc protrusions in which factors such as duration of symptoms and the presence of compensation indicated a poor outcome. Results are compared with other series.
A 17-year-old girl suffered a traumatic acute subdural hematoma and rib fractures after a motor vehicle accident. Prolonged coma resulted, and significant galactorrhea began 4 weeks after the accident. The galactorrhea was treated successfully by the administration of 2-bromoergocryptine. The pathophysiology of this condition is discussed.