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Biomedical subjects

S Arlecchini

Publications and source records attributed to S Arlecchini.

17 recordsLinked to original sources
PubMed1988

Lumbar disc herniation: diagnosis, surgical treatment, recurrence. A review of 872 operated cases.

This review is based on 972 cases treated surgically for lumbar disc herniation between 1974 and 1984. The authors discuss several problems related to this condition. The importance of the history and clinical assessment are emphasized, as well as the role of instrumental tests such as radiculography and CT scan. The authors report what they believe to be the treatment of choice to avoid recurrence, based on an analysis of two groups of patients. The first group consisted of patients in whom lumbar and radicular pain persisted after operation. The second group consisted of patients in whom these symptoms recurred after an interval of complete relief. This analysis leads to the following conclusions: 1) clinical examination is pre-eminent; CT scan and radiculography are complementary to an accurate neurological examination; 2) hemilaminectomy is the operation of choice because it is sufficient to ensure accurate exploration of both root and disc; 3) most recurrences are due to errors in diagnosis or surgical technique.

Adolescent↗
PubMed1983

Lumbar spinal artery syndrome. Report of an unusual case.

The literature on the lumbar spinal artery syndrome and the anatomy of the vascular supply to the spinal cord is discussed. The authors report a case which is exceptional in that it occurred in a child aged 4 years after apparently trivial trauma.

Arteries↗
PubMed1981

Acute spontaneous spinal epidural haematoma.

Some aspects of the pathogenesis of acute spinal epidural haematoma are still obscure. However, if the possibility of an iatrogenic lesion is excluded, it must be assumed that there is a congenital or acquired vascular lesion, or else a haemorrhagic diathesis, with minimal trauma or repeated effort acting as a trigger factor. In the vast majority of cases, the syndrome of medullary of cauda equina compression by an acute epidural haematoma has a sudden onset in apparently healthy individuals after a normal amount of effort. In such circumstances the search for predisposing causes can only be speculative. In the present case, there were severe arthrosic changes, whose effect on the dural sac was demonstrable myelographically, but which was previously asymptomatic. Treatment is exclusively surgical. It is effective the earlier it is undertaken. The need for emergency surgery is clearly demonstrated by its inefficacy if delayed for twenty-four hours after the onset of the symptoms.

Acute Disease↗
PubMed1981

Arachnoid cyst.

Arachnoid cyst is a rare cause of cord compression; less than a hundred cases have been found in a critical review of the literature. A case observed personally is reported to illustrate and discuss some special aspects of this syndrome. Some of the characteristics that differentiate it from other cystic formations of the meningeal sheaths are emphasized.

Adult↗
PubMedDate not supplied

Neurogenic arthropathy. Differential diagnosis.

Neurological affections responsible for secondary arthropathic pathology are: tabes, syringomyelia, diabetes mellitus, congenital insensitivity to pain syndrome, alcoholism, leprosy. Each of the affections shows predilection for specific joints: syringomyelia the shoulder, tabes the hip and knee, diabetes mellitus the foot, congenital insensitivity to pain the lower limb, alcoholism the shoulder and knee. The authors discuss two cases of hip arthropathy in previous dorsal myelic fractures.

Arthropathy, Neurogenic↗
PubMedDate not supplied

Agenesia of the pectoral muscle.

Two cases of agenesia of the pectoral muscle are presented. Clinical examination is sufficient for diagnosis. Nonetheless, dosage of LDH and CPK is needed in order to exclude primary myopathy. Surgery is rarely indicated in selected cases of female sex, for cosmetic purposes.

Adolescent↗
PubMedDate not supplied

Neurologic deficit after resection of the sacrum.

The authors describe neurologic deficit (sensory, motor, and sphincteral) resulting from sacrifice of the sacral nerve roots removed during resection of the sacrum. The anatomical and functional bases of sphincteral continence and the amount of neurologic deficit are discussed based on level of sacral resection. A large review of the literature on the subject is reported and discussed. The authors emphasize how the neurophysiological bases of sphincteral continence (rectum and bladder) and of sexual ability are still not well known, and how the literature reveals disagreement on the subject. A score system is proposed to evaluate neurologic deficit. The clinical model of neurologic deficit caused by resection of the sacrum may be extended to an evaluation of post-traumatic deficit.

Anal Canal↗