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Biomedical subjects

S H Cornell

Publications and source records attributed to S H Cornell.

13 recordsLinked to original sources
PubMed1979

The complementary nature of computed tomography and angiography in the diagnosis of cerebellar hemangioblastoma.

Cerebellar hemangioblastomas were seen in seven persons, five being members of the same family. All were studied with constrast enhanced CT scans and vertebral angiograms. The CT scans were superior for demonstrating the cystic component of the tumors and associated hydrocephalus, features not usually evident on the angiograms. The angiograms were superior for revealing the vascular nature, supply and drainage of the tumors. In several patients the angiograms revealed more tumors than could be seen by CT. Both CT and angiography contribute important information in the diagnosis of these neoplasms.

Adolescent↗
PubMed1979

Posterior fossa intra-axial tumors: a comparison of computed tomography with other imaging methods.

Fifty patients with posterior fossa intra-axial tumors were evaluated by computed tomography and the results compared with routine skull films, radionuclide brain scanning vertebral angiography, and cerebral air studies. The routine skull series was found to be of little benefit. Computed tomography was more sensitive than the radionuclide brain scan in detecting all of the lesions except astrocytoma, for which sensitivity was comparable. Angiography was the most sensitive means of detecting hemangioblastoma, and was the only reliable radiographic method of differentiating hemangioblastoma from astrocytoma. Cerebral air studies were the most sensitive and specific means of evaluating brainstem gliomas.

Adult↗
PubMed1978

Diagnosis of extracerebral fluid collections by computed tomography.

The computed tomography scans of 90 patients with extracerebral fluid collections were reviewed. Epidural hematomas, acute, subacute, and chronic subdural hematomas, convexity subarachnoid hemorrhages, subdural hygromas, and one epidural empyema were seen. The CT findings were analyzed and correlated with the time elapsed since injury (when known) and the results of radionuclide scans (when available). The overall accuracy of CT in detecting extracerebral fluid was 90% with no acute hemorrhages missed. In subacute and chronic subdural collections, six CT scans were false negative in whole or in part. Three false positive interpretations were made and are discussed.

Acute Disease↗
PubMed1976

Computerized axial tomography of intracerebral hematoma. A clinical and neuropathological study.

Excellent correlation between computerized axial tomographic (CT) scans and the location and extent of pathologically verified intracerebral hematomas was demonstrated in eight patients. Superficial and intraventricular extension, hydrocephalus, and mass effect were easily identified; CT scanning was superior to angiography and radionuclide brain scanning in diagnosing hematoma and in determining its extent and associated ventricular size. Angiography was superior to CT scanning in demonstrating aneurysms and arteriovenous malformations as a cause of intracerebral hematoma. Computerized axial tomographic scanning is also useful in following the resolution of hematomas and in guiding surgical intervention.

Adult↗
PubMed1976

Individualized computer tomography of the skull with the EMI scanner using the 160 X 160 matrix.

The individualized approach to the performance of computerized tomography of the skull is described. With the use of the 160X160 matrix it is possible to look at the initial scans almost immediately after their completion. If necessary, unsatisfactory scans can be repeated, the position of the head can be changed and artifacts due to motion can be minimized or eliminated. Lesions can be revealed or enhanced with intravenously injected contrast material if desired. The individualized approach has eliminated the need to recall patients and has improved the diagnostic capability of the method.

Computers↗
PubMed1976

Computed tomography and radionuclide studies in the diagnosis of intracranial disease.

The accuracy of CT and radionuclide studiies in the diagnosis of intracranial disease is analyzed based on experience in 641 patients. Results indicate that both modalities give reasonably similar precision and that a modest improvement in diagnosis can be expected if both techniques are employed. It is emphasized that the radionuclide studies used routinely included what are rightfully considered adjunctive scanning procedures, so that results must be considered in this light.

Brain Diseases↗
PubMed1976

Computed tomography and brain scintigraphy in ischemic stroke.

Radionuclide and computed tomographic (CT) scans were reviewed in 215 patients with ischemic stroke. The findings vary depending on the site of vascular occlusion. In middle cerebral artery occlusion, four distinct patterns may be seen on the scintigrams. The CT scans show little variation in appearance. The tentorial confluence sign is an important finding on scintigrams of patients with occipital infarction; the absence of this signs should suggest another diagnosis. During the first week and after the fourth week following an ischemic stroke, the scintigram is usually negative, whereas the lesion is visible by CT. However, there are a significant number of false negative CT scans; therefore, both examinations are advocated in difficult cases.

Aged↗