Biomedical subjects

T Kurze

Publications and source records attributed to T Kurze.

At least 37 records · Page 2Linked to original sources

PubMed1976

Anatomico-physiological considerations in exploration of the fourth ventricle.

The advancement of surgical techniques has enabled the neurosurgeon to undertake a continually more aggressive approach toward lesions within the fourth ventricle. Laboratory and clinical observations have enabled us to conclude that (1) exploration of the fourth ventricle is feasible without anatomical disruption of the vermis, (2) controlled ventilation during such explorations is physiologically most desirable, and (3) irrigation of neural structures must consider acid-base and ionic parameters in order to maintain physiologic stability.

Adolescent↗

PubMed1975

Penetrating gunshot wounds of the cervical spine in civilians. Review of 38 cases.

The authors present a series of 38 civilian patients with cervical gunshot injuries, and compare neurological recovery in patients with complete lesions and patients with incomplete lesions according to whether therapy was surgical or nonsurgical. In patients with incomplete injury, ultimate recovery was a function of the initial injury more than surgical or nonsurgical therapy; nor did patients with complete lesions show significant change in outcome with either mode of therapy. Cord pathology at laminectomy rarely provided a clue about neurological recovery, and fural decompression did not alter neurological outcome. The authors conclude that the sole indication for routine surgical intervention appears to be progressive neurological deficit.

California↗

PubMed1975

Evaluation of postcraniotomy patients by radionuclide scan.

Twenty-eight patients with cerebral tumors were evaluated after craniotomy with combined radionuclide techniques in order to assess presence or absence of tumor recurrence. The combination of a positive pertechnetate or Tc-phosphate scan with a positive gallium scan strongly indicates the presence of recurrent or residual tumor. Infection may also cause uptake but was easily distinguished by the distribution. Negative gallium scans with positive technetium scans were indicative of non-recurrence in this series.

Brain Neoplasms↗

PubMed1975

Collagen sponge for surface brain protection. Technical note.

The authors discuss the properties, use, and advantages of collagen sponge as a microneurosurgical adjunct. Experience with the material in over 300 operative cases has demonstrated its value for protecting the surface of the brain during exposure and retraction in neurosurgical procedures.

Brain↗

PubMed1975

Management of cervical spinal cord trauma in Southern California.

Acute cervical spinal cord injuries were reviewed in 356 patients treated by the neurosurgical community in Southern California. Neurological recovery was compared in operated and nonoperated patients with complete and incomplete cervical myelopathies. The complications of nonsurgical and surgical therapy are identified. No neurological improvement was noted in any patient with a complete lesion who underwent early surgical decompression. In those with incomplete sensorimotor paralysis, it was difficult to document any effect of surgical decompression on neurological recovery. Patients with some degree of sensory preservation had a similar incidence of motor recovery in both surgical and nonsurgical groups. With complete sensorimotor paralysis, anterior cervical fusion within the first week of injury was associated with increased pulmonary morbidity.

Adolescent↗

PubMed1975

Ventricular perfusion for ventriculitis.

A system of ventricular perfusion of appropriate antibiotic solutions in the management of neonatal ventriculitis is described. The technique of perfusion as well as considerations in the appropriate selection of antibiotics and perfusates is detailed. The procedure was successfully utilized in a consecutive series of nine children refractory to conventional modes of therapy.

Anti-Bacterial Agents↗

PubMed1975

Anterior decompression of the thoracic and thoraco-lumbar spine.

The authors report their experience with six cases of acute spinal cord compression due to tumor, trauma, and infection in which the thoraco-lumbar spine and cord were most satisfactorily decompressed using an anterior transthoracic approach. Consideration is given to the appropriate pre-operative diagnostic procedures utilized to define those cases that are most amenable to an anterior approach. In addition, a consideration of paravertebral anatomy in the thoraco-lumbar area provides a basis for variance in approaching the ventral aspect of the thoraco-lumbar spine in order to minimize potential vascular complications.

Acute Disease↗

PubMed1975

Ventriculogastrostomy, an alternative means for CSF diversion: a preliminary study.

The feasibility of gastric CSF diversion in the management of hydrocephalus is evaluated in laboratory and clinical settings. A technique for ventriculogastrostomy is described and evaluated initially in 8 mongrel dogs. All distal shunts remained patent to the time of sacrifice. None of the animals exhibited leakage of gastric contents around the tubing. Cultures of the components of the shunting system and gastric mucosa were sterile. Clinical evaluation in a 3 week-old child is discussed. The trial was terminated at 3 weeks postsurgery because of the occurrance of an E. coli ventriculitis which was considered to be secondary to a preoperative conjunctivitis in which the organism was identical. It is concluded that there is good experimental evidence to support the concept of effectiveness of ventriculogastrostomy in the treatment of selected cases of hydrocephalus.

Animals↗

PubMed1974