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Biomedical subjects

T Reisner

Publications and source records attributed to T Reisner.

At least 37 records · Page 2Linked to original sources

[The diagnostic value of cranial computerized tomography in exogenous psychoses and mental disorders associated with organic disease (author's transl)].

205 patients hospitalized in a psychiatric department were subjected to cranial computerized tomography. The diagnosis on discharge according to the ICD key in each case was "psychoses or mental disorders associated with physical conditions". Pathological findings were obtained in 67.8% of the patients. In the case of space-occupying lesions the connection between psychiatric symptoms and syndromes and the underlying organic disease is obvious. Moreover, with inflammatory, vascular or traumatic diseases, a relationship to focal lesions found on the computer tomography appears likely if backed by appropriate neurological indications in the history or on clinical examinations. However, when alterations signifying diffuse brain atrophy are obtained on computer tomography any connections with psychiatric features should be very critically evaluated and, in individual cases, such connections had better not be looked for at all. Especially in cases of psychoses or mental disorders associated with physical conditions cranial computerized tomography is of high diagnostic value and the indications for its implementation in these cases should be judged very leniently.

Adult

[Comparative results of neuropsychological investigations, computer tomography and electroencephalography in post-traumatic epilepsy (author's transl)].

Clinical-neurological and neuropsychological investigations, as well as cranial computerized tomography (CT) and electroencephalography (EEG) were performed in 33 patients suffering from verified post-traumatic epilepsy. The purpose of this study was to compare the neuropsychological test scores (dementia, psycho-organic syndrome, decreased vigilance) with the results of CT and EEG. There was no significant correlation between the neuropsychological scores and the EEG results. On the other hand, a significant correlation was found between decreased vigilance (measured by CFF) and the results of CT, both in the case of focal lesions or diffuse brain atrophy.

Adolescent

[Densitometric evaluation of angiocinematographic x-ray films in cerebrovascular diseases (author's transl)].

21 patients suffering from cerebrovascular diseases were examined by means of angiocinematography. The 37 X-ray films were taken under standardized conditions of exposure and development, and were evaluated by use of densitometry. The flow speed and the blood volume/min were measured in the internal carotid artery, as well as the arterial transit time from the carotid siphon to standardized measuring points in the three branch groups of the middle cerebral artery. The haemodynamic parameters obtained from the clinically affected hemispheres or branch groups were compared with those obtained from the clinically non-affected. The aim of this study was to attempt to make a contribution towards the understanding of haemodynamic changes in connection with cerebrovascular diseases.

Adult

Stiff-man syndrome with abnormalities in CSF and computerized tomography findings. Report of a case.

We report a case of stiff-man syndrome with abnormal spinal fluid. Serum protein values were normal, but the spinal fluid levels of immunogammaglobulin G and acute-phase proteins were elevated. We discuss the possibility of an inflammatory process of the nervous system as a cause for these findings. Another interesting observation in our patient was that of local atrophies seen on computerized tomography, indicating hemispheral and especially brainstem lesions. Furthermore, as a new therapeutic possibility, we demonstrated the improvement of spasms and rigidity under the influence of heat.

Atrophy

Computerized tomography in multiple sclerosis.

Forty-three patients with multiple sclerosis (MS) were examined clinically and with computerized tomography (CT). A total of 80 focal cerebral lesions were predicted by clinical neurologic examination. The CT scans showed foci corresponding to 31 (39%) of the clinically predicted 80 lesions. In addition to these foci, CT scans revealed 17 plaques of atypical periventricular localization as well as 18 focal lesions that produced no clinical signs in the course of the disease. The relations between duration of the disease and number of CT foci was significant; however, no relationship could be established between number of foci and number of previous bouts. Cerebral atrophic changes without any significant relationship to the duration of the disease and the number of bouts were found in 15 of the 43 patients. Use of CT may furnish additional information in cases that present diagnostic problems or at the first manifestations of MS.

Adolescent

Diagnostic and pathomorphological aspects of glioma multiplicity.

A series of 11 patients with multiple glioma foci is reported with emphasis upon isotope brain scan, angiography, and CT findings; autopsy data is available in 8 cases. In many patients it was necessary to combine the results of several diagnostic techniques in order to demonstrate all the foci proven at autopsy. Thus, the desirability of combining diagnostic techniques in the investigation of glioma patients must be stressed. In spite of this approach, however, multiple metastases and the various types of multiple gliomas are often indistinguishable from each other by current diagnostic techniques.

Adult

[Quantitative evaluation of lateral ventricle width by means of CT--values obtained from a normal population (author's transl)].

The possibilities of differentiation between a "normal" and an "enlarged" ventricular system by means of Computerized Tomography are limited. The main problems are the definition of the Normal Population and the fact that a certain methodical error in measurement is not to be avoided. On the other hand, that differentiation is essential for the diagnosis of Ventricular Enlargement, Hydrocephalus internus and Brain Atrophy. The daily practice requires a method, which allows an accurate measurement as well as a quick and simple performance. The evaluation of the width of the lateral ventricles by means of the Ventricle-Index-Quotient (VIQ) and of the Ventricle-Waist-Quotient (VTQ) is likely to meet all these requirements. The results have been obtained from the computer-tomograms of 53 men and 69 women (n = 122), aged between 15 and 80 years. A statistically significant correlation was found between the VIQ- and VTQ-values on the one hand, and the patient's ages on the other. Consequently, whether normal values or the diagnosis of brain atrophy are in question, the patient's age has always to be considered.

Adolescent

[Unilateral congenital anophthalmos with Trabecular agenesia and hydrophthalmos of the other eye (author's transl)].

In a one-year-old female patient, unilateral anophthalmos was ascertained by clinical, echographic and X-ray examination. In addition, the cranial computer tomogram showed trabecular agenesia. The globe of the other eye was existent and was enlarged by hydrophthalmos. Pediatrically this case represents a syndrome with multiple anomalies of etiologically unknown origin; apart from the ocular malformation there are a severe cerebral developmental disturbance, an apallic syndrome, hypsarrhythmia, peculiar disproportional bodily structure with skeletal anomalies as well as an abnormal susceptibility to infections of the respiratory system and a marked, isolated IgA-deficiency. Neither chromosomal anomaly nor familiarity was discovered.

Anophthalmos

[Diagnosis of cerebral atrophy on the basis of the cerebral angiogram (author's transl)].

An increased distance between the brain surface and the skull causes the appearance of a broad avascular band in the carotid angiogram, which -- apart from other criteria -- has been valued as a sign of cerebral atrophy. 54 patients (60 to 79 years old), suffering from cerebrovascular diseases, were examined. Carotid angiography of the afflicted hemispheres were carried out within 4 to 90 days after the stroke. The initially mentioned distance between the skull and the brain surface, represented by the terminal arterial branches, was measured in frontal and lateral projection. The influence of alterations of the wall of extracranial vessels, of the number of attacks, of the severity of the stroke as well as of the patient's age on the distance was statistically evaluated. The results were compared with those of cranial computerized tomography. Only limited correlations between the mentioned parameters and the distance between the vessels and the skull have been found. Thus the distance is only of limited diagnostic value for the verification of senile cerebral atropy on a vascular basis.

Aged

The value of CT and EEG in cases of posttraumatic epilepsy.

The results of the clinical neurological investigation were compared with those of electroencephalography (EEG) and computed tomography (CT) in 64 patients suffering from verified posttraumatic epilepsy. Only 18 patients (28%) showed central neurological features with corresponding focal disorders on CT (15 cases) and EEG (11 cases). The combined application of both methods led to positive results in 94% on the part of at least one accessory examination. The clinical neurological investigation as well as the EEG and CT were normal in only 3 cases, although the traumatic etiology of epilepsy was beyond doubt. In addition to the clinical neurological investigation, EEG and CT are most important accessory examinations for the diagnosis and followup studies in cases of posttraumatic epilepsy.

Adolescent

[Cerebral angiography with the contrast medium vasobrix 32 (ioxitalamate) (author's transl)].

On the basis of angiograms carried out 168 patients, the contrast qualities achieved with the contrast medium, Vasobrix 32 were compared with those of other contrast media used so far. In the case of carotid angiography, Vasobrix 32 allowed better visualisation in the arterial phase than achieved with the contrast media used so far. The superiority of Vasobrix 32 over other substances was even more evident in the venous phase. As regards visualisation of the branches of the small arterial vessels such as the striothalamic branches, the results achieved with Vasobrix 32 were better than with the contrast media used so far and, therefore, a general improvement in visualization can be expected from Vasobrix 32 (Ioxitalamate). Complications with neurological sequelae were not observed, subjective complaints occurring to a slightly lesser extent than in the case of contrast media with a high sodium salt content.

Cerebral Angiography

[Computerized tomography in infants with seizures (author's transl)].

A total of 228 children suffering from seizure disorders were investigated by means of cranial computerized tomography (CT). Their age ranged from 3 weeks to 15 years. Structural abnormalities were assessed in 63% of these cases. The greatest incidence of organic abnormalities occurred in children with major epilepsy (83%) and with focal seizures (71%). Clinical data and the course of illness may require additional angiographic and repeated CT investigations.

Adolescent