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Biomedical subjects

U Borchardt

Publications and source records attributed to U Borchardt.

6 recordsLinked to original sources
PubMed1978

[The brain abscess today].

In spite of refined diagnostic and therapeutic possibilities, the cerebral abscess continues to be a disease involving great risks. A comparison of surgically treated groups of patients of the periods 1954 to 1962 and 1963 to 1977 does not show any reduction in lethality. This amounted to 15 per cent for the first group and 17.6 per cent for the second group. Extirpation of cerebral abscesses shows the most favourable results of treatment as compared to other surgical procedures. In our opinion, however, it will not remain the only method of treatment in future because it can only be employed if the patient is in a condition permitting an operation. That is why the open abscess treatment will continue to be justified for all cases where cerebral abscesses occur in combination with subdural or epidural empyemas. Certainly, modern anaesthesia methods as well as intensive pre- and postoperative therapy will further reduce the number of patients who are subjected to a primary puncture treatment. Since 1972, we have treated our patients exclusively by abscess exstirpations. Until 1977, none of the total number of 12 patients treated by us has died. We consider the use of scintigraphic and EEG controls of inflammatory cerebral processes to be of decisive importance. These controls enable a differentiation between diffuse and local inflammatory processes which are accompanied by a liquefaction and in this way permit the selection of the optimum time of operation. A basic condition, however, will always be a good interdisciplinary co-operation with infection departments, paediatric and ENT hospitals where in most cases patients suffering from brain abscesses are first admitted.

Adolescent↗
PubMed1977

[Experiences with hypophyseal adenoma patients].

UNLABELLED: The treatment of 126 patients presenting surgically treated and histologically determined suprasellar hypophyseal adenomas is described and the catamnesis followed up in some cases over a period of ten years after the transfrontal operation. Particular value is attached to a comparison of pre- and post-operative disturbances of acuity and field of vision. Moreover, the experience gained in the treatment of the first decade is compared with that of the second decade. CONCLUSIONS: I. The results of the treatment of a hypophyseal adenoma will be the better, the earlier it is detected. Disturbances of the gonadal function in particular can be traced back over many years. When primary or secondary amenorrhoea is present, gynaecologists should more often think of the existence of a hypophyseal adenoma. --2. The restoration of the working capacity of the patients operated on largely depends upon the restitution of the vision and an optimum hormonal substitution according to requirements. Thus, an early recognition of the lesion and the surgical method which must be further improved by employing modern techniques, are decisive.

Adenoma↗