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Biomedical subjects

W S Coxe

Publications and source records attributed to W S Coxe.

15 recordsLinked to original sources

Familial colloid cyst of the third ventricle: case report and review of associated conditions.

The cases of a father and his son who were diagnosed with pathologically confirmed colloid cysts of the third ventricle are presented. The familial occurrence of this tumor is rare and suggests that genetic factors may play a role in its formation. Consistent with the concept that the cyst originates as a developmental abnormality, it is associated with a variety of congenital defects. The conditions that are associated with these tumors are discussed.

Adult↗

Anterior cervical disc herniation. Case report.

A 39-year-old man with an extrinsic esophageal lesion was found to have an anterior herniation of a soft degenerated cervical disc. Only two cases of symptomatic anterior cervical disc herniation have been reported previously. Dysphagia produced by anterior cervical osteophytes is more common and is a recognized clinical entity. Asymptomatic anterior cervical disc herniation may play a key role in the pathogenesis of anterior cervical osteophytes.

Adult↗

Normal neurologic development and marked reconstitution of cerebral mantle after postnatal treatment of intrauterine hydrocephalus.

We treated an infant who had severe congenital hydrocephalus and a massively enlarged head at birth. Despite extreme attenuation of the cerebral mantle, placement of a ventriculoperitoneal shunt at 4 weeks of age was followed by essentially normal neurologic development after several months. In addition, there was a striking reconstitution of the cerebral mantle.

Brain↗

Congenital astrocytoma presenting with intracerebral hematoma. Case report.

A massive left intracerebral hematoma was surgically evacuated from a 2-week-old infant. Pathological examination showed that the hemorrhage had developed within a fibrillary astrocytoma. Neonatal intracerebral hemorrhage should raise the question of congenital tumor because such a hemorrhage in this age group is rarely the result of trauma, bleeding diathesis, or vascular malformation.

Astrocytoma↗

Adult idiopathic communicating hydrocephalus with and without shunting.

The outcome in 37 adult patients with idiopathic communicating hydrocephalus treated by ventriculoatrial shunting is presented. Only 33% showed definite improvement, and no diagnostic procedures accurately predicted the outcome of surgery. These were compared with a "control" group of 12 patients who were not shunted; 50% of these were stable for up to 36 months. These findings, and the high frequency of serious complications (35%), suggest caution in recommending a shunt procedure.

Aged↗

The Jewish Hospital of St. Louis therapeutic grand rounds no. 9. Diagnosis and therapy of acromegaly.

Acromegaly, the clinical expression of chronic hypersecretion of growth hormone, develops insidiously and is too often not recognized until the disease is advanced. However, a useful screening procedure, the measurement of serum growth hormone after an oral glucose load, is available. Though evidence suggesting that acromegaly may be a disorder of defective hypothalamic regulation of pituitary growth hormone secretion has accumulated, the pathogenesis of the diease is not sufficiently understood to permit consistently effective medical therapy. Current therapy, therefore, is directed toward destruction of growth hormone producing pituitary tissue. Patients with major suprasellar extension and chiasmal compression usually require transfrontal surgery. Patients without major suprasellar extension can be treated with external irradiation or with transsphenoidal surgery. It is our current practice to limit the former to young patients withe relatively modest elevation of the serum growth hormone concentration.

Acromegaly↗