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PubMed · 6503531

[Special developments in neurosurgery].

Abstract

Increase of intracranial pressure is an acute danger for the patient's life. Since direct measurement of ICP is used, early identification of dangerous dysfunctions of ICP is possible. Surgical treatment of vascular malformations involves less risks since microsurgical methods and "tailor made" clips have been applied together with controlled hypotension. Transrhinoseptal approach in surgery of hormonally inactive and active adenomas has lowered the lethality rate essentially and improved the functional results. New indication in spinal surgery: Treatment of spinal claudication resulting from a central spinal stenosis, by operative decompression of the spinal canal.

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BibTeXRIS

K A Bushe. 1984. [Special developments in neurosurgery].. https://doi.org/10.1007/bf01823209

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We examined 30 infants in whom cortical visual impairment was diagnosed during their first year of life to ascertain prognostic factors for the development of object vision, defined as the ability to recognize faces or hand-held toys. All patients were followed up for a minimum of 12 months. The most common causes of cortical visual impairment in the 30 infants were hydrocephalus in nine infants (30.0%), birth asphyxia or neonatal hypoxia in eight infants (26.7%), intracranial hemorrhage with or without hydrocephalus in seven infants (23.3%), and meningitis in five infants (16.7%). Lack of development of object vision was associated only with hypoxia (P = .013). Findings on ophthalmic examination, an abnormality in the visual pathway on computed tomographic or magnetic resonance scan, and seizures, hydrocephalus, intracranial hemorrhage, meningitis, cerebral palsy, developmental delay, prematurity, microcephaly, and hearing deficit, did not appear to be risk factors for the lack of development of object vision.

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