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Evaluation of radiation therapy for a given neoplasm includes consideration of possible treatment complications as well as potential benefit. A 43-year-old male with a glomus jugular tumor or the right middle ear had received 4480 rad to the right middle and inner ear and temporal bone. Eight years later, he developed an anaplastic astrocytoma of the right… (More)
In 35 daytime paired blood and cerebrospinal fluid (CSF) samples from 15 patients, melatonin levels in CSF were undetectable or detectable but not higher than blood levels. During pneumoencephalography in 6 patients, no significant elevation of blood melatonin levels was observed, whereas cortisol concentration increased.
The primitive hypoglossal artery is one of four embryonic anastomoses between the carotid and basilar arterial systems. The so-called persistent hypoglossal artery is most likely a complex vessel comprised proximally of a persistent hypoglossal artery and distally of components of the primitive lateral basilar-vertebral anastomotic network. This is the… (More)
The change in size of a ruptured anterior cerebral artery aneurysm was recorded in a series of angiograms. The aneurysm did not appear on the initial angiogram, but was seen on the second study. Incomplete filling was seen on the third angiogram, and the aneurysm appeared to have thrombosed on the fourth angiogram. On the fifth angiogram, done 5 weeks after… (More)
The suspicion that physicians in this community know little about current events in American medical socioeconomics and politics led to a survey of the local medical society membership. The results showed a discouraging lack of knowledge about information that is readily available to physicians. We concluded that current methods for educating physicians in… (More)