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A follow up study of 24 patients treated for severe injury of the cervical spine is presented. The dislocation was initially reduced by skull traction, which was later replaced by anterior fusion using a tibial graft. Solid fusion occurred in all patients. The neurological improvement was unaffected by the operation. Our conclusion is that anterior fusion(More)
Symptom control, daily "on" time, and quality of life (QoL) of nine patients with Advanced Parkinson's Disease was assessed following 18-months treatment with Continuous Intraduodenal Levodopa Infusion (CIDLI). Patients had severe motor fluctuations and dyskinesias and had previously received treatment with oral levodopa and dopamine agonists. There were(More)
Thirty hypertensive patients with subarachnoid hemorrhage were divided randomly into two groups. The treated group was begun on preliminary volume expansion, and control of hypertension was carried out using vasodilators and centrally acting drugs. The control group was treated in the classical manner for hypertension, with a diuretic as the foundation for(More)
INTRODUCTION Wernicke's encephalopathy (WE) is an underdiagnosed condition, usually associated with alcoholism, and has a worse prognosis if there is a delay in diagnosis. A series of 8 non-alcoholic patients with WE is presented and an assessment is made on whether a delay in diagnosis leads to a worse prognosis. PATIENTS AND METHODS The clinical records(More)
Three patients with chordomas of the clivus and the upper cervical spine underwent the removal of their tumors through a transoral approach with labiomandibular splitting and microsurgical techniques. This surgical approach provided excellent visualization of the anterior craniocervical area and allowed a gross total removal in each case. Although the(More)
The management of frontobasal skull fractures must be dealt with in a multidisciplinary manner. The advent of computed tomography has simplified the emergency radiologic investigation and expedited immediate surgical intervention. The major problem to be dealt with is closure of the frontobasal dura, which we accomplish by using an autogenous fascial graft(More)
Computed tomography (CT) of an intracranial dermoid tumor in a 43-year-old woman demonstrated a central soft tissue density (hair) in a low density (fat) cavity with a partially calcified wall. There was no contrast enhancement of the tumor. The CT findings were the most conclusive in the diagnosis and were helpful in the management of the patient.