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2.
World Neurosurg ; 116: 116-120, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29777887

RESUMEN

During the archaeological excavations conducted in the Hellenistic necropolis discovered in Messina (Sicily, Italy) dating back to the 3rd century BC., a skeleton showing evidence of cranial traumas and surgical intervention was found. The skull, belonging to a young adult male, presented signs of 4 head injuries produced by both blunt and sharp-edged instruments. The first 2 lesions, located on the frontal bone, were produced by blunt blows and showed signs of long-term survival. The third lesion, located on the inferior portion of the right parietal, suggests a perimortem nonpenetrating linear cut likely caused by a blade instrument. Finally, a rectangular bone loss is visible on the left parietal bone, involving the full cranial thickness with well-delimited cutting edges and no sign of a reparative process. This injury can be interpreted as the result of a trepanation, performed with the technique defined as "linear cutting" and obtained through 4 linear incisions in parallel pairs intersecting at the right angles. The trepanation is likely related to the multiple head injuries exhibited by the patient, who unfortunately did not survive the surgical intervention. Trepanation in Italy has been largely attested since Prehistoric times, but the case from Messina represents the first evidence of neurosurgical intervention performed through the linear cutting technique in the Italian context and the second case in the whole of Europe. This technique might have been imported in Sicily during the Hellenistic period from the Near East, where it is clearly attested.


Asunto(s)
Traumatismos Craneocerebrales/historia , Instrumentos Quirúrgicos/historia , Trepanación/historia , Traumatismos Craneocerebrales/cirugía , Historia Antigua , Humanos , Italia , Masculino , Sicilia , Adulto Joven
3.
Int J Paleopathol ; 20: 60-64, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-29496217

RESUMEN

The archaeological excavations carried out in 1999 in the Collatina necropolis of the Roman Imperial Age (1st-3rd centuries AD) (Rome, Italy) discovered the skeletal remains of two adult males with evidence of paranasal lesions. Both individuals showed postmortem damage in the frontal bone, through which it was possible to macroscopically detect an oblong new bone formation. In both specimens, radiological examination of the defects' morphology showed new pediculated-based bone formations. Radiology also confirmed the presence of benign osseous masses arising from the right frontal sinus and interpreted as osteomata. Their dimensions did not exceed 10 mm, so that mechanical complications and compression of the adjacent structures could be ruled out. The osteomata of paranasal sinuses are rarely reported in paleopathology, since they can be discovered only incidental to bone breakage or radiography. Hence, the evaluation of their occurrence in past populations represents an important challenge. The two cases presented here show direct and rare evidence of frontal sinus osteomata dating back to the Roman Imperial Age.


Asunto(s)
Seno Frontal , Osteoma/historia , Paleopatología , Neoplasias de los Senos Paranasales/historia , Mundo Romano/historia , Adulto , Determinación de la Edad por los Dientes , Restos Mortales/diagnóstico por imagen , Restos Mortales/patología , Tomografía Computarizada de Haz Cónico , Diagnóstico Diferencial , Seno Frontal/diagnóstico por imagen , Seno Frontal/patología , Historia Antigua , Humanos , Masculino , Osteoma/diagnóstico por imagen , Osteoma/patología , Neoplasias de los Senos Paranasales/diagnóstico por imagen , Neoplasias de los Senos Paranasales/patología , Ciudad de Roma , Determinación del Sexo por el Esqueleto
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