[Jugular chemodectoma with Garcin syndrome]. / Quemodectoma yugular con sindrome de Garcin.

The authors present an exceptional case of chemodectoma jugulare with important invasion of the skull base involving all the cranial nerves on one side and conforming Garcin's syndrome. Practically all the possible ways of spreading were followed by the tumor, with involvement of the posterior, middle and anterior fossas of the skull base and also orbit, middle ear and neck. The clinical and histopathological difficulties in the diagnosis, especially when the chemodectoma has only neurological signs, are stressed. The association of otologic symptoms makes the diagnosis easier. The patient had an early onset of the symptoms and a rapid evolution considering this type of tumors. The appearance of goitre in this patient is a sign of endocrine disturbance, which is occasionally associated with these tumors. Apparently this chemodectoma was not a secreting tumor, since the blood pressure values were normal. No signs of multicentricity or metastatic growths were detected. The radiological studies, and especially computerized tomography scanning, gave precise information about the spreading of the tumor. The authors consider that the knowledge of this entity is important in order to arrive at a correct diagnosis.

Tomografia axial computorizada en el diagnostico del cancer de pancreas. / Computerized axial tomography in the diagnosis of pancreatic cancer

Los resultados del T.C. de pancreas son actualmente satisfactorios. Siendo un metodo no invasivo, de bajo riesgo, simple y capaz de ser enriquecido dia a dia con nuevos conocimientos, tenemos a la mano la posibilidad de un diagnostico rapido y seguro en el cancer de pancreas

[Surgery by anterior approach in cervical myelopathy with a narrow canal]. / Cirugía por vía anterior en la mielopatía cervical con canal estrecho.

Twenty four patients with spastic paraparesis due to cervical myelopathy were operated on by the anterior approach. They all received anterior cervical discectomy and/or osteophytes resection with the operating microscope, without fusion. There were no deaths and no one deteriorated after surgery. The results in the 21 patients with a year or more of post-operative follow-up are described. Seven had a congenital narrow canal associated with discopathy, with a history of up to 9 years. In 6, the spastic paraparesis improved, in 2, dramatically. One patient had no change. The other 14 patients had a normal cervical canal. Eight had an excellent result, and only one did not improve. The patients with a narrow canal were a little worse than those with a normal canal, but both groups are not quite comparable. More experience is needed, but the evidence suggest that the anterior approach give good results in cervical myelopathy with discopathy associated with narrow canal, without mortality or post-operative deterioration.

[Embolization with adipose tissue (author's transl)]. / Embolización con tejido adiposo.

The authors present their animal experimental work on adipose tissue as an occlusive agent, using the renal and carotid areas as parenchyma in which to test its effect. Work was planned in four series: the first with a survival rate of 24 to 72 h, the second with a survival rate of 7 to 18 days, the third, 45 to 58 days, and the fourth, 58 to 90 days. Angiographic and anatomopathologic postembolization controls were performed, thus supplying conclusive radiologic and histologic documentation on the embolization material under study. In the light of results achieved, it was applied clinically in humans.

[Memory disorders in posterior vertebrobasilar cerebral artery insufficiency]. / Trastornos de la memoria en la insuficiencia arterial vértebro-basilar-cerebral posterior.

A clinical and neuropsychological study of 10 vascular patients with signs of circulatory insufficiency in the vertebro-basilar-posterior cerebral territory in whom the dominant symptom was loss of memory with relative idemnity of other intelectual functions is presented. In 5 cases clinical signs of acute infarct in the posterior cerebral artery territories existed in the form of amnesic infarct. The disturbances and the localization of the lesion confirmed by paraclinical examinations (EEG, angiography of the posterior circulation, radioisotope scan) are discussed.

[Pott's disease of cervical topography. Apropos of a case]. / Mal de Pott de topografía cervical. A propósito de una observación.

The authors present a case of cervical Pott's disease with severe neurological impairment and with a favourable course with medical and surgical treatment. The diagnostic difficulties and the possibilities of treatment at the present stage are discussed.