RESUMO
Examined were 80 patients with parkinsonism and 20 patients torsional dystonia before and after stereotaxic cryodestruction of the ventrolateral thalamic nuclei. A set of tests was used to evaluate attention, memory, associative processes, generalization, comprehension to examine these patients. Only in the group of parkinson patients a reduction of these findings was noted (memory, perception, comprehension). All other mental activity types suffered similarly in all patients after the operations.
Assuntos
Distonia Muscular Deformante/psicologia , Doença de Parkinson/psicologia , Técnicas Estereotáxicas/psicologia , Núcleos Talâmicos/cirurgia , Criocirurgia/psicologia , Distonia Muscular Deformante/cirurgia , Feminino , Atividade Nervosa Superior , Humanos , Masculino , Doença de Parkinson/cirurgia , Período Pós-Operatório , Testes PsicológicosRESUMO
The study included 12 operated patients with medullocervical gliomas. Two of them had hemangioblastomas, 6-ependymomas, 4-astrocytomas with different degree of dedifferentiation. The gross total tumor removals were achieved in 4 patients with ependymomas and patient with hemangioblastomas. Two patients with ependymomas and one with hemangioblastoma had their tumors removed subtotally. All astrocytomas were partially excised. The neurological long tract signs were alleviated almost in all ependymoma and hemangioblastoma patients after surgery. Complication rate was the highest in the astrocytoma group. The authors discussed indications and contraindications for surgery depending on the tumor type.
Assuntos
Astrocitoma/cirurgia , Neoplasias Encefálicas/cirurgia , Ependimoma/cirurgia , Hemangioblastoma/cirurgia , Bulbo/cirurgia , Neoplasias da Medula Espinal/cirurgia , Adolescente , Adulto , Astrocitoma/diagnóstico , Neoplasias Encefálicas/diagnóstico , Doença Crônica , Ependimoma/diagnóstico , Feminino , Hemangioblastoma/diagnóstico , Humanos , Imageamento por Ressonância Magnética , Masculino , Bulbo/patologia , Pessoa de Meia-Idade , Neoplasias da Medula Espinal/diagnóstico , Resultado do TratamentoRESUMO
In 86 patients with vascular tumor of vertebral column the disease course was studied up in dependence of histopathological type, and the additional diagnostical methods efficacy, tactics of treatment also.
Assuntos
Hemangioendotelioma/diagnóstico por imagem , Hemangioma Capilar/diagnóstico por imagem , Hemangioma Cavernoso/diagnóstico por imagem , Neoplasias da Coluna Vertebral/diagnóstico por imagem , Neoplasias Vasculares/diagnóstico por imagem , Adolescente , Adulto , Idoso , Criança , Feminino , Hemangioendotelioma/terapia , Hemangioma Capilar/terapia , Hemangioma Cavernoso/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Mielografia , Estudos Retrospectivos , Neoplasias da Coluna Vertebral/terapia , Coluna Vertebral/irrigação sanguínea , Coluna Vertebral/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Neoplasias Vasculares/terapiaRESUMO
38 patients with spinal arteriovenous fistula (AVF) were treated. In 23 of them dural AVF (DAVF) was diagnosed, in 15--intradural perimedullar fistula (IPAVF). Transvasal embolization was conducted in 4 patients as an independent intervention, and in 7 patients--as a first stage before open microsurgical intervention. Open microsurgical intervention was conducted in 34 patients. The indications to microsurgical and transvasal intervention or their combination are substantiated. The interaction of treatment results and arteriovenous malformation was studied.