Journal of neurology, neurosurgery, and psychiatry
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J. Neurol. Neurosurg. Psychiatr. · Aug 1980
Case ReportsHaemorrhage associated with meningioma: a case report and review of the literature.
A case of haemorrhage into a parasagittal meningioma treated by surgical resection is presented. A review of the literature found 43 additional cases of meningioma associated with haemorrhage. By correlating these cases with those from another large series of meningiomas classified by histological type and location, an estimation of the "relative bleeding tendency" of certain classes of meningiomas was made. Haemorrhage associated with meningioma is a serious complication and proper treatment consists of evacuation of the haematoma with resection of tumour.
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J. Neurol. Neurosurg. Psychiatr. · Feb 1980
Monitoring fibrinolytic activity in the cerebrospinal fluid after aneurysmal subarachnoid haemorrhage: a guide to the risk of rebleeding?
Serial assay of fibrin degradation products (FDPs) was used to monitor fibrinolytic activity in blood and cerebrospinal fluid (CSF) after subarachnoid haemorrhage (SAH) in 64 patients, 43 of whom had aneurysms. CSF levels fell rapidly from high initial values over a few days, thereafter more slowly to reach normal levels after one to six weeks. ⋯ After this phase of fibrinogen clearance, early attainment of normal FDP levels appears to be associated with a lower risk of rebleeding in cases of aneurysm. This phenomenon could be useful in deciding whether marginal cases should be treated surgically or conservatively.
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J. Neurol. Neurosurg. Psychiatr. · Nov 1979
Case ReportsIntracranial sewing needles: Review of 13 cases.
Three new cases of intracranial sewing needles are reported and are reviewed with 10 other published cases. These needles must have been introduced in infancy before the closure of fontanelles. ⋯ Headache and epilepsy were the main symptoms and they often appeared when the patient had reached adulthood. Removal of the needles lessened the symptoms.
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Twenty-two patients with acute optic neuritis were studied by the techniques of infrared pupillometry and visual evoked responses (VER) to pattern reversal. A relative afferent pupillary defect was found in all cases and the magnitude of this defect was found to be related to the amplitude, but not to the latency, of the VER. During follow-up the afferent defect was found to remain persistently abnormal while other methods of clinical evaluation could not demonstrate abnormality reliably. The amplitude of the VER also remained low.
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J. Neurol. Neurosurg. Psychiatr. · Nov 1979
Case ReportsLocked-in syndrome caused by a solitary pontine abscess.
The clinical and pathological findings in a patient with locked-in syndrome caused by a solitary pontine abscess are reported for the first time. Successful treatment of brainstem abscess rests on early and accurate diagnosis.