| Autor: |
Rosenbluth, Paul R., Arias, Belisario, Quartetti, Edward V., Carney, Andrew L. |
| Zdroj: |
JAMA: Journal of the American Medical Association; March 1962, Vol. 179 Issue: 10 p759-762, 4p |
| Abstrakt: |
The authors summarize experience with 100 cases in which surgery demonstrated subdural hematoma as the cause of the patient's symptoms. Spinal puncture, performed in 80 of these cases, yielded cerebrospinal fluid that was xanthochromic in 33, under increased pressure in 45, and abnormally high in protein content in 13. Spinal puncture was therefore not of great value in diagnosing this condition. Carotid and brachial angiography, on the other hand, has helped immeasurably in the diagnosis. Angiograms were taken in 63 patients, and clots located by angiography were invariably found later at surgery. Five cases in which the findings were unusual or paradoxical are described. The authors believe that the use of cerebral angiography has done away with diagnostic and frequently negative bur-hole trephinations. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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