Neurochirurgia
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The article reports on 56 patients on whom operation was performed for neurogenic intermittent claudication up to the end of 1983. The diagnostic, operative, and post-operative results are described in detail.
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Case Reports
[Spontaneous healing of a cavernous carotid sinus fistula caused by a gun shot injury].
We report about a 22-year-old male with a carotid cavernous fistula after gunshot injury. A few weeks later the fistula turned into an intracavernous aneurysm of the internal carotid artery. ⋯ According to the literature a carotid cavernous fistula is found in 0.4% to 1.7% of all cases with head trauma. Its spontaneous cure is a rare occurrence.
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Case Reports
Congenital dermoid cysts at the anterior fontanelle. Report of three cases in Italian children.
The authors report three cases in Italian children of congenital dermoid cyst at the anterior fontanelle. These are the first case reports in Europeans. Their rarity, however, is probably only apparent, since the latest reports in the literature show their wide-spread incidence. The anatomo-clinical and radiological findings and the surgical features of the three cases are described and the main pathological aspects of these cases are briefly discussed.
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The authors implanted a diaphragm pacer in a 71-year-old man who had suffered for two years from continuous hiccup of unknown cause with resulting insomnia. Preoperative transcutaneous stimulation of the phrenic nerves in the neck resulted in diaphragm contractions but did not affect his hiccup. Postoperatively, the patient was free of symptoms for two weeks. ⋯ For ten months the patient has suffered from hiccup only in the day time during which time he has also used the pacer. With a few exceptions he has been free of symptoms and without pacing during the night, which enables him to sleep normally. The effect of phrenic nerve stimulation on hiccup could be due to interference with the abnormal activation of the phrenic nerve, whatever its cause.