Digital Commons Network^™

Traumatic Third Ventricular Hematoma, E. Malcolm Field

Henry Ford Hospital Medical Journal

The author postulates a rare syndrome which should be considered when craniocerebral trauma is followed by a lucid interval and then rapid deterioration of midbrain function. The diagnosis was made on the basis of an irregular mass in the floor of the third ventricle and bloody ventricular fluid. Today's availability of CAT scanning would provide a quicker and more certain diagnosis than was possible for the two cases reported, the author states.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Milestones Leading To The Development Of Spinal Surgery In The Late 19th Century, D. J. Canale

Henry Ford Hospital Medical Journal

The significant amount of spinal surgery in neurological practice today prompts a survey of the historical development of surgical treatment of disorders of the spine. Any discussion tracing the events leading to modern surgical practice must necessarily contain the contributions of men of medicine through the centuries; therefore, neurosurgery as practiced today is greatly indebted to the efforts of courageous and dedicated men in world history extending to the early Egyptians. Overcoming seemingly insurmountable barriers of prejudice bred of ignorance, societal customs, and religious tradition, these fathers of medicine have contributed the knowledge and experimental evidence which form the cornerstone …

The Treatment Of Chronic Pain: Program Of The Community Hospital Rehabilitation Center For Pain, Karl L. Manders

Henry Ford Hospital Medical Journal

After approximately three years' experience, the use of multiple modality treatment appears to be the most advantageous for individuals who have not responded satisfactorily to routine medical and surgical treatment. Alleviation of pain, discontinuance of narcotic medication, and return to both social and vocational activities has been accomplished in most patients of this center for the treatment of chronic pain.

Chemothalamolysis In The Treatment Of Hemiballismus — Simplified Knighton's Technique, Salvador Gonzalez-Cornejo

Henry Ford Hospital Medical Journal

Three cases are reported in which the author used Knighton's simplified technique to make lesions in the ventrolateral nucleus of the thalamus. This controlled the involuntary movements of hemiballismus. One patient died of a myocardial infarction due to marked hypotension and an episode of postoperative bleeding in the upper gastrointestinal tract.

Selective Cerebral Arteriography And The Cat Scan In Acoustic Tumors, Donald C. Austin

Henry Ford Hospital Medical Journal

Increasing experience with selective cerebral arteriography in the diagnostic evaluation of acoustic tumors has led to a more rational determination of the proper surgical approach to the lesion. It also predicts the necessity for staging the surgical procedure, reduces the potential for intraoperative complications and rules out other types of angle lesions and the possible necessity for performing a preoperative, concomitant or postoperative shunting procedure. The CAT scan has added an important screening procedure in predicting the presence of an angle lesion, determining the need for further diagnostic studies and evaluating the possible presence or absence of a recurrent tumor …

Subarachnoid And Intracerebral Hemorrhage Due To The Rupture Of An Arteriovenous Malformation And Aneurysm In The Same Patient. Report Of Two Cases, F. Gomez-Mendez

Henry Ford Hospital Medical Journal

Two cases are reported of coexistent intracranial aneurysm and arteriovenous malformation. Both lesions ruptured within one week in one patient and within three months in the other. The rarity of such occurrences is discussed and the surgical operative procedures used are described. One patient is doing well except for some weakness of the right leg and mild dysphasia. The second patient died three months postoperatively, probably because of rupture of the aneurysm. No autopsy was obtained.

Progressive Ataxia And Hearing Loss (Left) In A 23-Year-Old Man. A Clinico-Pathological Conference, Jose Bebin

Henry Ford Hospital Medical Journal

As part of the scientific program honoring Robert 5. Knighton, M.D., a clinical pathological conference was conducted by Dr. Jose Bebin. Following presentation of the protocol, comments from several discussants included diagnoses of a primary neoplastic process in the brain stem, angioma of the pons, neoplasm or cyst of the posterior fossa, possible angioma on the left side of the brain stem, a viral cerebellitis, an ependymoma, or a medulloblastoma. Together with the case presentation the author offers autopsy findings and a discussion and review of the literature.

Atlantoaxial Dislocations: A Retrospective Study Of 35 Cases, Arturo Paz-Esquerre

Henry Ford Hospital Medical Journal

Of 35 patients with CI-C2 dislocations, 37% (13 cases) had a history of rheumatoid arthritis, 11% (4 cases) had trauma as well as rheumatoid arthritis, and 25.7% (9 cases) had severe motor deficit quadriparesis or quadriplegia. One patient, representing 2.8% of the total, had a brain contusion related to closed head trauma.

Acute Onset Of Bulbar And Ocular Paralysis: An Isolated Case, With Differential Diagnosis, Aziz Aghdassi, Robert D. Teasdall

Henry Ford Hospital Medical Journal

The diagnosis of botulism should be considered in all patients with the acute onset of cholinergic dysfunction and muscle weakness. The pupils are usually dilated, paralysis of ocular and bulbar muscles invariably occurs along with weakness of limb and axial muscles. This diagnosis is supported by the presence of a neuromuscular block and confirmed by the detection of toxin. Although the clinical presentation in this patient supported this diagnosis and a neuromuscular defect was present, no botulinum toxin was found. Not until Clostridium botulinum, type B organisms were cultured was the diagnosis of "probable botulism" made in this patient. Myasthenia …

Salicylate Effect On Platelets And Vascular Thrombosis In Rheumatoid Arthritis, Gilbert B. Bluhm, Jeanne M. Riddle, Donald G. Pica, Gordon D. Langejans

Henry Ford Hospital Medical Journal

Platelet surface activation was surveyed by electron microscopy (EM) in 40 patients with classical rheumatoid arthritis (RA) without clinical evidence of recent intravascular coagulation. Increased platelet surface activity (PSA) was noted in 8 of 25 females and 8 of 15 males (16 of 40 or 40%). Abnormal PSA failed to correlate with either the presence of rheumatoid nodules or the titer of rheumatoid factor. Hyperactive platelet populations, however, did tend to correlate with a serum urate level above 5 mg% (7 of 12 vs 9 of 28). Neither "low" nor "anti-inflammatory" levels of serum salicylate appear to afford protection from …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Quinidine-Induced Hepatitis And Thrombocytopenia, Mohsin Alam, Wolf F. C. Duvernoy, Sol D. Pickard, Paul L. Aronsohn

Henry Ford Hospital Medical Journal

Quindlne-induced hepatitis has received more attention only recently whereas quinidine-induced thrombocytopenia is well recognized. Over the past two years the authors saw four patients with quinidine-hepatitis accompanied by malaise, anorexia, fever in two patients and marked elevation of liver enzymes in all. Two patients had associated quinidine-induced thrombocytopenia of 81,000 and 6,600 platelets / cu mm, respectively. Liver biopsy in two patients revealed small foci of hepatocellular necrosis, Kupffer cell hyperplasia and Kupffer cells containing lipochrome. In one patient noncaseous granulomatous lesions were seen. Symptoms subsided and laboratory tests returned to normal rapidly on withdrawal of quinidine. In one patient, …

Diagnostic Ultrasound In Gynecology, Manojkumar H. Shah, Chang Y. Lee, James J. Karo, Bruce H. Drukker

Henry Ford Hospital Medical Journal

The accuracy of diagnostic ultrasound in 484 gynecologic patients was evaluated. In 97% of them, the ultrasonic findings were either diagnostic or confirmatory of the final clinical condition. The ultrasonic procedure was useful in the evaluation of pelvic or adnexal masses, confirmation and assessment of early pregnancy, location of lost Intrauterine contraceptive devices, diagnosis of tubo-ovarian abscess and hydatidiform mole. The ultrasonic study aided in developing a precise surgical approach as well as reducing the number of operative procedures performed only for diagnosis. In 3%, the ultrasonic studies were misleading, indicating the limitations of the procedure and reinforcing the need …

The Incidence Of Retrolental Fibroplasia, R. Michael Nisbet

Henry Ford Hospital Medical Journal

With the increased use of oxygen to treat the respiratory distress syndrome, retrolental fibroplasia was encountered in more infants. One hundred consecutive premature infants were screened for ocular disease and a diagnosis of retrolental fibroplasia was made in six infants. A profile of a "high risk" infant emerged as one with a birth weight less than 1,500 grams who suffers from the respiratory distress syndrome and multiple apneic spells. During the examinations many other ocular abnormalities were found which prove the value of such screening.

X-Linked Diseases With Cataract, Philip J. Howard

Henry Ford Hospital Medical Journal

X-linked cataracts are a rare group and appear as a complication of other disease. Changes in the lens are difficult to visualize and the family history may alert the examiner to the possibility of cataractous changes. This paper is a review of 13 sex-linked conditions with cataract as a possible complication. Cataracts may be present in an occasional case or in some instances in every case. Short abstracts follow of Fabry's disease, glucose 6-dehydrogenase deficiency, myotonic dystrophy, ectodermal hypohidriotic dysplasia, oculocerebral syndrome, keratosis follicularis spinulosa decalvans with cataract, Norrie disease, incontinenti pigmenti, hypoparathyroidism due to a sex-linked recessive trait, pseudohypopara-thyroidism, …

Clinical Uses Of Biofeedback: A Review Of Recent Research, Richard M. Lee, Scott E. Baldwin, Julia A. Lee

Henry Ford Hospital Medical Journal

Biofeedback refers to a special type of operant conditioning (ie, a category of learning) in which subjects acquire control over physiological processes through the feedback of information. Its methodology is based upon principles of behavioral science developed in the laboratory through experimentation. It has been conclusively demonstrated that humans (and other animals) can learn to control such actions as EKG parameters, blood pressure, body temperature, EEG, individual motor units, and glandular secretions. Clinically, biofeedback has been applied to a wide variety of psycho-physiologic disorders in which a measurable response requires alteration. The best established applications are tension and migraine headaches, …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1977, Loma Linda University

Commencement Programs

CONTENTS

2 | 1977 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

25 | Awards

27 | Academic Costume

Intraoperative Transanal Fiberoptic Colonoscopy: Report Of Six Cases, Thomas A. Fox Jr., Peter A. Haas

Henry Ford Hospital Medical Journal

Intraoperative transanal fiberoptic colonoscopy is presented as an alternative to transcolonic procedures to remove colonic polyps, or to excise or biopsy other intraluminal lesions. This method should be considered when the standard transanal colonoscopy has failed. The results with this procedure have been excellent. The method also can be applied to patients who have colonic lesions and are to undergo elective procedures such as hysterectomy and cholecystectomy.

Early Vagotomies At Henry Ford Hospital: An Historical Vignette And A Follow-Up, James C. Gruenberg, Conrad R. Lam

Henry Ford Hospital Medical Journal

Over a one-year period beginning in April, 1946, nine transthoracic vagotomies were done at the Henry Ford Hospital. Three of the patients had had a partial gastrectomy previously and the operation was done for recurrent bleeding from marginal ulcers. Thirty years later, an attempt was made to ascertain the present condition of these patients. Long term follow-ups were possible on six patients and follow-ups of one, six and 14 years on the others. All nine patients had immediate relief of ulcer pain and cessation of bleeding if present. No subsequent drainage operation was required for the six patients with primary …

Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research

Henry Ford Hospital Medical Journal

No abstract provided.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

The Clinical Variations Of Hereditary Spastic Paraplegia In Four Families, Davood M. Danadoost, Charles E. Jackson, Robert D. Teasdall

Henry Ford Hospital Medical Journal

Hereditary spastic paraplegia was diagnosed in 19 patients belonging to four families. All had spastic gait and upper motor neuron signs in lower limbs. In family A, the disease was expressed in this manner, although one member had muscle wasting in an upper limb. There was additional involvement of the posterior columns in six of the eight affected members of family B and cerebellar ataxia was noted in upper limbs of three of them. Posterior columns were also involved in three of the four affected members of family C. The disease was transmitted in these three families by an autosomal …

Technetium Pyrophosphate Myocardial Scanning In Acute Myocardial Infarction, Arunkumar N. Mehta, Sidney Goldstein, Daniel S. Marks, Albert Kasenter, William R. Eyler

Henry Ford Hospital Medical Journal

Technetium 99m pyrophosphate (99mTCPyP) accumulates in recently infarcted myocardium and can be detected by external imaging techniques. This study was performed to evaluate the ability of this isotope to identify the presence of acute myocardial infarction. In 82 patients admitted to a coronary care unit with chest pain of varying etiology, scan was positive in all 13 patients with acute transmural myocardial infarction and in 23 of 27 patients with nontransmural myocardial infarction. The scan was negative in 37 of 42 patients without evidence of recent infarction. Four of the remaining five patients in this group had unstable angina pectoris. …

Painless Dissecting Aneurysm Of The Thoracic Aorta: Report Of Eight Cases Masquerading As Gross Aortic Insufficiency, Severe Hypertension, Myocardial Infarction And Mediastinal Enlargement., Remigio Garcia, Peter Torbey, Daniel T. Anbe, Ellet H. Drake

Henry Ford Hospital Medical Journal

In a review of 68 patients with dissecting thoracic aorta aneurysm (DTAA), eight patients (11.7%) were found to have painless dissection. Three of the eight patients presented with gross aortic insufficiency (Al). Angiography on a fourth patient, who had severe hypertension, showed Type III DTAA. Three other patients had either dilatation of the ascending aorta or a possible mediastinal mass, according to chest roentgenograms. One patient received treatment for suspected myocardial infarction with cardiogenic shock. A high index of suspicion in patients with unexplained Al, severe hypertension and a mediastinal mass or dilatation of the ascending aorta, coupled with the …

Research Seminar — May 5,1977 — At Henry Ford Hospital

Henry Ford Hospital Medical Journal

No abstract provided.

Abortion Interest Movement Of South Carolina Records - Accession 67, Abortion Movement Of South Carolina

Manuscript Collection

The Abortion Interest Movement of South Carolina Records consist of correspondence, speeches, brochures, pamphlets, studies, newspaper clippings, and other records concerning abortion reform not only in South Carolina but in other states. The collection offers a good source of information on the movement to repeal abortion laws not only in South Carolina but also in other parts of the United States and in Europe. The Abortion Interest Movement (AIM) was organized in March, 1969 and developed as an extension of the People for Abortion Reform/Repeal. Its purpose is “to educate the citizens of South Carolina about the need for modern …

Use Of Technetium-99 Myocardial Scanning For Identification Of Intraoperative Myocardial Infarctions, Virender D. Parekh, Sidney Goldstein, Donald Magillican, Daniel Marks

Henry Ford Hospital Medical Journal

Technedum 99m stannous pyrophosphate (TcPyP) myocardial scans were obtained in 42 selected nonconsecutive patients within 12 days following open heart operations for both valve replacement (19 patients) and coronary bypass (23 patients) procedures. The scans were correlated with elevation of serum lactic dehydrogenase, glutamic oxalacetic transaminase and the electrocardiograms obtained serially in the postoperative period. TcPyP scan was more specific than enzyme studies and it was more sensitive than the electrocardiogram. All new Q waves were associated with a positive scan but there were five positive scans which were not associated with new Q waves. Myotomy and direct surgical trauma …

Rationale And Results Of Anatomic Repair Of Esophageal Hiatus Hernia, Conrad R. Lam

Henry Ford Hospital Medical Journal

A logical method of repair of esophageal hiatus hernia based on anatomic principles was proposed nearly 25 years ago by the late Phillip Allison. There was general agreement that his operation had advantages, but because of a disappointing number of recurrences and problems with reflux, more complicated operations were devised. Some of these involved plication of the stomach around the lower esophagus (Nissen, Belsey). In a series of 562 operations for hiatus hernia at the Henry Ford Hospital, there has been no significant deviation from the Allison technic. Complicating lower esophageal rings (Schatzki) have been excised. There has been no …