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MY PATIENTS
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MY PATIENTS AND
OUR SHARED ODYSSEY
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| The following is
somewhat late in my life to be recalling, but the
many patients and the variety of ailments that I've
encountered during my medical career have given me
ample time to reflect on much that may be of some
interest to others. In this very preliminary
abbreviated tally are selected patients whose
stories I hope to organize and in time mold into a
coherent narrative. da 67 year old woman marked memory and intellectual impairment secondary to normal pressure hydrocephalus right ventriculoperitoneal shunt with Uni-Shunt slight improvement in cognition ma 32 year old woman ruptured intervertebral disc, L5-S1 Chymopapain injection into ruptured intervetebral disc good recovery ea 63 year old man spinal canal narrowing secondary to epidural granulation formation C6-C7 and L2-L4 laminectomies with decompression and removal of epidural exuberant granulations good recovery ma 63 year old woman metastatic squamous cell right parietal tumor fair recovery, limited by primary illness va 69 year old woman blunt head injury and cerebral contusion after auto accident post-traumatic unsteadiness, confusion and speech impairment good recovery sa 40 year old man left carpal tunnel syndrome section of left transverse carpal ligament good result lb 53 year old man with increasing back and left leg pain despite bedrest metrizimide myelogram and CT scan showed L2-L3 disc microdiscectomy and satisfactory recovery jb 11 year old boy basilar skull fracture with otorrhea after falling through floor of an abandoned factory right temporal craniotomy with galea graft over petrous ridge complete recovery sb 33 year old man subarachnoid hemorrhage from ruptured anterior communicating aneurysm Encasement of bilobed aneurysm with aneuroplastic complete recovery cb 56 year old woman subarachnoid hemorrhage and intracerebellar hematoma from ruptured left posterior inferior cerebellar artery aneurysm evacuation of hematoma, clip obliteration of aneurysm, ventriculo-peritoneal shunt feeding jejunostomy discharge to rehabilitation facility permanent partial disability dc 41 year old man with ruptured L5-S1 disc Laminectomy and disc removal good recovery, but recurrent symptoms and scar tissue formation 2 1/2 years later 2nd laminectomy good recovery rc 65 year old woman head and neck pain, increasing torticollis and left leg weakness bilateral C2 and C3 rhizotomies good result pc 44 year old man subarachnoid hemorrhage, bilateral middle cerebral aneurysms Aneuroplastic encasement of ruptured right middle cerebral aneurysm subsequent clipping of unruptured left cerebral aneurysm fair recovery with residual psychological and cognitive deficits unable to return to full time employment ac 50 year old woman multiple injuries in auto accident basilar skull fracture, cerebral contusions; fractures of left humerus, radius and ulna intracavernous right internal carotid aneurysm Poppen clamp occlusion of right internal carotid artery good recovery mc 32 year old woman C5-C6 ruptured intervetebral disc hemi-laminectomy and removal of ruptured disc good recovery bc 27 year old woman T7 arachnoidal cyst T6, T7 and T8 laminectomy with removal of arachnoidal cyst good recovery rc 36 year old man removal of exuberant lumbar epidural scar tissue 8 years after lumbar disc surgery good recovery dc 35 year old man ruptured lumbar intervetebral disc, L5-S1 hemilaminectory and removal of ruptured disc good recovery sc 64 year old woman carpal tunnel syndrome section of right transverse carpal ligament good recovery cc 21 year old woman ruptured intervetebral disc, central and right-sided bilateral partial hemilaminectomies and removal of ruptured disc good recovery md 35 year old man ruptured central intervetebral disc, L4-L5 bilateral partial hemilaminectory and removal of ruptured disc good recovery ld 46 year old man left-sided acute epidural, subdural and intracerebral hematomas left frontal temporal craniotomy, subsequent bifrontal craniotomy and decompression placement of a bifrontal methyl methacrylate plate four months later good recovery vd 85 year old man left-sided intracerebral hemorrhage, aspiration tracheobronchitis left-sided parietal occipital craniotomy with evacuation of intracerebral hematoma death after nine days jd 69 year old man right-sided acute subdural hematoma right frontal temporal parietal craniotomy with evacuation of subdural hematoma ventriculoperitoneal shunt for normal pressure hydrocephalus pneumonia, pulmonary edema, coronary artery stenosis death after three months jd 28 year old man left internal carotid-posterior communicating aneurysm left frontal temporal craniotomy with clipping of cerebral aneurysm good recovery md 27 year old man multiple injuries after auto accident facial lacerations, fractures of mandible, maxilla, and orbit intracerebral hematoma bifrontal decompression and decompression subsequent methyl methacrylate cranioplasty discharge to rehabilitation facility discharged to home eight months after injury (after six months in rehabilitation) likely totally and permanently disabled pd 31 year old man cervical fracture with C6 fracture and distraction cervical traction with Vincke tongs application of halo traction and immobilization vest good recovery jd 14 year old boy right posterior epidural hematoma right posterior fossa epidural hematoma craniotomies and removal of hematomas subsequent staphylococcal infection with osteomyelitis of bone flap removal of bone flap antibiotic treatment and recovery subsequent methyl methacrylate cranioplasty good recovery je 73 year old man subarachnoid hemorrhage from ruptured left internal carotid aneurysm Poppen clamp application and serial closure of left common carotid artery good recovery ne 52 year old woman subarachnoid hemorrhage from ruptured left middle cerebral artery aneurysm coma following rupture aneuroplastic encasement of ruptured aneurysm death from respiratory failure two weeks after hemorrhage re subarachnoid hemorrhage from ruptured right internal carotid-posterior communicating aneurysm craniotomy and ligation of internal carotid-posterior communicating artery aneurysm good recovery if 66 year old woman right-sided frontal parietal parasagittal meningioma craniotomy and removal of 30 gram meningioma good recovery df 60 year old man olfactory groove meningioma craniotomy and removal of meningioma good result mf 65 year old woman recurrent oral carcinoma right internl carotid aneurysm application of Poppen clamp and progressive closure of right common carotid artery good result vf 64 year old woman right sphenoid ridge meningioma right frontal temproal craniotomy with removal of sphenoid ridge meningioma good result df 49 year old woman left anterior communicating and left middle cerebral aneurysms right frontal craniotomy and clipping of right anterior communicating artery aneurysm placement of Poppen clamp and tantalum band around left common carotid artery death sf 50 year old woman cerebrospinal fistula after removal of a large left acoustic neuroma repair of dural defect with fascial graft good result ef 64 year old woman right internal carotid artery stenosis right carotid endarterectomy with insertion of vena saphena magna graft good result pf 29 year old man left parietal sinus pericranii excision of sinus pericranii and methyl methacrylate cranioplasty good result dg 18 year old man acute alcoholic intoxication single vehicle auto accident multiple lacerations diffuse intracranial contusions subdural and intracerebral hematomas massive cerebral edema bifrontal craniotomy with decompression and removal of frontal bone flap death mg 42 year old man ruptured intervetebral disc, L4-L5, left hemilaminectomy and removal of ruptured disc temporary good result, but recurrence of disc protrusion in midline and right side laminectomy and removal of residual disc fragments good result nh 27 year old man left sided subdural and intracerebral hematomas evacuation of hematomas and cranial decompression two months in rehabilitation unit subsequent left frontal temporal methyl methacrylate cranioplasty partially disabled jh 17 year old man passenger in roll-over automobile accident fracture-dislocation at C5-C6 with central cervical cord injury cervical traction with Vinke tong skeletal fixation posterior cervical fusion with methyl methacrylate fixation good result ph 18 year old woman auto accident with severe head injury, cerebral contusions, diffuse brain swelling, ,subdural hematoma post-traumatic communicating hydrocephalus tracheotomy left frontal temporal craniotomy with evacuation of subdural hematoma right temporal craniotomy and decompression with removal of bone flap posterior fossa craniectomy and decompression right parietal occipital craniectomy and section of tentorium cerebelli insertion of ventriculo-atrial shunt with Holter valve death after eight months sk 46 year old woman metastatic pulmonary adenocarcinoma to right occipital lobe right occipital craniotomy with subtotal removal of metastatic adenocarcinoma subsequent radiation therapy to residual tumor eventual death with multiple metastases fl 68 year old woman trigeminal neuralgia right temporal craniectomy with retro-Gasserian rhizotomy and ganglion compression good result with relief of facial pain ml 55 year old woman right parietal glioblastoma multiforme right parietal craniotomy and partial removal of infiltrating glioblastoma multiforme death in post-operative period al 33 year old woman with widespread metastatic carcinoma T2-T-4 laminectomy with decompression and partial removal of metastatic breast carcinoma eight months later alcohol nerve root denervation at L-2 and L-3 to relieve right hip pain eventual death with extensive metastases ll 56 year old woman right-sided parietal-occipital astrocytoma, Grade II-III right-sided parietal-occipital craniotomy with subtotal removal of infiltrating tumor discharged ro undergo radiation and chemotherapy therapy eventual death ml 61 year old woman at age 61 cervical radiculitis treated successfully with cervical traction at home at age 71 normal pressure hydrocephalus right ventriculo-peritoneal shunt good recovery gl 67 year old man coma after fall down flight of stairs right parietal-temporal skull fracture right frontal subdural and intracerebral hematomas right frontal-temporal craniotomy with removal of subdural hematoma and portion of macerated frontal lobe tracheotomy eventual transfer to chronic hospital care and death one year after injury al 61 year oldan coma after auto accident extensive deep left-sided intracerebral henorrhage death ll 20 year old woman coma after auto accident multiple lacerations and fractures right frontal subdural and intracerebral hematomas right frontal-temporal craniotomy with right frontal lobectomy and evacuation of intracranial hematoma encephalomacia and extensive cerebral edema ex death two days after injury wl 49 year old woman right parietal occipital convexity meningioma craniotomy and excision of right parietal occipital convexity meningioma postoperative meningitis good result but with residual left homonymous hemianopsia il 75 year old woman cervical osteoarthritis and occipital neuralgia bilateral occipital nerve block with xylocaine bilateral occipital neurectomy good result with relief of symptoms el 72 year old woman normal pressre hydrocephalus ventriculoperitoneal shunt minimal improvement in memory vl 56 year old woman subarachnoid hemorrhage secondary to a ruptured left posterior inferior cerebellar artery aneurysm transfer to Dr. Charles Drake in London, Ontario - the neurosurgeon with extensive experience in treating aneurysms in this location aneurysm successfully clipped by Dr. Drake excellent recovery dl 84 year old woman left-sided subdural hematoma left temporal craniectomy and removal of chronic subdural hematoma good recovery ml 78 year old woman left-sided frontal parasagittal meningioma chronic obstructive pulmonary disease urinary tract infection left frontal parietal craniotomy with removal of parasagittal meningioma good result al 56 year old man midline ruptured intervertebral disc, L4-L5 diabetes mellitus paroxysmal atrial tachycardia plasma cell myeloma al 64 year old man calcified ruptured right-sided intervetebral disc, C4-C5 partial hemilaminectomy, C4-C5 with foraminotomy and C5 nerve root decompression good result jl 48 year old man ruptured right-sided intervertebral disc, C4-C5 osteoarthritic spurring C5-C6, bilaterally partial hemilaminectomies, C4-C5 and C5-C6, right with foraminotomies of C5 and C6 nerve roots good result for thirteen years, then recurrent right arm smptoms extension of partial hemilaminectomy, C4-C5, with decompression and removal of osteoarthritic spurs good result dl 13 year old boy struck by automobile right occipital skul fracture right-sided subdural and intratemporal hematomas with macrated right anterior tempoal lobe right frontl-temporal-parietal craniotomy with evacuation of hematomas and macerated brain tissue urinary tract infection parameningeal infection good recovery ml 28 year old woman multiple sclerosis, diagnosed at age 19 struck by automobile severe head injury with multiple cranial fractures, cerebral anoxia and accompanying brain swelling right-sided subdural and intratemporal hematomas closed right femoral fracture and open fractures of right tibia and right forearm death fl 71 year old woman C6-C7 subluxation after fall at home Halo ring application and initiation of skeletal traction two months after injury, posterior wire and bone autograft fusion, C6-C7 good recovery tl 22 year old man automobile accident anoxic encephalopathy with markedly increased intracranial pressure death il 32 year old woman L4-L5 right-sided disc removal three years earlier in Switzerland, increasing symptoms in recent months ruptured intervertebral disc, L4-L5, central and right-sided complete laminectomy, L4-L5 with dural decompression and excision of epidural scar tissue and residual disc tissue good result dm 21 year old woman progressive stupor and coma during delivery of a healthy infant large left frontal intracerebral hematoma left frontal-temporal craniotomy and removalof intracerebral hematoma and subtotal frontal lobectomy of macerated brain good recovery jm 61 year old man left frontal glioblastoma multiforme Left frontal craniotomy with removal of infiltrating glioblastoma multiforme post-operative radiation therapy death after nine months am 79 year old man epidural metastatic carcinoma to mid-thoracic area complete laminectomy, T3, T4 and T5with subtotal removal of epidural tumor discharge to nursing home eventual death mm 18 year old woman post traumatic perineural cyst of the left lateral antebrachial cutaneous nerve excision of perineural cyst good result km 5 year old boy neuroblastoma in thoracic-lumbar area Laminectomy at T11, T12, L1, and L2, with subtotal removal of infiltrating rhabdomyosarcoma metastatic lesions in follwoing months treated with radiation and chemotherapy death with metastases 22 months later sm 22 year old man motorcycle accident with multiple injuries basilar skull fracture, coma compound femral fracture hemopneumothorax death dm 28 year old man ruptured intervetebral disc, L5-S1 left partial hemilaminectomy L5-S1 with removal of ruptured intervertebral disc good result em 55 year old woman coma following rupture of right middle cerebral artery aneurysm right frontal-temporal craniotomy with evacuation of intracranial hematoma and ligation of aneurysm persistent coma and death three weeks after hemorrhage rm 58 year old man metastatic pulmonary oat cell carcinoma with hydrocephalus secondary to cerebellar metastases right ventriculo-peritoneal shunt satisfactory initial recovery but eventual death secondary to multiple metastases jm 64 year old man cervical spinal cord contusion after fall with resultant quadriparesis slow recovery with transfer to rehabilitation facility three weeks after injury km 7 year old boy 20 foot fall from a tree with open, depressed left temporal-parietal skull fracture and intracerebral hematoma debridement and craniectomy with removal of intracerebral hematoma and necrotic cerebral tissue good recovery wm 45 year old man ruptured intervetebral discs, L3-L4 and L5-S1, right side partial hemilaminectomies, L3-L4 and L5-S1, right side, with removal of ruptured intervetebral discs post-operative epidural blood clot and complete laminectomies, L3-L5 with removal of clot good recovery am 69 year old woman left subdural and intratemporal hematomas with encephalomalacia after fall left temporal craniotomy with evacuation of subtemporal and intratemporal subdural heatomas and subtotal temporal lobectomy fair recovery with residual dysphasia fm 32 year old man dumbell neurofibroma, T4-T5 level, right upper thorax and intraspinal exrension right-sided thoracotomy with removal of large right upper neurofibroma complete laminectomy, T4-T6, with removal of intraspinal component of neurofibroma good result jm 51 year old man metastatic renal cell carcinoma with two distinct cerebral metastases x-ray or chemotherapy recommended eventual death rm 34 year old woman em 54 year old man auto accident left basilar skull fracture left-sided subdural hematoma diffuse, sever cerebral contusions with anoxic encephalopathy multiple abrasions and contusions left-sided frontal-temporal-parietal craniotomy with evacuation of extensive subdural hematoma and decompression markedly contused left cerebral hemisphere death dm 22 year old man auto accident right sided subdural and intracerebral hematomas; diffuse cerebral contusions right frontal temporal-parietal craniotomy with evacuation of subdural and intracerebral hematomas aspiration pneumonitis, penicilln allergy six week hospitalization, 8 week convalescence in a rehabilitation facility eventual good recovery with return to employment mm 18 year old man blunt head injury with severe cerebral contusions, cerebral edema multiple lacerations fractures of transverse processes, L1 through L4, right renal contusion right subtemporal craniotomy and decompression tracheototmy bifrontal craniotomy and decompression, anterior right temporal lobectomy constant CSF monitoring insertion of vetriculo-peritoneal shunt multiple carotid arteriograms pneumencephalogram persistent coma and eventual death three months after injury sm 29 year old woman back and left leg pain of undetermined etiology normal lumbar myelogram unchanged mm thoracic arachnoidal cyst, T8 laminectomy, T8 and partial laminectomies, T7 and T9 with removal of arachnoid cyst good result cm 53 year old man metastatic transitional cell carcinoma (original bladder cancer) in left frontal lobe left frontal craniotomy and excisional biopsy of infiltrating metastatic carcinoma subsequent radiation therapy intractable left facial and forehead pain posterior fossa craniectomy and infratentorial section of trigeminal neve good initial recovery, but death after some months after continued tumor growth cm 65 year old woman right acoustic neurinoma right suboccipital craniectomy and partial removal of acoustic neurinoma fair recovery with residual right facial weakness rm 34 year old woman right frontal-temporal glioblastoma multiforme with intracerebral hemorrhage right temporal lobectomy and subtotal removal of infiltrating glioblastoma multiforme radiation therapy headache and recurrent seizures death within two years mm 80 year old woman diabetes mellitus, arteriosclerotic cardiovascular heart disease, chronic obstructice pulmonary disease post-herpetic neuralgia with intractable right upper chest and right arm pain stereotactic cervical cordotomy good initial relief of pain two years after stereotactic procedure recurrent pain Laminectomy at T1-T4 with right-sided posterior rhizotomy, T1-T4 Good relief of preoperative pain Discharge to rehabilitation facility om 60 year old woman neural hearing loss, left ear; olfactory perversions, multiple somatic and psychologic complaints - under long-standing psychiatric care at age 71 massive left-sided intracerebral hemorrhage death pm 2 year old female infant right-sided temporal parietal skull fracture with epidural hematoma after fall down stairs right frontal-craniotomy with removal of epidural hematoma good recovery am 68 year old man progressive paraplegia thoracic laminectomy T-9 and T-10 with subtotal removal of epidural metastatic carcinoma and spinal cord decompression transfer to referring hospital in stable condition with persistent paraplegia wm 68 year old man right-sided subdural hygroma, left-sided temporal lobe contusion right-sided burr holes with removal of subdural hygroma; left temporal craniectomy and subdural exploration good recovery mm 55 year old woman subarachnoid hemorrhage following rupture of left cerebellar arteriovenous malformation left posterior fossa craniectomy and evacuation of hematoma subsequent (4 weeks after initial craniectomy) obliteration and excision of arteriovenous malformation in left cerebellar hemisphere good recovery rm 38 year old woman head trauma following altercation with intoxicated husband right-sided subdural hematoma right frontal-temporal-parietal cranitotomy with evacuation of subdural hematoma good recovery km 78 year old woman trigeminal neuralgia alcohol block of second division of trigeminal nerve in foramen rotundum right infraorbital neurectomy five years later for recurrent paingood result jm 69 year old man right parietal glioblastoma multiforme right frontal-temporal craniotomy with subtotal of an infiltrating glioblastoma multiforme continued deterioration until death an 63 year old woman spinal meningioma, T9-T10 level Laminectomy, T9-T10 with total removal of intradural meningioma good result cn 60 year old woman intractable left-sided pain C1-C-2 laminectomy and anterolateral cordotomy good result hn 73 year old man left-sided subdural hematoma after falling and striking head left temporal-parietal craniotomy and removal of subdural hematoma epidural and recurrent subdural hematoma eight days after initial surgery pneumonitis poor long term recovery transferred to chronic care co 17 year old boy compression fracture and disloction, C5, following dive into shallow water acute central cervical cord injury with quadriparesis application of halo and subsequent posterior cervical fusion, C3 through C6 good result lo 15 year old boy blunt trauma to head left frontal skull fracture with epidural and intracerebral hematomas craniotomy and evacuation of hematomas good result do 76 year old woman left-sided glioblastoma multiforme left parietal craniotomy with subtotal removal of infiltrating malignant tumor limited recovery transfer to nursing home care vo 74 year old woman left-sided subdural hematoma left temporal-parietal craniotomy with remvoal of subdural hematoma good result so 7 month old girl left parietal epidural and subdural hematomas after fall from dressing table left parietal craniotomy and evacuation of epidural and subdural hematomas good result jo 7 year old boy open comminuted depressed skull fracture and epidural hematoma right frontal craniectomy, debridement and removal of epidural hematoma good result jo 22 year old man head trauma after after ejection from automobile in accident multiple injuries including intra-abdominal bleeding; multiple lacerations, open comminuted skull fracture, right-sided epidural hematoma splenectomy right-sided frontal-temporal-parietal craniotomy with evacuation of an epidural hematoma; removal of bone flap to accommodate cerebral swelling methylmethacrylate cranioplasty limited recovery after three months' hospitalization, then transfer to rehabilitation unit for surgeryan additional three months, and later to facility for extended care ep 54 year old man subarachnoid hemorrhage following rupture of a left anterior cerebral artery aneurysm craniotomy with clipping of aneursym and subtotal frontal lobectomy of swollen infarcted brain death three days after surgery mp 63 year old woman right temporal subarachnoid and intracerebral hemorrhage with massive brain swelling bilateral carotid arteriograpahy with scant intracranial filling suspected ruptured right middle cerebral artery aneurysm conservative management death on initial day of sdmission ap 60 year old woman intractable pain secondary to widespread metastatic carcinoma of the colon bilateral cordotomy death three weeks after surgery wp 28 year old man right temporal-parietal skull fracture and fracture of odontoid process and posterior rim of C1 after trauma posterior cervical fusion 1 1/2 years later removal of superficial chronic abscess and foreign body reaction good result jp 68 year old man found unconscious in apartment left-sided subdural and intracerebral hematomas with subsequent coma left sided frontal-temporal craniotomy and evacuation of subdural and intracerebral hematomas and subtotal left frontal lobectomy death five days after admission to hospital sp 56 year old woman torticollis and cervical spondylosis C1-C5 laminectomy and section of spinal accessory nerves and C1-C3 anterior roots bilaterally respiratory arrest on second post-operative day with brain stem infarction and post-anoxic encephalopathy death seven weeks after surgery ap 66 year old woman subarachnoid hemorrhage secondary to ruptured left internal carotid posterior communicating artery aneurysm craniotomy and clip obliteraton of ruptured aneursym vasospasm and ceebral infarction paroxysmal atrial tachycardia death seven days after initial subarachnoid hemorrhage pp 59 year old woman T1-T2 intraspinal meningioma T1-T2 laminectomy and complete removal of anterolateral meningioma good result gp 45 year old woman right frontal glioblastoma multiforme right frontal craniototmy and subtotal removal of infiltrating glioblastoma multiforme post-operative radiotherapy initial good result, but slow decline and eventual death within two years mp 65 year old woman metastatic epidural thoracic adenocarcinoma complete laminectomy, T2, T3 and T4 with subtotal removal of epidural metastatic adenocarcinoma death two months after surgery jp 33 year old woman hydrocephalus secondary to posterior fossa medulloblastoma ventriculoperitoneal shunt posterior fossa craniectomy and subtotal removal of malignant tumor post-operative radiotherapy good result for three years after surgery, "lost" to follow-up thereafter hp 55 year old man subarachnoid hemorrhage after rupture of posterior communicating aneurysm diffuse vasospsm left frontal temporal craniotomy and clip obliteration of aneurysm subarachnoid bolt and intracranial pressure monitoring death one week after initial hemorrhage lp 65 year old man essential hypertension right-sided intracerebral hematoma right frontal temporal craniotomy and evacuation of intracerebral hemtoma good recovery with transfer to rehabilitation facility, and then to home jp 21 year old man with multiple injuries after auto accident right carotid arteriogram revealed no intracerebral circulation death on day of injury - anoxic encephalopathy lp 62 year old woman essential hypertension and arteriosclerotic cardiovascular disease subarachnoid hemorrhage after rupture of left posterior communicating aneurysm left frontal temporal craniotomy with clip obliteration of aneursym massive left-sided cerebral infarction on sixth post-operative day death twelve days after initial hemorrhage gp 55 year old woman right parietal meningioma right parietal craniotomy and total removal of an 80 gram meningioma good recovery dr 28 year old woman multiple injuries after auto accident, including pelvic and rib fractures protruding central intervertebral disc revealed by myelogram conservative management good recovery er 59 year old woman left internal carotid posterior communicating artery aneurysm coma after initial hemorrhage recurrent massive hemorrhage four days after initial rupture of aneurysm death pr 48 year old woman cerebellar vascular hamartoma posterior fossa craniectomy and partial removal of hamartoma good initial recovery, but massive right-sided frontal intracerebral hemorrhage two months after cerebellar bleeding death dr 49 year old man right-sided intraventricular ependymoma right-sided parietal craniotomy with total removal of ependymoma post-operative meningitis transferred to Veteran's Hospital for ongoing care dr 40 year old man multiple deep left and right-sided intracerebral abscesses right frontal-temporal craniototomy and decompression eventual death dr 18year old woman coma after blunt head injury in auto accident subdural hematoma, severe cerebral edema left frontal-temporal craniotomy tracheotomy persistent coma and arteriography two days after injury showed no intracranial circulation death on third day after injury fs 57 year old man severe head injuries and coma after being struck by automobile basilar skull fracture, right-sided epidural and subdural hematomas right-sided frontal-temporal-parietal craniotomy with evacuation of epidural and subdural hematomas tracheotomy persistent unconsciousness and death on eighteenth post-injury day js 65 year old man cervical spondylosis and quadriparesis cervical laminectomy C3 through T1 with section of dentate ligaments benign prostatic hypertrophy duodenal ulcer good result with lessening of quadriparesis gs 21 year old man multiple injuries after motorcycle accident post-traumatic coma, blunt head injury with scalp lacerations, subdural hematoma, multiple cerebral contusions right radius fracture multiple facial fractures right frontal-temporal craniotomy with evacuation of subdural hematoma repair of limb and facial fractures transfer to rehabilitation hospital five weeks after injury Discharge to home after five weeks rehabilitation Return to full-time employment as 76 year old man left-sided temporal-parietal intracerebral hematoma left-sided temporal-parietal craniotomy and evacution of intracerebral hematoma good result hs 72 year old man long-standing hypertension massive right-sided frontal-temporal intracerebral hemorrhage extensive gout right-sided frontal temporal craniotomy and evacuation of intracerebral hematoma death on first post-operative day ms 69 year old woman malignant left-sided astrocytoma (Grade II-III) left frontal-temporal craniotomy and subtotal removal of infiltrating malignant tumor chronic obstructive pulmonary disease good temporary result with transfer to an extended care facility ms 60 year old woman left basilar skull fracture, subdural hematoma and cerebral contusions after falling down stairs, coma right frontal-temporal-parietal craniotomy with evacuation of extensive subdural hematoma death two days after admission and urgent surgery ns 69 year old woman coma after extensive right-sided cerebellar and midline vermis intracerebral hemorrhage posterior fossa craniectomy nd evacuation of right-sided and midline vermis hemorrhage death on third post-operative day cs 27 year old man post-traumatic ulnar nerve neuroma and external scar tissue formation exxision of scar tissue and neurolysis good result with gradual return of function cs 15 year old girl anoxic encephalopathy secondary to blunt trauma after fall on ice parietal occipital fracture no operative intervention death two days after injury js 32 year old man self-inflicted gunshot wound to the head left frontal craniotomy with left frontal lobectomy and removal of necrotic brain and bullet fragments fascia lata repair of dural lacerations death two days after injury es 80 year old womn normal pressure hydrocephalus. diabetes, essential hypertension hepato-cellular carcinoma right-sided ventriculo-peritoneal shunt stable course and discharge to nursing home care as 79 year old woman pituitary chromophobe adenoma communicating hydrocephalus right frontal-temporal craniotomy and removal of suprsellar tumor insertion of right ventriculoperitoneal shunt recurrent pulmonary embolism secondary to illiofemoral phlebothrombosis death gs 61 year old woman coma after rupture of left middle cerebral aneurysm and resultant temporal lobe hematoma left temporal craniectomy and evacuation of intracerebral hematoma death two days after initial hemorrhage ds 17 year old girl with C4 compression fracture and C3-C-4 subluxation after auto accident cervical fusion from C2 through C6 with methyl methacrylate dowel fixation good result js 73 year old man right-sided internal carotid cavernous sinus fistula following auto accident right-sided frontal temporal craniotomy with embolization of internal carotid artery and ligation of internal, external and common carotid arteries good result as 79 year old woman trigeminal neuralgia alcohol injection of left foramen rotundum and infrorbital foramen good result with relief of pain ms 50 year old woman chronic alcoholism acute extensive left-sided subdural hematoma after fall post-operative recurrent subdural and epidural hematomas successive craniotomies with removal of hematomas and dural decompression tracheotomy atelectasis and tracheobronchitis death three weeks after injury gs 36 year old man thrombosis of the left internal carotid artery with cerebral infarction massive left-sided cerebral swelling craniotomy and decompression postoperative subgageal abscess reopening of craniotomy and drainage of abscess limited recovery before transfer to VA hospital for continued care ks 3 year old child open, depressed left frontal skull fracture after fall left frontal craniectomy with elevation of open depressed skull fracture, evacuation of epidural hematoma and repair of forehead laceration good result ms 47 year old woman paraplegic patient with increasingly severe right hip pain history of two previous thoracic cordotomies for pain relief unsuccessful left-sided anterolateral stereotactic cordotomy Laminectomy, T1-T2 with anterolateral cordotomy at the T2 level good result is 64 year old woman right-frontal parietal astrocytoma right-sided craniotomy and subtotal removal of infiltrating glioma fairreult and discharge to nursing home care vs 44 year old man coma following multiple skull fractures after falling from steam roller right temporal craniectomy with temporal lobectomy and fascia lata graft of multiple dural lacerations tracheotomy limited recovery before transfer to rehabilitation facility death two months after injury cs 65 year old man right frontal astrocytoma, grade II right frontal craniotomy and subtotal removal of infiltrating astrocytoma fair recovery and transfer to rehabilitation facility, discharged therefrom after one month patient moved to California to be with family lost to follow-up bs 18 year old woman left frontal-parietal ganglioglioma obstructive hydrocephalus history of ventriculo-atrial shunting ventriclocisternosotomy death two months after hospital admission bs 25 year old woman self-inflicted gunshot wound through right temporal area bifrontal craniotomy, decompression and subtotal right frontal lobectomy death es 53 year old woman widespread metastatic breast carcinoma with right frontal lobe metastasis left frontal-temporal craniotomy with total removal of metastatic tumor discharge to home for chemotherapy ds 38 year old man basilar skull fracture after fall from truck bilateral epidural hematomas biparietal craniotomies with evacuation of epidural hematomas good result ps 6 year old child depressed right temporal parietal skull fracture and epidural hematoma elevation and debridement of right-sided comminuted temporal parietal skull fracture with evacuatpsion of epidural hematoma and replacement of bone fragments good result ps 43 year old woman coma after being struck by truck right-sided basilar skull fracture with associated subdural hematoma, cerebral contusions and massive cerebral edema right-sided frontal-temporal-parietal craniotomy with decompression and evacuation of subdural heatoma death in post-operative period rs 34 year old man calcified ruptured intervertebral discs, C5-C6 and C6-C7 hemilaminectomies and nerve root decompressions good result cs 50 year old woman right frontal glioblastoma multiforme right frontal temporal craniotomy with subtotal removal of infiltrating tumor death 2 1/2 months after initial diagnosis ss 55 year old man right-sided glioblastoma multiforme right-sided parieral occipital craniotomy with partial excision of an infiltrating glioma and decompression acute massive pulmonary embolism and death 2 1/2 weeks after surgery ms 44 year old woman calcified ruptured intervertebral disc, T9-T10 urinary tract infection T8-T10 complete laminectomy and dural decompression good result bs 42 year old woman arachnoidal cyst, T-2 level laminectomy at T-2 with removal of arachnoidal cyst and dural decompression post-operative epidural hematoma re-opening of laminectomy with removal of epidural clot and bipolar coagulation of epidural venous varicosities good result ms 42 year old woman single vehicle auto accident, striking a tree after sliding off ice-covered road left-sided basilar skull fracture with associated left facial nerve paresis right-sided subural and intracerebral hematomas transient diabetes insipidus conservative non-operative management with eventual good recovery 6 months after injury cs 54 year old man left-sided C6-C7 ruptured intervertebral disc C6-C7 hemilaminectomy and removal of ruptured disc good result ds 18 year old man cervical spinal cord contusion following head and neck impact during football game cervical traction and conservative management good result es 60 year old man metastatic esophageal carcinoma and intractable right sided pain percutaneous radiofrequency cervical cordotomy limited pain relief fs 77 year old man left-sided subdural hygroma left-sided burr holes and temporal craniectomy with evacuation of subdural hygroma ms 74 year old woman right parietal-occipital glioblastoma multiforme right parietal-occipital craniotomy with subtotal removal of infiltrating glioma limited recovery and transfer to extended care facility ms 55 year old woman ruptured intervetebral disc, L5-S1, left partial hemilaminectomy, L5-S1, with removal of ruptured intervertebral disc good result os 50 year old man right frontal glioblastoma multiforme right frontal temporal craniotomy with subtotal removal of infiltrating glioblastoma multiforme initial good result, but eventual deterioration and death ps 35 year old man left-sided subdural hematoma following karate session left temporal-parietal craniotomy with evacuation of subdural hematoma good result rt 27 year old man self-inflicted gunshot wound to the head death soon after admission to hospital jt 81 year old man right-sided intracerebral hemorrhage and hematoma right-sided frontal craniotomy with evacuation of intracerebral hematoma generalized sepsis death ten days after onset of illness rt 37 year old woman right-sided astrocytoma right-sided frontal-temporal-parietal craniotomy with subtotal removal ofinfiltrating tumor good initial result with post-operative radio- and chemotherapy st 21 year old woman C-2 bilateral posterior arch fracture with C2-C-3 subluxation Vinke tong cervical traction followed by neck brace for three months good result ht 49 year old man coma following subarachnoid hemorrhage and massive cerebral swelling bifrontal craniotomy with decompression and subtotal left frontal lobectomy death mt 18 year old man leftparaplegia following T4 fracture dislocation after motorcycle accident skeletal traction stable and eventual transfer to extended care facility bt 67 year old man Paget's Disease and associated osteogenic sarcoma arising from frontal bone bifrontal craniotomy and subtotal removal of osteogenic sarcoma subsequent radiation and chemotherapy eventual death with extension of tumor jt 20 year old man "old" comminuted supracondylar fracture with median nerve contusion, left arm left antecubital exploration and external neurolysis of median nerve stable post-operative condition it 57 year old woman right-sided subdural hematoma after fall craniotomy and evacuation of subdural hematoma recurrent subdural and associated epidural hematomas 2nd craniotomy and removal of hematomas and bone flap good recovery and subsequent replacement of bone flap with methyl methacrylate cranioplasty rt 72 year old woman hypothyroidism left-sided parietal occipital hematoma left parietal-occipital hematoma with evacuation of extensive intracerebral hematoma good recovery jt 79 year old man left frontal-parietal convexity meningioma left frontal-parietal craniotomy and removal of large convexity meningioma good result dt 29 year old man post-traumatic communicating hydrocephalus ventriculo-atrial shunt with Hakim valve revision of malfunctioning ventriculo-atrial shunt good result fu 35 year oldman protruding left-sided intervertebral disc, C5-C6 conservative cervical traction at home good result vu 32 year old woman multiple neurologic symptoms and signs multiple sclerosis final diagnosis wu 55 year old man left ulnar neuropathy external neurolysis and anterior transplantation of left ulnar nerve recurrent symptoms four months after surgery partial residual left ulnar nerve entrapment 2nd operation to extend decompression both proximally and distally good result av 68 year old man normal pressure hydrocephalus ventriculoperitoneal shunt limited improvement of gait and dementia pv 32 year old woman carpal tunnel syndrome section of right transverse carpal ligament good result jv 54 year old man history of subdural hygroma treated with bilateral burr holes chronic alcoholism metastatic pulmonary carcinoma with thoracic cord compression and paraplegia Laminectomy, T1-T-3, with subtotal removal of medastatic epidural carcinoma and spinal cord decompression death twelve days after surgery jv 67 year old man cerebral astroyctoma left-sided parietal craniotomy and subtotal removal of infiltrating asgrocytoma death two weeks after surgery sv 34 year old woman ruptured intervertebral disc, L4-L5, left good result bv 18 year old man L3 compression fracture with cauda equina compression Oainectomy, L2-L3, with wired fixation of L1 to L4 good result jw 12 year old girl severe head trauma after being struck by automobile anoxic encephalopthy following frontal parietal skull fracture "expectant" treatment death on day after injury ew 75 year old man carpal tunnel syndrome section of right tansverse carpal ligament good result79 year old woman ew 41 year old woman epidural metastatic carcinoma to C7-T1 vetebral level with spinal cord compression Laminectomy and subtotal removal of metastatic epidural carcinoma death five weeks after surgery gw 79 year old woman bilateral chronic subdural hematomas left temporal-parietal craniotomy and right-sided burr holes with evacuation of chronic subdural hematomas good result ww 29 year old man C-5 compression fracture with C5-C6 displacement after diving accident Vinke tong application posterior cervical fusion good result fw 32 year old woman carpal tunnel syndrome section of right transverse carpal ligament good result lw 65 year old woman normal pressure hydrocephalus with accompanying dementia ventriculo-peritoneal shunt good result mw 31 year old man ruptured intervetebral disc, C6-C7, left partial hemilaminectomy, C6-C-7, with removal of ruptured intervertebral disc good result ew 47 year old man protruding right-sided intervetebral disc, C5-C6 good result with cervical traction tw 17 year old man diving accident with fracture at C6-C7, cervical contusion and quadriparesis Application of Vinke tongs posterior cervical laminectomy, C5-C7, and spinal cord decompression anterior cervical fusion C6-C7 for C6 tear drop fracture moderate recovery of function before transfer to rehabilitation unit cw 65 year old man coma ruptured right internal carotid-posterior communicating artery aneursym and intracerebral hemorrhage right frontal-temporal craniotomy, evacuation of intracerebral hematoma tracheotomy death two weeks after initial hemorrhage rw 44 year old man quadriplegia secondary to C-5 compression fracture and dislocation following diving accident Vinke tong stabilization Stable deficit, transferred ro rehabilitation facility cw 75 year old woman trigeminal neuralgia left foramen rotundum alcohol block good result lw 60 year old woman diabetes mellitus ulnar neuropathy secondary to entrapment at the elbow ulnar nerve transposition good result gw 19 year old man right-sided intratemporal and infrafrontal hematomas after falling and striking head right frontal temporal craniotomy and removal of hematomas and encephalomacic anterior temporal lobe good result gw 87 year old man metastatic epidural carcinoma, T-4 level Laminectomy, T3-T4 with dural decompression and subtotal removal of metastatic epidural carcinoma stable follwoing decompression, discharged to home care ew 63 year old woman degenerative cervical disc disease conservative management with traction and collar moderate diminution of symptoms rw 18 year old man frontal-temporal skull defect following "out-of-town" cranial surgery in month preceding office visit Initial surgery for post-traumatic epidural hematoma with removal of bone flap left frontal-temporal methylmethacrylate cranioplasty post-operative subgaleal hematoma aspiration x2 good result mw 36 year old woman degenerative cervical arthritis conservative management with traction limited improvement gw 53 year old man bilateral subdural hygromas bilateral burr holes with evacuation of subdural hematomas good result rw 55 year old woman thoracic arachnoidal cyst Laminectomy of T4-T-8 with dural decompression and removal of arachnoidal cyst good result jw 57 year old man basilar arachnoiditis with non-communicating hydrocephalus ventriculo-atrial shunt with Holter valve good result iw 71 year old man intractible pain associated with recurrent right-sided tonsillar carcinoma posterior fossa craniectomy and infratentorial section of glossopharyngeal and two root heads of vagus nerves death six days after surgery sw 78 year old woman normal pressure hydrocephalus right-sided ventriculo-peritoneal shunt good result hw 74 year old man right-sided cerebellar hemorrhage posterior fossa craniectomy and evacuation of intracerebellar hematoma good result kw 4 year old girl history of open fracture of right frontal bone after a fall subsequent subgaleal abscess drainage of abscess and antibiotic treatment good result rw 46 year old man intractable neck pain secondary to recurrent tonsillar carcinoma posterior fossa craniectomy and left hemilaminectomy, C1-C2, with glossopharynrgeal rhizotomy, upper left rootlets of left vagus nerve and posterior rhizotomies at C2 and C3 levels pain relief, but death one month after surgery hw 83 year old woman post-anoxic encephalopathy following cardiac arrest expectant treatment death fw 75 year old woman right-sided cerebral glioblastoma right temporal-parietal craniotomy with subtotal removal of infiltrating glioblastoma multiforme limited recovery before transfer to nursing home sw 42 year old woman protruding cervical disc, C5-C6 treated with cervical traction and cervical collar good result rw 68 year old man carotid artery stenosis right carotid endarterectomy with vena saphena magna patch graft good result cw 77 year old woman cerebral infarction following spontaneous internal carotid artery occlusion death gw 79 year old man Left-sided epidural and subdural hematomsa left frontal-temporal parietal craniotomy with evacuation ofepidural and subdural hematoms good result cw 19 year old woman passenger on motorcycle C4-C5 fracture dislocartion C3-C6 posterior cervical fusion with autogenous iliac bone graft Crohn's disease good result fw 52 year old man right sided astrocytoma right-sided craniotomy with subtotal removal of infiltrating tumor discharged one month after surgery for continued supportive care death seven months after initial diagnosis jw 51 year old woman hypertensive cardiovascular disease coma following massive right-sided intracerebral hemorrhge and tonsillar herniation right carotid arteriogram death soon after hospital admission jw 71 year old woman massive left-sided intracerebral hemorrhage and resultant coma left carotid arteriogram expectant care death soon after hospital admission bw 81 year old woman fall with C5-C6 fracture dislocation and resultant Vinke tong application and closed reduction of cervical dislocation anterior cervical fusion, C5-C6, with dowel insertion from right iliac crest revision of fusion with wire and methylmethacrylate fixation to remedy previous postoperative movement of dowel sw 68 year old woman temporal arteritis superficial temporal artery biopsy good result aw 45 year old man subarachnoid hemorrhage following rupture of left-posterior communicating-internal carotid aneurysm craniotomy and clipping of aneurysm good result pw 62 year old woman left-sided subtemporal hygroma leftisided craniotomy and removal of hygroma good result mw 68 year old woman coma following subarachnoid hemorrhage following rupture of left-posterior communicating-internal carotid aneurysm craniotomy and clipping of aneurysm death three days after initial hemorrhage dw 19 year old man auto accident with multile injuries, including severe head injury and anoxic encephalopathy no intracranial circulation seen on right carotid arteriogram death within hours after admission to hospital ew 68 year old woman left carpal tunnel syndrome section of left transverse carpal ligament good result ez 66 year old woman coma following rupture of left middle cerebral aneurysm with large intratemporal hematoma craniotomy with evacuation of hematoma and clip obliteration of multilobulated middle cerebral artery aneurysm death on first post-operative day hz 56 year old man cervical spondylosis C3-C7 laminectomy with dural decompression good result rz 42 year old man pain secondary to malignant hepatoma with infiltration of sacrum L4-L5 laminectomy with subtotal removal of epidural infiltrating metastatic carcinoma extending into right sacrum post-operative radiotherapy eventual death
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