By Auguste Wackenheim, Louis Jeanmart, Albert L. Baert (auth.)
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Of their contribution to the 1st variation of this guide, entitled "The Teeth," LEHNER and PLENK (1936) mentioned the tissues constituting the "perio dontium" quite in brief. not like the designated paragraphs facing, for instance, teeth and dentine, the part (about forty pages and 20 illustra tions, in most cases drawings) dedicated to periodontal tissues did not supply a actual assessment and precis of the modern wisdom and most up-to-date advancements in examine at the numerous elements of the periodontium.
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50. Surgery in intracerebral hematoma S 78 5283 H 1000 78 5 days between CT and exitus 1 Intracerebral hematoma before surgery 2 After surgery 54 I day between CT and exitus Large hematoma without any signs of a possible vascular malformation Fig. 51. Subarachnoid bleeding in a 22-year-old man No aneurysm has been detected L 6733 D 1196 35 days between CT and exitus Blood around the brainstem (arrow) a b a c Fig. 52. Right occipital hematoma (without neuropathologic examination) B 370606 a: Fresh hematoma, 6 days after onset b: 21 days after onset: ring (1) and nodule (2) enhancement.
43. Occipital hematoma with cortical rupture in the interhemispheric space S 786015 H 131 778 II days between CT and exitus 1 Hematoma 2 Hemorrhage in the interhemispheric space 3 Hypodensity at the cranial pole of the hematoma corresponding to edematous. pigmented tissue Fig. 44. Hematoma with rupture of the cortex S 760123 H 115676 30 min between CT and exitus I Posttraumatic intracerebral hematoma (hemophilia) 2 Hematoma in the interhemispheric frontal fissure (1 and 2 have similar densities) 48 Fig.
The following features are noteworthy: I) The hypcrdcnsity of the hematomas is continuous on the midline. 2) The inferior horizontal level rules out an intraventricular localization. 3) The hyperdense mass is single on the base and divides into two symmetrical parts in the area of the cerebral falx. 4) There is a ring of edema around the hyper density of the hematoma. These four signs are sufficient to eliminate intraventricular hemorrhage. Postmortem verification demonstrates the supracallosal, symmetrical, extraventricular location of the hemorrhage.
Atlas of Pathological Computer Tomography: Volume 1: Craniocerebral Computer Tomography. Confrontations with Neuropathology by Auguste Wackenheim, Louis Jeanmart, Albert L. Baert (auth.)