By O. Stochdorph (auth.), W. Klug, M. Brock, M. Klinger, O. Spoerri (eds.)
On this get together we glance again on 25 years of the Deutsche Gesellschaft fur Neuro chirurgie. They carry greatly: founding and improvement of the society, comple tion and extension, verbal exchange among the person individuals and contacts to different societies past our borders. additionally they stand for shut co-operation with those that move their sufferers to u- the neurologists and experts in inner drugs, the ophthalmologists and ear nose-and throat experts in addition to the final surgeons. This twenty fifth annual assembly will care for examples of illnesses that current universal difficulties to the neurologist and to the neurosurgeon, particularly meningiomas and a number of sclerosis. In view in their lengthy histories usually going again over a long time, either one of those lesions result in diagnostic blunders and indequate remedy. And but it's going to be attainable to acknowledge meningiomas at an early date and to start up the single attainable remedy, the operation,if all diagnostic measures are time and again performed. The analysis MS, however, with the multiplicity of indicators that are strange to this disorder, should still remain re-examined until eventually some other lesion has been excluded with sure bet. The expanding variety of felony court cases as a result of diagnostic and healing measures in addition to the doctor-patient speak previous the written consent for those measures are additional difficulties short of dialogue. for that reason, the subject "medical legal responsibility in exact connection with the neurosurgeon" was once selected for this assembly. Many questions necessitate many answers.
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Extra resources for Meningiomas Diagnostic and Therapeutic Problems Multiple Sclerosis Misdiagnosis Forensic Problems in Neurosurgery
Biologie und Pathologie der Hirngeschwlilste. In: Handbuch der Neurochirurgie, Bd. III (Hrsg. H. OLIVECRONA, W. T~N NIS), S. 399 - 468. Berlin - Gottingen - Heidelberg: Springer 1956. 7. ZULCH, K. : Atlas of the Histology of Brain Tumors. Berlin - Heidelberg - New York: Springer 1971. 25 Fig. 1. Case 5, G. N. d, born 1906. E 3694/70. Upper left: Endotheliomatous and fibromatous meningioma with focal necrosis. Haematoxylin and Eosin, x 140. Upper right: Capsule separating tumor (on right) from brain substance.
While the endoplasmic reticulum plays the major role in protein synthesis (11), the Golgi zone is responsible for the synthesis of mucopolysacharides (12). An excessive abundance of cytofilaments of 11 mm diameter was described in ageing cultures of carcinoma of the breast. This was interpreted as a symptom of a degenerative process. It can be hypothesized that mutations occur in degenerative tumors, and that clones of these tumors grow with an increased rate of division. The long history of the cases of this group may support the conclusion that they were benign tumors originally.
In many of the cell sections, there were regressive changes. These consisting of a change of the endoplasmic reticulum, whose ribosomes are lost and whose narrowed cisterns, without adielectric content, display circular or elliptical patterns. The cytoplasm has few organelles, and few or no filaments (Fig. 5 b). Glycogen clumps may appear. Lysosomes and occasional fat vacuoles are also present. Sometimes there are pyknotic nuclei, which are surrounded by a very dark, narrow cytoplasmic border. Group III (Case 5) The tumor cells lie in dense clusters without any definite order (Fig.