Publications by authors named "TW Lutz"

Degenerative changes in the vertebrae can lead to narrowing of the spinal canal. This is most often the cause of back pain and radiating pain in the legs, which in turn can cause problems with mobility. The diagnosis can be verified through radiological evidence.

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The effects of the neuroprotective aminosteroid U74389G were monitored microdialytically in rat cortex during 4 h after permanent middle cerebral artery occlusion. Either U74389G or vehicle only was administered one hour before and 2 h after operation. The dialysate was analysed for on-line pH, ascorbic acid, uric acid, glucose and lactate.

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A prospective, multicenter, randomized, double-blind, controlled study of ADCON-L Anti-Adhesion Barrier Gel (a medical device by Gliatech Inc, Cleveland, OH) was conducted in 298 patients undergoing first-time lumbar discectomy to evaluate the safety and effectiveness of ADCON-L in preventing postoperative peridural fibrosis and in improving patient clinical outcome. After lumbar discectomy, patients were randomized to receive either ADCON-L gel or nothing (control group) at the conclusion of the surgical procedure. Six months after surgery, peridural scar was evaluated by magnetic resonance imaging, and postoperative pain and straight-leg-raise angle were assessed.

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A review is made of the current management strategies of abscesses in basal ganglia and thalamus, based on a review of the literature and three of our own cases. Clinical picture, aetiology, diagnostic, surgical treatment and outcome are discussed. Stereotactic abscess puncture in combination with temporary drainage and rinsing of the abscess cavity in combination with systemic medication of antibiotics has become the management of choice with satisfactory results.

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Extracellular concentrations of ascorbic acid, glutathione, cysteine, uric acid, tyrosine, and tryptophan were monitored using intracerebral microdialysis in the left frontoparietal cortex of spontaneous hypertensive rats before, and for 3 h after, either focal ischemia [left middle cerebral artery occlusion (MCAO)] or sham operation. The size of the ischemic area and the position of the microdialysis probe were checked using the enzyme histotopochemical acid phosphatase reaction. The probe was always located in the cortex inside the stained area.

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The action of alpha- and beta-adrenoceptor agonists and antagonists has been studied on the membrane potential of glial cells in cultured rat central nervous system. Noradrenaline and the alpha-agonist phenylephrine caused a depolarization which was reversibly blocked by the alpha-antagonist phentolamine. In contrast, the beta-agonist isoprenaline hyperpolarized the glial membrane.

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The action of adrenergic alpha- and beta-agonists and antagonists has been studied on the membrane potential and resistance of glial cells of cultured rat central nervous system. Noradrenaline and the alpha-adrenoceptor stimulating agents phenylephrine and clonidine (10(-7) to 10(-4)M) depolarized the glial membrane, whereas the beta-agonist isoprenaline caused a hyperpolarization at low concentrations (10(-7) and 10(-6)M). The effects of noradrenaline and phenylephrine were reversibly blocked by the alpha-antagonist phentolamine, whereas those of isoprenaline were antagonized by the beta-blocker atenolol.

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