Searched for: in-biosketch:yes
person:epsten01
Surgical treatment of spinal cord astrocytomas of childhood. A series of 19 patients
Epstein, F; Epstein, N
PMID: 7131070
ISSN: 0022-3085
CID: 576792
Total vertex craniectomy for the treatment of scaphocephaly
Epstein, N; Epstein, F; Newman, G
Sutural stripping, morcellation, subtotal craniectomy, and even subtemporal decompression, have been employed in the treatment of sagittal synostosis. This report describes a further modification of past techniques, the total vertex craniectomy. This procedure, employed in 9 patients, has achieved uniformly excellent cosmetic results.
PMID: 7128245
ISSN: 0302-2803
CID: 576472
Giant cell tumor of the skull: a report of two cases [Case Report]
Epstein, N; Whelan, M; Reed, D; Aleksic, S
PMID: 7121785
ISSN: 0148-396x
CID: 576702
Intractable facial pain associated with a ganglioglioma of the cervicomedullary junction: report of a case [Case Report]
Epstein, N; Epstein, F; Allen, J C; Aleksic, S
A 6-year-old child with a brain stem tumor presented with the unusual complaint of intractable facial pain resembling trigeminal neuralgia in the absence of other symptoms or signs referable to the 5th cranial nerve. The radiological evaluation included a computed tomographic scan with intravenous contrast administration, which demonstrated an enhancing intramedullary lesion extending from the obex to C-4. After radiation and chemotherapy had failed to achieve symptomatic relief, the tumor, later proven to be a ganglioglioma, was radically removed with the ultrasonic aspirator. Postoperatively the patient experienced full pain relief.
PMID: 7099412
ISSN: 0148-396x
CID: 255842
Acromegaly and spinal stenosis. Case report
Epstein, N; Whelan, M; Benjamin, V
Spinal stenosis is a well defined clinical entity that is occasionally encountered in patients with acromegaly. Persistent elevation of growth hormone promotes hypertrophy of the bones and ligaments, resulting in widening of the thoracolumbar vertebral bodies, and developmental narrowing of the spinal canal. This report describes the case of a 54-year-old acromegalic man with a 30-year history of low-back pain. Who developed symptoms of spinal stenosis. This case and two similar cases from the literature are discussed, and the appropriate therapeutic approaches reviewed
PMID: 7054412
ISSN: 0022-3085
CID: 133292
Percutaneous placement of the atrial end of a vascular shunt utilizing the Swan-Ganz introducer
Epstein, N; Epstein, F; Trehan, N
PMID: 7322321
ISSN: 0148-396x
CID: 576982
Intracerebral metastasis of esophageal carcinoma: case report
Chalif, D; Epstein, N; Flamm, E S; Whelan, M; Budzilovich, G
PMID: 7301075
ISSN: 0148-396x
CID: 117287
SURGICAL-MANAGEMENT OF HOLOCORD INTRA-MEDULLARY SPINAL-CORD ASTROCYTOMAS IN CHILDREN - REPORT OF 3 CASES
EPSTEIN, F; EPSTEIN, N
ISI:A1981LT03800020
ISSN: 0022-3085
CID: 40331
Gastrointestinal bleeding in patients with spinal cord trauma. Effects of steroids, cimetidine, and mini-dose heparin
Epstein, N; Hood, D C; Ransohoff, J
The frequency and degree of gastrointestinal (GI) bleeding were examined in 131 patients with spinal cord injuries. All patients were randomly assigned to either high- or low-dose steroid regimens and some form of GI prophylaxis. The latter consisted of antacids alone or antacids supplemented with cimetidine when this medication became available. Segments of the population were treated with mini-dose or full-dose heparin. The incidence and degree of GI bleeding did not appear to be affected by steroid dose level, regimen of prophylaxis, or mini-dose heparin. Only full heparinization was found to significantly increase bleeding. These results place in question the benefits of adding cimetidine to antacids as a prophylactic atreatment in patients with no history of ulcer
PMID: 7007588
ISSN: 0022-3085
CID: 67660
Traumatic myelopathy in patients with cervical spinal stenosis without fracture or dislocation: methods of diagnosis, management, and prognosis
Epstein, N; Epstein, J A; Benjamin, V; Ransohoff, J
The New York University Spinal Cord Trauma Center recently completed an evaluation of 200 patients seen over a period of four years, from 1974 to 1978. A unique group of 23 patients with cervical spinal stenosis and myelopathy without fracture or dislocation was isolated. The presence of a narrow canal significantly influenced morbidity and prognosis. Based on a review of plain roentgenograms and myelograms, there were seven patients with an average age of 41 who had absolute low levels of narrowing of the spinal canal without evidence of degenerative changes. The remaining 16 patients, averaging 61 years of age, had superimposed spondylosis. In both groups, patients with the lowest anteroposterior diameters of the spinal canal had the most severe myelopathy after trauma. Patients with absolute stenosis were more susceptible to traumatic myelopathy than were those with relative stenosis. Varying the dose of steroids to maximal levels had no effect on prognosis. Patients showing improvement during the initial 48 hours had the greatest degree of eventual recovery
PMID: 7466456
ISSN: 0362-2436
CID: 67662