Tuberkulotoxische Fernwirkungen an der Leber

Mediastinal cysts of fore-gut origin associated with vertebral abnormalities

“…Thus if we exclude for the moment the 4 cases of spina bifida posterior, in the remaining 61 cases there are 18 cases recognized as spina bifida anterior, hemivertebra, or infantile scoliosis. Since most of these are definite recognitions of a rather rare condition, it is tempting and probably reasonable to associate with them the less definite reports such as distorted vertebra (Guillery, 1937), malformation of lower cervical and upper thoracic vertebra (Ranstrom, I945), " anomalous development of the cervicodorsal vertebra " (Tucker, 1946), congenital anomaly of vertebral column (van Aken, 1951, Case I), the fused vertebrae of our first case, and erosion or concavity of vertebrae (Mixter and Clifford, 1929, Case 11;Steele and Schmitz, 1945). Most of these vertebral lesions involve the upper thoracic and lower cervical vertebrae, and it is now better appreciated than it once was that the so-called chest radiograph may be far from ideal for the study or even the recognition of vertebral lesions, and unfortunately the cervical vertebra: are only too often off the film.…”

“…Stoeckel(1935)~ who published in a gynzecological journal, has had his contribution too often overlooked ; although he described no lesion of the vertebrze, the firm binding of the cyst to the vertebrae led him to recall that the notochord and the endoderm were, in the embryo, at one time in intimate contact. Then Guillery (1937) described a unique case of a mediastinal enteric cyst adherent to the vertebrz, with a funnel-shaped prolongation in towards a vertebral body ; and exactly opposite it, bound to the posterior aspect of the any mention of the notochord, despite Stoeckel's paper, nor does he seem to realize that if his postulated cyst had in fact hindered the anterior growth and fusion of the lateral vertebral anlagen, then the vertebral upset would have been just the type of lesion previously described by Schmincke (1920) and by Poncher and Milles (1933). In the light of the now accumulated information, it is interesting to recall that those latter workers wrote " pressure on the vertebral bodies may be sufficient to cause atrophy and deviation of the bony structure, a deformity that was erroneously considered congenital by Schmincke ".…”