Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house
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Original paper Emery-Dreifuss dystrophy: a 4-year follow-up on a laminopathy of special interest
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Conclusions: The intrafamilial and interfamilial variability of laminopathies is discussed in relation to interactions between nuclear proteins. Since the EDMD carrier state in females is associated with cardiac symptoms (without skeletal muscle involvement), systematic cardiological supervision is indicated. Likewise, there are certain patients presenting a typical EDMD phenotype in which no mutations in the EMD or LMNA genes can be confirmed. This may indicate that an Emery-Dreifuss-like dystrophy could also be associated with mutations in other genes. (Source: Articles of Polish Journal of Neurology and Neurosurgery - T...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Case report Epidural tuberculosis involving the entire spine
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We discuss an elderly male who developed severe back pain, rapidly progressing paraparesis and urinary retention consequent to L5-S1 spinal tuberculosis with dissemination of epidural tubercular abscess and granulation tissue to the cervical, thoracic, lumbar and sacral region. The initial diagnosis of lumbo-sacral pathology with high thoracic extension was tackled by an L5 laminectomy and decompression along with saline flushing and evacuation of the thoraco-lumbar and sacral epidural abscess with the aid of a catheter passed superiorly and inferiorly. He developed neck pain and upper limb weakness subsequently and was fo...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Original paper REM sleep behaviour disorder in narcolepsy
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Conclusions: RBD occurs in narcolepsy more frequently than it was previously considered. Questions about symptoms of this disorder that may be injurious for the patient or patient’s bed partner should be routinely asked during the clinical interview. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Case report Clinical, pathological and radiological features of paraspinal textiloma: report of two cases and review of the literature
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In this report, two additional cases with MR, CT and pathological features of paraspinal textilomas are described. CT image demonstrated a paraspinal mass simulating a malignant tumour. While T1-weighted MR images showed the masses with low signal intensity, T2-weighted MR images showed heterogeneous masses with low and high signal intensities. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Original paper Does amantadine have favourable effects on fatigue in Persian patients suffering from multiple sclerosis?
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Conclusions: Our findings demonstrate a significant drop on the fatigue severity scale in MS patients after treatment with amantadine; nevertheless, more studies on a larger scale with longer duration are needed to confirm this finding. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Case Report Sphenoid wing meningioma and glioblastoma multiforme in collision – case report and review of the literature
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We present the third case of a 73-year-old woman who underwent an uneventful excision of a right sphenoid wing meningioma. She was re-admitted 3 years later due to reappearance of a tumour in the area adjacent to the previously excised meningioma. Histological diagnosis revealed a collision tumour of a glioblastoma multiforme and a fibrillary meningioma. The coincidence of these two different neoplasms in the same location at the same time 3 years after surgical removal of a meningioma leads us to speculate on the pathogenesis, and to review the literature regarding this particular issue. (Source: Articles of Polish Journa...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Original paper Comparison of the diagnostic value of ultrasonography and neurography in carpal tunnel syndrome
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Conclusions: Ultrasonographic findings correlate well with electrophysiological tests in CTS patients. Cross-sectional area equal to 0.1 cm2 is important in CTS diagnostics. Median nerve oedema, revealed in the early stage of CTS without any electrophysiological changes, might be an important factor in occurrence of subjective complaints. Radial slide of median nerve phenomenon is a common ultrasonographic finding in CTS. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Original paper Index finger somatosensory evoked potentials in blind Braille readers
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Conclusions: Blindness has a profound effect on the Braille reading right index finger. Totally blind Braille readers have larger N20 amplitude, suggestive of greater somatosensory cortical representation of the Braille reading index finger. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Review paper Optimisation of treatment of Parkinson’s disease with levodopa
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This article presents the major strategies for individualisation and optimisation of levodopa therapy. The relationship between pharmacokinetic and pharmacodynamic effects of levodopa is discussed. Pharmacokinetic parameters in different stages of Parkinson’s disease are interpreted. Moreover, the main differences in pharmacokinetics of levodopa formulations and routes of administration are presented. The authors also suggest methods to increase efficacy and safety of levodopa therapy in patients with Parkinson’s disease. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Review paper Transcranial magnetic stimulation in the therapy of selected post-stroke cognitive deficits: aphasia and visuospatial hemineglect
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Over the last several years functional neuroimaging studies and neurophysiological investigations have provided greater insight into the mechanisms underlying neuroplasticity and recovery after stroke. Various techniques became available for the non-invasive modulation of human brain activity and allowed better rehabilitation programmes to be designed. One of these new techniques is transcranial magnetic stimulation (TMS). It is a painless brain stimulation technique that modulates cortical activity. Regularly repeated TMS delivered to a single scalp position (repetitive TMS, rTMS) has an effect on cortical excitability th...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Case report Multiple mononeuropathy in the course of the Churg-Strauss syndrome – a case study
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We present a case of a 60-year-old man with the CSS evolving in three phases. The initial symptoms included bronchial asthma and inflammation of the ethmoid sinuses. Later, the patient was diagnosed with peripheral blood eosinophilia, pulmonary changes, skin changes and neurological symptoms that progressed to multiple mononeuropathy. Electrophysiological tests confirmed progressive damage of the peripheral nervous system. An improvement of the patient’s neurological state was observed after application of corticosteroids and rehabilitation. CSS is one of the causes of multiple mononeuropathy and should be taken into...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
History of Polish Neurology and Neurosurgery Igor Klatzo (1916-2007) – co-founder of the Polish experimental school of nervous system research
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(Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Komunikat
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(Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
What’s new in neurology
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Calendar Of Events
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Testowy program edukacyjny
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Calendar Of Events
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
What’s new in neurology
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Komunikat
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Report Jubileusz 80. urodzin prof. Jerzego Wrońskiego
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(Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Letter to the editor
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
History of Polish Neurology and Neurosurgery/historia polskiej neurologii i neurochirurgii Professor Adam Opalski (1897-1963) – neurologist and neuropathologist
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Case report A case of cerebral toxoplasmosis in a pregnant non-immunocompromised patient
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We present a case of cerebral toxoplasmosis in a non-immunocompro-mised pregnant woman. Her imaging studies revealed a mass lesion involving the right basal ganglia, periventricular grey matter, midbrain and pons suggesting a neoplastic pathology along with hydrocephalus. She underwent an endoscopic third ventriculostomy and biopsy of the lesion. Postoperatively her consciousness improved as the hydrocephalus was relieved. After a thorough gynaecological examination she gave birth to a healthy child via normal vaginal delivery. The histopathology examination of biopsy suggested an inflammatory pathology. Serological studie...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Case report Isaacs syndrome associated with chronic hepatitis B infection: a case report
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Isaacs syndrome or acquired neuromyotonia is a disorder of peripheral nerve hyperexcitability characterized by regular or irregular myokymia, muscle cramps and stiffness, delayed muscle relaxation after contraction, and hyperhidrosis. Herein, we report clinical and electrodiagnostic findings of a Persian man with Isaacs syndrome associated with chronic hepatitis B infection. In this patient hepatitis B virus might have contained an antigen (i.e. surface antigen) which has provoked the immune system and has resulted in the production of antibodies that could have affected voltage gate potassium channels leading to the excit...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Case report Primary progressive aphasia: primary nonfluent aphasia or logopenic aphasia? A case report
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We present a case of a 58-year-old female suffering from progressive language difficulties with characteristic symptoms of primary progressive aphasia (PPA) who was finally diagnosed as having progressive nonfluent aphasia variant (PNFA). The differential diagnosis was made between a variant of PNFA and logopenic variant of PPA occurring often in the course of Alzheimer’s disease. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Review paper Laser evoked potentials as a method of evaluating the function of small fibres – application technique and clinical implications
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Laser evoked potentials (LEPs) are one of the few neurophysiological methods available whose purpose is to evaluate the functions of small fibres’ sensory pathways Ad and C. This non-invasive technique is applied at the present time in diagnosing small fibre neuropathy. In order to record distinctive and repetitive evoked potentials from the surface of the skull, the skin of the dorsal surface of the hands and feet is stimulated with laser thermal, nociceptive stimuli. The main cortical laser-evoked potential is a complex of components N2-P2. Evaluation of the registered potentials in- cludes their morphology with sh...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Review paper Essential tremor and parkinsonian tremor long-term monitoring
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Instrumental methods of tremor investigation can be used in differential diagnosis between essential and parkinsonian tremor in uncertain cases. This paper describes the method of tremor quantification using long-term surface electro- myography registration of antagonistic forearm muscles. Examples of clinical application of the method are also given. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Original paper Serum cortisol levels following acute experimental spinal cord injury
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Conclusions: Activation of endogen cortisol secretion of the organism starts immediately after the SCI injury and throughout the experiment the serum cortisol levels in neurotrauma groups remained high compared with the control and sham-operated groups. At the beginning, the level of neurological lesion (cervical or thoracic) affected differently the level of serum cortisol at a statistically significant level but this difference disappeared at the 6th hour. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Original paper The role of FloSeal in reducing epidural fibrosis in a rat laminectomy model
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Conclusion: Application of FloSeal at a laminectomy site may be useful to decrease adhesion at the interface between the dura mater and epidural fibrosis (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Original paper Comparison of results between two different techniques of cranio-cervical decompression in patients with Chiari I malformation
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Conclusions: Results of both techniques are comparable. The risk of post-operative complications after extra-arachnoid cranio-cervical decompression with duroplasty is, however, significantly lower. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Original paper Assessment of autonomic nervous system in patients with epilepsy in the interictal state. A pilot study
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Conclusions: Autonomic dysfunction revealed by cardio- vascular tests is present uncommonly in patients with epilepsy in the interictal state. The questionnaire is a screening method whose result should be confirmed by other tests. The value of sympathetic skin response in diagnosis of dysautonomia in epilepsy needs further studies. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Original paper From mild cognitive impairment to Alzheimer’s disease – influence of homocysteine, vitamin B12 and folate on cognition over time: results from one-year follow-up
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Conclusion: Vascular risk factors are associated with cognitive impairment but do not have a significant influence on progression to dementia in the MCI group. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals
Testowy program edukacyjny
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Calendar of events
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
What’s new in neurology
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Komunikat
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Letter to the editor
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
History of polish neurology and neurosurgery Dr Ernest Ferens – Head of the Department of Neurosurgery at Wrocław University and University of Technology in 1948-50
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Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Case report A patient with parkinsonism related to Gaucher’s disease type I successfully treated by unilateral pallidotomy – a 3-year follow-up
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We present a patient first diagnosed with idiopathic Parkinson’s disease at the age of 38 due to left-sided bradykinesia and rigidity. But thereafter the diagnosis of Gaucher’s disease type I according to clinical pictures and clinical genetic testing was made. Despite the optimal enzyme replacement therapy, the parkinsonian symptoms worsened. He was referred for consideration for surgical treatment of his severe parkinsonism. At the age of 54 he underwent right-sided posteroventrolateral pallidotomy. The surgery was uneventful and he immediately improved. On the last examination performed 3 years later, he had...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Case report Parkinsonian syndrome associated with subacute subdural haematoma and its effective surgical treatment: a case report
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In this study, we present a case of parkinsonian syndrome caused by a subacute subdural haematoma. Evacuation of the haematoma resulted in the disappearance of parkinsonian symptoms in this case. Parkinsonism is not common complication of subdural haematoma; surgical treatment of those cases is associated with favourable outcome, without the need for antiparkinsonian medication. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Review paper Neurosurgery is a profession
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At present, the rapid advances in neurosurgical knowledge and technology are putting increased pressure on neurosurgeons to process huge quantities of information, with requirements for continuous learning and updating knowledge and skills which are time-consuming but essential. All these changes to the venerated status quo of neurosurgical practice have created an environment that may have a negative impact on neurosurgical professional behaviour. As a result, it may be that neurosurgeons find it increasingly difficult to meet their responsibilities to patients. In these circumstances, reaffirming the fundamental and univ...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Review paper Genetic and environmental factors for hyperhomocysteinaemia and its clinical implications in Parkinson’s disease
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Elevated homocysteine (Hcy) plasma levels are caused by genetic and environmental factors. Polymorphisms of Hcy metabolizing enzyme genes may result in its plasma increase. Experimental and clinical studies have shown the possible role of hyperhomocysteinaemia in pathogenesis of Parkinson’s disease (PD), Alzheimer’s disease and vascular disorders. The results of clinical studies in PD generally do not support the theoretical hypotheses, and animal studies remain controversial. A major environmental factor responsible for Hcy increase in PD seems to be levodopa therapy. Its metabolism results in Hcy increase and...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Review paper Coronary artery bypass surgery in patients with symptomatic or asymptomatic internal carotid artery stenosis
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Arteriosclerosis is a multisystem disease and the association between carotid and coronary artery disease is well known. The incidence of significant carotid stenosis in patients undergoing coronary artery bypass graft (CABG) varies from 3% to 22%. Haemodynamically significant carotid disease is present in 2.8% to 7.8% of patients. Depending on symptomatic or asymptomatic carotid disease and degree of stenosis, management of patients with concomitant coronary and carotid stenosis is very difficult. Every carotid intervention might cause some risk of stroke and myocardial infarction. There is a lack of unequivocal guideline...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Original paper Syringoperitoneal shunt in the treatment of syringomyelia
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Conclusions: Preliminary results suggest that SPS is a safe and efficient treatment method for patients with syringomyelia not related to structural anomalies at the cranio-vertebral junction. For treatment of syringomyelia secondary to C1M following failure of cranio-cervical decompression, another exploration of this area should be considered. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Original paper Colloid cysts of the third ventricle. Endoscopic and open microsurgical management
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Conclusions: The endoscopic approach to colloid cysts of the third ventricle is safe, effective and carries a low complication rate. Endoscopy may be recommended as a treatment option. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Original paper Differences in the course of acute phase of spontaneous intracerebral haemorrhage in the elderly
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Conclusions: In elderly patients with SICH, the neurological deficit and risk of medical complications are more evident. Greater neurological deficit in these patients may result from coincidence of SICH with earlier brain lesions. Age and greater neurological deficit on admission constitute predictors of early mortality in elderly patients with SICH. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Original paper A new CT-based classification of spontaneous supratentorial intracerebral haematomas
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Conclusions: Our clinical experience shows that the proposed classification appears to be closely associated with angiographic findings. Its clinical application with consideration of other factors such as age and arterial hypertension may help clinicians to identify high-risk ICH patients for angiographic evaluation and further specific treatment to prevent rebleeding. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
Original paper The Third International Stroke Trial: Thrombolysis (IST-3) in Poland: are we recruiting the right patients?
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Conclusions: Polish patients are somewhat different from those recruited in other countries, reflecting clinician’s differing areas of uncertainty. These differences will be taken into account in the final trial analysis plan. The trial is still ongoing and more centres are welcome to join. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - July 1, 2009 Category: Neurosurgery Source Type: journals
