Neurol Neurochir Pol
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Neurol Neurochir Pol · Jul 2011
Case ReportsFatal outcome of tick-borne encephalitis - a case series.
Tick-borne encephalitis (TBE) is a disease which may present as meningitis, encephalomeningitis and myeloencephalomeningitis. The course of the disease is usually mild although it may result in the patient's death in 1-4% of cases. ⋯ We present four cases of patients who died because of TBE. The aim of the paper was to underline that in elderly patients or patients suffering from chronic diseases and additional infections, special attention should be paid to their treatment, including mechanical ventilation and steroid use.
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Neurol Neurochir Pol · May 2011
Review[Approach to the jugular foramen and related structures - an analysis of the surgical technique based on cadaver simulation].
This study presents consecutive stages of the approach to the jugular foramen and related structures. Eleven simulations of the approach were performed on non-fixed human cadavers without any known pathologies in the head and neck. The consecutive stages of the procedure were documented with photographs and schematic diagrams. ⋯ Widening of the approach enables penetration of the jugular foramen from above and the front. Approach to the jugular foramen is a reproducible technique, which provides surgical penetration of this foramen and related structures. This approach is particularly useful in the surgical treatment of tumours expanding in the petrous pyramid, surroundings of the petrosal part of the internal carotid artery, cerebellopontine angle, subtemporal fossa and nervous-vascular bundle of the neck.
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Neurol Neurochir Pol · Jan 2011
Review[Hypothalamic deep brain stimulation for treatment of cluster headache].
Extremely severe, unilateral, recurrent facial pain and headache, accompanied by autonomic symptoms and signs, can be identified as cluster headache attacks (CH). Despite optimal pharmacological treatment, 20% of patients will not achieve satisfactory improvement. ⋯ The authors present current opinions about DBS treatment in CH. A socioeconomic analysis of neuromodulatory treatment of CH is presented.
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Neurol Neurochir Pol · Jan 2011
Thalamic deep brain stimulation in the treatment of essential tremor.
Quality of life can be severely impaired by essential tremor (ET) being the main cause of the patient's disability. The authors present a group of ET patients treated with deep brain stimulation of the ventral intermediate nucleus of the thalamus (Vim DBS). The aim of the study was to evaluate the efficacy and safety of Vim DBS in the treatment of ET. ⋯ Vim DBS is a safe and effective method of ET treatment. Vim DBS improves activities of daily living of ET patients.
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Neurol Neurochir Pol · Jan 2011
Subthalamic deep brain stimulation for the treatment of Parkinson disease.
The role of subthalamic nucleus deep brain stimulation (STN DBS) in the treatment of Parkinson disease (PD) is well established. The authors present a group of patients diagnosed with PD who were treated with STN DBS. ⋯ Cardinal symptoms of Parkinson's disease can be safely and effectively treated with STN DBS in selected group of patients.