Neurol Neurochir Pol
-
Neurol Neurochir Pol · Mar 2006
[The microsurgical treatment of the supratentorial arteriovenous malformations. Part II--complications].
The aim of this study was an analysis of complications after surgical treatment of the cerebral supratentorial arteriovenous malformations (AVM), assessment of their clinical sequelae, and attempt to find factors influencing their occurrence. ⋯ The most common causes of postoperative deterioration are hemodynamic disturbances after AVM removal and manipulation in the eloquent area. Hemodynamic disturbances worsened the prognosis significantly, and were the only cause of mortality (3.4%). However, massive intraoperative hemorrhage and operation in the eloquent area did not influence the outcome significantly. Risk factors for intraoperative hemorrhage are steal effect and intraventricular penetration of AVM. Risk factors for hemodynamic disturbances are feeding AVM from MCA and complex venous drainage.
-
Neurol Neurochir Pol · Jan 2006
Review Practice Guideline[Deep brain stimulation and motor cortex and spinal cord stimulation in the treatment of movement disorders and pain syndromes -- the theoretical baseline and practical guidelines].
The authors present the current views on the use of electrical stimulation in selected movement disorders (Parkinson's disease, dystonia) and pain syndromes (central and neuropathic pain) refractory to pharmacological therapy. Stimulation should be applied in cases with an established diagnosis (especially Parkinson's disease and dystonia) and with a lack of efficacy despite the best available medical therapy. ⋯ Suggested selection criteria are based on experience of different centers and on current medical literature. They are published to make the procedure more rational and more available in Poland.
-
Neurol Neurochir Pol · Sep 2005
Case Reports[Spinal cord stimulation in refractory angina pectoris -- a case description].
Spinal cord stimulation (SCS) is one of the methods for treating angina pectoris and has been used since 1985. Patients with refractory angina pectoris despite optimal medication and revascularisation procedures are suitable for the SCS. ⋯ The procedure was based on epidural implantation of the electrode at the level of Th1-Th2 and connection with the impulse generator located subcutaneously. As a result of the applied stimulation reduction of the anginal pain was achieved.
-
Neurol Neurochir Pol · Jul 2005
[Changes of protein S100B serum concentration during ischemic and hemorrhagic stroke in relation to the volume of stroke lesion].
Biochemical markers offer a new strategy in the diagnosis, estimation of clinical prognosis and monitoring of treatment in patients with brain damage. At present, two specific brain originated proteins play a major role: S100B protein and neuron-specific enolase (NSE). S100B comes from astrocytes and NSE has been found in neuronal cytoplasm. The aim of this study was to evaluate dynamics of protein S100B level changes in blood in stroke patients. ⋯ Ischemic and hemorrhagic strokes lead to release of protein S100B into the blood. A good correlation between the release pattern of S100B and volume of vascular lesion has been found. S100B protein is the marker of brain damage during stroke. It is possible to use protein S100B measurements in monitoring the stroke treatment.
-
Neurol Neurochir Pol · May 2005
Case Reports[Motor cortex stimulation in the central pain syndrome].
We present a case of a 45-year-old male, treated with motor cortex stimulation (MCS). The procedure was performed in order to decrease symptoms of the central pain syndrome (CPS), which developed seven years earlier, after a left-side, cerebellum and brainstem ischemic stroke. The syndrome is defined as pain due to primary damage or dysfunction of the central nervous system. ⋯ The procedure of electrode implantation to motor cortex is a relatively new treatment option in refractory central and neuropathic pain syndromes. The number of described procedures does not exceed 500 worldwide. The presented case is to our knowledge the first procedure of its type in Poland, giving hope to CPS patients, whose symptoms are otherwise difficult to treat.