Neurol Neurochir Pol
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Neurol Neurochir Pol · Sep 1999
[Analysis of own clinical material treated by conservative and aggressive control of intracranial hypertension].
These problems arising during the treatment of increased intracranial pressure (ICP) were analysed on the basis of own clinical material with consideration of different therapeutic methods--pharmacological and aggressive. Statistical analysis (contingency tables) showed that the treatment consisting of dexamethason, mannitol and furosemid was the most efficient in the group of patient with increased ICP in the range 15-30 mmHg. In patients with ICP in the range 30-50 mmHg, where other aggressive methods of treatment had failed, the most efficient treatment was cranio-dural decompression.
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Neurol Neurochir Pol · Mar 1999
Case Reports[Temporal arteritis as a cause of a terrible headache].
Two patients with temporal arteritis are reported in whom terrible headache was the predominant symptom of the disease. Both of them improved after prednisone 60 mg daily in the initial dose. The diagnosis and the treatment of giant cell arteritis are discussed.
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Neurol Neurochir Pol · Mar 1999
[Prognostic factors in patients with intracerebral hematoma caused by ruptured middle cerebral artery aneurysm].
In a retrospective study, the authors analysed surgical outcomes in patients after intracerebral haemorrhage (ICH) as a result of ruptured middle cerebral artery (MCA) aneurysm. Between January 1989 to June 1997, 836 patients with ruptured aneurysm were admitted. Of these 207 (24.8%) patients had MCA aneurysm. ⋯ Surgical complications were significantly higher in patients with unfavourable outcomes (52.8%; p < 0.01). Patients who developed more than 25 ml of ICH had significantly worse outcomes (p < 0.05). Factors that could be used to predict a favourable outcome include temporal ICH, WFNS Grade I or II, absence of a surgical and postoperative complication, and a haematoma volume less than 25 ml.
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Neurol Neurochir Pol · Jan 1999
Clinical Trial[Post lumbar puncture syndrome and the manner of needle insertion].
We have analysed the correlation between the direction of needle bevel insertion and the occurrence of post-puncture syndrome appearing after diagnostic lumbar puncture. Post-puncture headache was observed in 38 of 380 patients (13.6%). The syndrome occurred in 11 patients (7.9%) in whom the needle bevel had been inserted parallel to the patient's backbone and in 27 patients (19.3%) in whom the needle bevel had been inserted perpendicularly to the backbone. The complications after lumbar puncture could be reduced by inserting the needle bevel parallel to the patient's backbone.
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Neurol Neurochir Pol · Nov 1998
Comparative Study[Influence of coexisting pseudo-radicular syndrome on the results of traction treatment in cases of lumbar intervertebral disk hernia].
105 patients with lumbar disc disease, confirmed by radiculography, magnetic resonance imaging or computed tomography were investigated to evaluate the influence of pseudoradicular syndrome on therapeutic effects. On the basis of characteristic clinical symptoms of radicular and pseudoradicular syndrome patients were divided into two groups: 45 patients with dominant pseudoradicular syndrome and 35 persons with dominant radicular syndrome. ⋯ The effects of the traction treatment were significantly worse in patients with the pseudoradicular syndrome. These results suggest the necessity of differential therapeutic approach in lumbar disc disease patients depending on the predominance of the pathomechanism of disease.