Neurol Neurochir Pol
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Neurol Neurochir Pol · Jul 1987
Comparative Study[Results of the surgical treatment of intracranial aneurysm].
In the years 1976-1984 in the Department of Neurosurgery, Silesian Medical Academy in Katowice 196 patients were treated surgically for intracranial aneurysms. In the patients with aneurysms in the anterior part of the circulus arteriosus Yasargil's craniotomy was done. In some cases of aneurysms of the posterior cranial fossa suboccipital craniotomy was performed. ⋯ Good results were obtained in 60% of cases and bad in 15.9%. Death from extracranial causes occurred in 3 cases. The results of surgical treatment depended on the condition of the patient estimated by the Botterell scale, age, situation of the aneurysm and number of subarachnoid haemorrhages, duration of operation and experience in qualification of patients for surgery and on surgical technique.
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Neurol Neurochir Pol · Mar 1987
Comparative Study[Hydrocephalus following subarachnoid hemorrhage].
The authors present 56 patients with subarachnoid haemorrhages in whom CT of the head demonstrated internal hydrocephalus. This complication was observed most frequently in the age group 51-60 years. In 39% of cases hydrocephalus was low grade, in 36% it was moderately severe, and in 25% high grade. ⋯ In 11% of cases. Pudenz valve had to be implanted. No significant differences were found in the frequency of hydrocephalus in late period after subarachnoid haemorrhage in relation to sex, number of haemorrhages, clinical state, vasospasm, treatment with epsilon-aminocaproic acid and dexamethasone.
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Neurol Neurochir Pol · Nov 1986
[Value of testing vibration sensation in diagnosing spondylogenic pain syndromes].
One-hundred patients with cervical vertebral changes, 100 with lumbar vertebral changes and 20 with ankylosing spondylitis were studied carrying out examinations of the sensation of touch, pain and vibration in these dermatomes and sclerotomes which are related to the levels of the most frequently occurring intervertebral disc changes. It was found that disturbances of the vibration sensation occurred significantly more frequently than disturbances of surface sensitivity, and their character suggested that they were a more specific sign of damage to the innervation of the spine than segmental disturbances of superficial sensitivity which are due to root damage.
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Neurol Neurochir Pol · May 1986
Comparative Study Clinical Trial Controlled Clinical Trial[Morphine epidural block in lumbosacral pain].
In 60 patients treated in hospital for discopathy the effectiveness of morphine epidural blockade was studied in the control of very strong pain. The patients were divided into 3 groups with 20 cases in each group. Group I received morphine 5 mg with 5 ml of 1% xylocaine. ⋯ After morphine blockades the mean duration of analgesia was 20 hours, and the addition of xylocaine had no effect on it. Following xylocaine blockade the mean time of analgesia was 9.8 hours, and after normal saline injection it was 8.0 hours. The sensory phenomena experienced after morphine by most patients suggest that morphine exerts not only a local but also a central effect, while the similarity of the effects of xylocaine and normal saline suggests an analgesic effect independent of conduction block after epidural injection of these substances.
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Neurol Neurochir Pol · Sep 1985
Case Reports[Favorable results of the treatment of the hyperkalemic form of periodic paralysis with salbutamol].
Two cases of hyperkalaemic periodic paralysis with myotonic symptoms were treated successfully with salbutamol. The methods of managing the hyperkalaemic form of periodic paralysis are discussed in brief.