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Biomedical subjects

A Muszyński

Publications and source records attributed to A Muszyński.

At least 19 recordsLinked to original sources

[Evaluation of intrauterine insemination after two different methods of sperm preparation in cases of oligospermia in stimulated cycles].

Intrauterine insemination (IUI) is a widely accepted method of infertility treatment in case of oligospermia. Sperm requires special preparation to avoid applying of active ingredients and abnormal cells to uterine cavity. In this paper authors compared the efficiency of IUI after swim-up sperm preparation on Menezo B2 medium, with IxaPrep technic sperm preparation. In our material there were no significant differences in received results in relation to sperm preparation method.

Clomiphene↗

[Results of surgical treatment of aneurysms of the anterior communicating artery].

The authors present the results of surgical treatment of 48 aneurysms situated on the anterior communicating artery operated upon by the classic and microsurgical methods. The latter method has made it possible to raise the proportion of very good and good results from 23% in the classic method to 70%, and to reduce the postoperative mortality in groups I and II of condition severity from 13.6% to 4%. Independently of the method used Korsakoff's syndrome was observed in 17% of cases. The high value of Yasargil's surgical approach is stressed.

Adolescent↗

[Giant intracranial aneurysm].

The authors describe a case of a giant intracranial aneurysm of the left internal carotid artery in which signs of raised intracranial pressure predominated. In view of presence of internal hydrocephalus Holter's valve was implanted. The aneurysm was excluded from the circulation by trapping the afferent vessel. A good therapeutic result was achieved.

Adult↗

[Differential diagnosis between third-ventricle neoplasms and tumors of the posterior fossa based on clinical manifestations and results of contrast radiograms of the brain].

Differential diagnosis in the material was based on the neurological and radiological findings made in 45 patients with third-ventricle tumours and 133 with subtentorial tumours. No clinical syndrome has been found which could help in reliable diagnosis concerning either of these locations of the tumour. Of decisive significance for the correct localization of tumours was ventriculography which established the diagnosis in 42 cases of third-ventricle tumours and 103 cases of subtentorial tumours. The most difficult problem was recognition of the relation of the subtentorial tumours to the brain stem since this relation could not be indicated unequivocally neither by clinical findings nor by radiological examination. This required surgical revision of the posterior fossa in most cases with suspected brain stem tumours.

Brain Neoplasms↗

[Aneurysm of pericallosal artery].

The authors describe 3 cases of saccular aneurysms of the pericallosal artery. They accounted for 3.36% of all intracranial aneurysms in the material of the authors. Difficulties in management of pericallosal artery aneurysms are discussed. All patients with aneurysms in this area were operated upon from an approach through the interhemispheric fissure and the results were good.

Adult↗

[Neuropsychological evaluation of the results of treatment of hydrocephalus using a ventriculo-atrial valve].

In 25 patients with hydrocephalus of various grades and aetiology treated by insertion of ventriculoatrial valves neuropsychological investigations were carried out before and after this operation using the method of Luria and certain psychometric tests. The obtained results made possible isolation of three grades of impairment of higher nervous functions: III--afunction--10 patients, II--dysfunction--12 patients, I--eufunction--3 patients. Control neuropsychological examination two weeks after the operation demonstrated improvement of higher nervous functions in 6 cases with grade III and 11 patients with grade II impairment. In these cases radiological investigations demonstrated evidence of normotensive and hypertensive hydrocephalus and this was confirmed by measurements of intraventricular pressure of the cerebrospinal fluid. In 5 cases with grades III and II of damage no improvement was found. Radiograms and measurements of intraventricular pressure suggested in these cases hydrocephalus due to brain atrophy.

Cerebrospinal Fluid Shunts↗

[Surgical treatment of aneurysms of the anterior communicating artery using Yasargil's approach].

The results of surgical treatment in 19 cases of aneurysms of the anterior communicating artery from the approach described by Yasargil are described. In 16 patients the pedicle of the aneurysm was closed with a clip, in 2 cases the anterior communicating artery was excluded from the circulation by trapping, and in only 1 patient the aneurysm was enclosed in muscle and gazue. Control angiography demonstrated in 16 cases exclusion of the aneurysm from the circulation with maintenance of the patency of the main vessels, and in one case the sac of the aneurysm was partly shadowed. Good results were obtained in 80% of cases. One patient died (5%). Complications with development of Korsakoff's syndrome were observed in 3 patients (15%). The advantages of the approach described by Yasargil for the exposure and safe management of anterior communicating artery aneurysms are stressed.

Adolescent↗