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Biomedical subjects

A Radek

Publications and source records attributed to A Radek.

At least 55 records · Page 3Linked to original sources
PubMedDate not supplied

[Vascular complications associated with cervical rib syndrome].

Two cases are reported of vascular complications in the cervical rib syndrome. In one case thrombosis developed in the distal part of the brachial artery, and in both cases compression of the subclavian artery could be demonstrated clinically and during arteriography. Attention is called to the necessity of surgical treatment of patients with evidence of vascular compression in view of the possibility of thrombotic complications. Coexistence of several causes of compression and the relationship of good therapeutic result to removal of all causes is stressed.

Adult↗
PubMedDate not supplied

[Unilateral hyperostosis frontalis interna coexistent with cerebral angioma].

The authors describe a rare case of coexistence of cerebral angioma with hyperostosis frontalis interna in a female patient aged 28 years, suffering from mental disturbances. The coexistence of these two diseases in one person caused considerable diagnostic and therapeutic difficulties. The described case points out that both these conditions may occur concomitantly. Another point of interest is the presence of hyperostosis frontalis interna in a young woman.

Adult↗
PubMedDate not supplied

[Injury of the deep branch of the ulnar nerve].

The authors report the clinical material from the Department of Neurosurgery, WAM in Lódź from the last 11 years including cases of damage to the deep branch of the ulnar nerve. In view of the importance of this branch for the function of the hand, damage to it requires very careful surgical management with autogenous graft. Sometimes this is technically difficult in view of the topographic conditions in this area. Damage to the deep branch of this nerve is usually associated with damage to the sensory part of the ulnar nerve, to the median nerve and tendons of finger flexors.

Adolescent↗
PubMedDate not supplied

[Nerve transplants in the reconstruction of damaged nerve trunks].

The authors present the first in the Polish literature group of 320 cases of autogenic nerve cable grafts. The overall results of this treatment are: very good and good in 43.3%, satisfactory in 29.1%, poor in 18.2%, bad in 9.4%. Nearly all bad results were obtained in grafting nerves in the lower extremity. A comparison of the results obtained with the classic nerve suture and short cable grafts shows a decidedly evident superiority of grafts over the classic suture. The advantages of grafts are discussed, particularly with respect to nerve blood supply. The importance of early surgical treatment and prolonged heat treatment is stressed.

Arm↗
PubMedDate not supplied

[Microsurgical method of transplantation of peripheral nerves].

The authors present the microsurgical technique of grafting thin cutaneous nerves at the site of peripheral nerve defect. The application of grafts in place of end-to-end suture makes possible elimination of nerve stretching at the time of suturing and at the time of rehabilitation. The use of cutaneous nerves makes possible good revascularization of grafts and their correct regeneration. The use of the microsurgical technique makes possible a good evaluation of the fascicular structure of nerve trunks, their adequate resection, and good adaptation of nerve stumps and grafts connecting the corresponding nerve fascicles. The use of the technique of nerve gluing with autologous plasma enables a stable connection of grafts and stumps to be obtained, with simultaneous elimination of foreign material (threads) from the area of connection.

Humans↗
PubMedDate not supplied

[Tactics in radical operations on the spine and spinal cord].

The authors discuss the tactics in the surgical approach in radical operations on the spinal cord, cauda and spine. The discussion is based on 1972 operations on the spine and spinal cord. The group of radical operations comprises 192 cases. The operative mortality in this material was 1%. The authors believe that the surgical tactics in these diseases should be considerate but also as radical as possible.

Cauda Equina↗
PubMedDate not supplied

[Surgical treatment of Horton's headache or neuralgia of the greater superficial petrosal nerve].

The authors report two cases of Horton's neuralgia treated surgically. In one patient the result is very good, in the other one it is poor. The pathophysiological mechanisms and anatomical-functional basis of this type of headache are discussed stressing the contribution to the knowledge of these mechanisms made by Professor Jerzy Choróbski. It seems that more patients should be referred for this treatment that it is done presently. The operation with sectioning of this nerve is not particularly troublesome and it may be a good supplementation of pharmacological treatment.

Facial Nerve↗
PubMedDate not supplied

[Peripheral nerve tumors: management tactics].

29 cases of the peripheral nerve tumours treated in the Department of Neurosurgery Military Medical Academy in Lódź between 1971 and 1993 are presented. The clinical symptoms, diagnostic methods, methods of operation and results are discussed. The differences are stressed, related to histological types of tumours. The reason of this management was given.

Humans↗
PubMedDate not supplied

[The importance of computerized tomography and magnetic resonance imaging in the diagnosis of slowly growing cerebral gliomas].

The authors present diagnostic problem in slowly growing brain gliomas. Two illustrative cases are presented. Both were characterized by scant clinical manifestations and long-term course of the illness before the operation. CT examinations repeated in both patients several times in the preoperative period of a few years disclosed unchanging hypodense areas in cerebral hemispheres. No progress in clinical status of the patients and CT imaging of the lesions were observed throughout years of observation (2 and 5 years, respectively). Rapid deterioration of neurological condition in both patients associated with enlargement of the lesions in CT allowed to establish strong suspicion of brain tumour which was confirmed by examination in each case. Histopathological examination revealed malignant gliomas in both cases. The cases confirmed once again the necessity of early MRI examination in patients with hypodense lesions of the brain found in CT. The authors believe that every hypodense area of the brain should be verified by MRI as soon as possible, regardless their size, progress and neurological status of the patient. Such as approach to the diagnosis of hypodense areas in the CT of the brain may prevent a delay in proper treatment as well as malignant transformation of primarily benign lesion.

Adult↗
PubMedDate not supplied

[A case of intrasellar teratoma].

The authors present a case of teratoma adultum of unusual intrasellar localisation. The tumour was surgically treated with excellent result. It was confined to sella turcica and partially invaded the suprasellar region. It produced headache, mild bitemporal hemianopsia and did not cause clinically evident hormonal disturbances.

Adult↗
PubMedDate not supplied

[An internal fixator for posterior application to short segments of thoracic, lumbar and lumbosacral spine. Design and testing].

The authors present preliminary experiences in spinal instrumentation with internal fixator Socon (Aesculap). The device was introduced into the routine clinical practice in the Department in 1992. Basing on personal experience they confirm the advantages of usage of internal fixators in spinal surgery especially good stabilisation of the spine and possibility of early mobilisation of patients. Analysis of the series of 6 cases operated on in the Department with the longest follow-up of 10 months revealed no neurological or vascular complication related to pedicle screw insertion, no wound infection and no instability of instrumented segment of the spine. The report includes 3 illustrative cases operated on in the Department.

Adult↗
PubMedDate not supplied

[Internal fixation of thoracolumbar, lumbar and lumbosacral spine with internal fixators].

The report is a review of the literature on fully implantable transpedicular fixation device known under the general name internal fixator, and designed for short (one to three segments) internal fixation of the spine in various pathologies. The implants are found in a routine clinical use throughout many European countries and have become more familiar to spine surgeons in the U.S. The authors present a general description of the fixators, indications and contraindications to their implantation, the implantation technique and possibilities of intraoperative reposition of the spine. The advantages of usage of the fixators and the history of their development are presented.

Equipment Design↗
PubMedDate not supplied

[Management tactics in brachial plexus injuries].

The authors present their own experience in the management of brachial plexus injuries. Conservative treatment as well as the results of surgical brachial plexus repair are described. Clinical material includes 114 patients operated on the last 9 years. The principles of qualification of the patients for surgery, various surgical procedures employed and outcomes are analysed. The authors' experience in the management of brachial plexus injuries is compared with the other found in the literature. The approach to the management of brachial plexus injuries is suggested and recommended.

Adult↗
PubMedDate not supplied

[Sacral meningeal cyst as a cause of chronic pain related to perineal, sacral and pelvic regions].

The authors present a case of sacral meningeal cyst (s.m.c.) being the cause of chronic pain related to perineal, sacral and pelvic regions. The aim of the report is to emphasize the role played by s.m.c. in the aetiology of pain arising in these regions. As it can result from a wide variety of pathologies, like gynaecological, urological and anorectal the differential diagnosis is very difficult. Until recent years s.m.c. was rarely encountered in clinical practice and identified as a cause of chronic pain in perineal, sacral or pelvic areas. Now in the era of MRI and with increasing access to sophisticated imaging diagnostic methods s.m.c. will probably be recognized in more cases of perineal, sacral or pelvic pain.

Bone Cysts↗
PubMedDate not supplied

[Benign spinal neoplasms: results of treatment and clinical aspects].

Benign spinal neoplasm (b.s.n.) represented 11% (8 cases) of all histopathologically verified spinal neoplasm in 85 patients operated on between 1975 and 1990. Local back or neck pain were first clinical symptoms of b.s.n. On admission all the patients presented with bone lesions on X-ray plain radiograms of the spine. Surgical management included removal of the tumour and stabilization using bone grafts. Excellent results (complete pain relief and improvement of motor function making the patients ambulatory and independent) were obtained in all the cases. All the patients presented with solid fusion of bone grafts and good spinal stability at the last follow-up.

Adult↗
PubMedDate not supplied

[On some clinical aspects of extradural spinal neoplasms].

Certain clinical aspects of extradurally situated spinal tumours are presented stressing their importance for the diagnosis and therapeutic approach. The role of pain as the first clinical symptom is emphasized. Of great importance are the plan X-ray films of the spine which in nearly 70% of cases reveal changes in bone structure. On the basis of intraoperative findings three types of infiltration of the tumours are presented, with the method of clinical management depending on this type.

Female↗