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B Kamieniecka

Publications and source records attributed to B Kamieniecka.

8 recordsLinked to original sources
PubMed1992

[Diagnosis and treatment of aneurysms of the lower segment of the vertebrobasilar system].

The authors present 20 patients with aneurysms of the vertebral artery and its branches, treated operatively. The symptomatology and the diagnostic methods in this group of rare vascular abnormalities are discussed. The authors are of the opinion, that there are no specific symptoms typical of this localization. All aneurysms of this group can be treated by suboccipital craniectomy. The results of the operation were good; in 75% the results were good or very good. 20% patients died.

Adult↗
PubMedDate not supplied

[Clinical-radiological correlations of cerebral vasospasm and cerebral infarction in patients after subarachnoid hemorrhage].

The correlation was studied between angiographically demonstrated vasospasm, ischaemic focus demonstrated by computed tomography and the clinical condition in 100 patients within 2 weeks after spontaneous subarachnoid haemorrhage. The control group comprised 50 patients after subarachnoid haemorrhage without vasospasm. The clinical condition of the patients with vasospasm was more serious than in the control group. The proportion of patients with clinical grade I was 24% in the group of vasospasm and 50% in the control group. Ischaemic foci were found in computed tomograms four times as frequently in the group with vasospasm than in the control group. Neurological deficit was noted in 41% of patients with vasospasm and in 26% in the control group. The study confirmed correlations between vasospasm, cerebral infarction and neurological deficit but these correlations were not strong.

Adult↗
PubMedDate not supplied

[Coexistence of azygous pericallosal artery with aneurysm].

The authors describe three cases of successfully surgically treated of aneurysms of the brain associated with absence of one pericallosal artery. Despite the rarity of such anomaly these cases are important in view of a possible damage to the only remaining pericallosal artery.

Cerebral Angiography↗
PubMedDate not supplied

[Post-traumatic cerebral vasospasms].

Posttraumatic vasospasms occur according to various authors in 5-10% of cases, and in our material they were demonstrated in 6% of the patients, that is about 8 times less frequently than in cases of bleeding from a vascular malformation. Computed tomography of the head showing posttraumatic vasospasm complicating "normal" clinical course is ever less frequent which does not mean that this disturbance is not occurring, but rather it shows that CT is insufficient for its demonstration. It was shown that in every case of unclear aetiology in which the clinical condition is not correlating with CT pattern of the head angiography of brain vessels should be performed or cerebral blood flow should be determined by other making possible early institution of adequate (targeted) treatment.

Brain↗
PubMedDate not supplied

[Significance of CT in the assessment of risk due to cerebral vasospasm following subarachnoid hemorrhage].

The relationship between the amount and localization of blood in the subarachnoid space and the occurrence of vasospasms was studied in 100 patients with aneurysmal subarachnoid haemorrhage with cerebral vasospasm as complication. In the control group comprised 100 patients in whom angiography revealed no vasospasm. Within one week of subarachnoid haemorrhage all patients underwent computerized tomography of the head. The examination was initially conducted without and subsequently with the administration of contrast medium in a 2 mm thick layer. The amount and distribution of blood were evaluated according to Fisher scale. Follow-up cerebral angiography was performed in most cases in the second week after haemorrhage. In the studied group the occurrence of blood in the subarachnoid space was disclosed in 71 (71%) of the patients. In most cases it was present as clots in basal cisterns. In the control group the presence of blood was found in 32 (32%) of patients, this being usually diffused in subarachnoid space. The results obtained, as well as those quoted from other works, confirm the usefulness of computerized tomography in prognosing the risk of cerebral vasospasms following subarachnoid haemorrhage. However, the method is not to be overestimated.

Adult↗