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Biomedical subjects

F Jenik

Publications and source records attributed to F Jenik.

5 recordsLinked to original sources

Social and vocational reintegration of paraplegic and tetraplegic patients in Switzerland.

The purpose of this statistical review (based on 90 acute SCI admissions into the Swiss Paraplegic Centre, Basle in 1979), is to give, in the form of an evaluation, consideration to the social and vocational significance of the patients' disability. Seventy patients (77.8 per cent), are working or will work, (of 35 tetraplegics, 25, of 55 paraplegics, 45); and 67.8 per cent drive a car. So far as marital status is concerned there have been no significant changes as yet. The important question of resettlement was ideally solved in 80 per cent of patients. The improvement of education following injury was in general relatively limited. Twenty-five per cent reported that they have improved their education subsequent to their disability, these coming from the group having initially more than basic education. Socio-economic conditions of our patients are satisfactory. Cases of hardship have been substantially supported by the Swiss Paraplegic Foundation.

Adolescent↗

Non-traumatic adhesive arachnoiditis as a cause of spinal cord syndromes. Investigation of 507 patients.

Spinal cord syndromes with a mainly syringomyelic pattern of sensory diorders, radiculopathies, mixed paresis of varying degree (without any history of trauma), have been found in 507 out of 1305 new patients referred to out Clinic from January 1976 till 31 October 1977. In 105 randomised and unselected cases with these syndromes, myelographies have disclosed findings compatible with an adhesive spinal and/or cisternal arachnoiditis. A prospective study of the syndromes for evidence of infectious aetiology has been performed, in which tuberculosis, syphilis and other infections appear to be causative agents. A randomised therapeutic trial on a limited number of cases has been evaluated, as well as the results of specific therapy in a larger number of cases. Results of treatment have not been satisfactory. Operations were performed on only five patients and in no case was an autopsy obtained. Spinal cord syndromes due to non-traumatic adhesive arachnoiditis are discussed. The possible pathogenetic mechanisms the predominantly syringomyelic sensory deficits in those syndromes are briefly mentioned.

Adolescent↗