PubMed Health⌕ Search

Biomedical subjects

H Józwa

Publications and source records attributed to H Józwa.

8 recordsLinked to original sources

[Effect of classic exclusion of middle cerebral artery aneurysm on late structural and functional changes in the vicinity of the operation site].

On the basis of neurological, psychological and computed tomographic examinations of the head late consequences are presented of classical exclusion of middle cerebral artery aneurysm. It was demonstrated that compression of the brain with a spatula and the extent of shifting apart of the walls of the lateral fissure of the brain during the operation may lead to ischaemic changes in the temporal lobe near the lateral fissure. These changes may cause impairment of mental efficiency late after the operation. It was shown also that during the operations for aneurysms of the middle cerebral artery at the site of its division the approach by forcing apart the fissure over the site of division would be less damaging than the approach along the trunk of the artery.

Adult↗

[Effect of classical exclusion of aneurysm of the internal carotid artery on late structural and functional changes at the site of the operation].

The effect of the classical exclusion of internal carotid aneurysm with access by frontotemporal craniotomy on late therapeutic result and on the development of ischaemic changes in the area of access was analysed. It was shown that with this method of surgical treatment the ischaemic lesion developed most frequently in the temporal lobe pole, and may lead to persistent impairment of mental ability and symptoms of characteropathy later on. It was demonstrated that the occlusion of bridging veins reaching the sphenoparietal sinus and ligation of the neck of the aneurysm increased the risk of ischaemic lesions development at the site of spatula pressure during the operation.

Adult↗

[Neoplastic encephalopathy in the light of 2 observed cases].

The authors report two cases of neoplastic encephalopathy. In one patient with oviduct carcinoma it had the form of cerebellopathy. In the other case of renal carcinoma it appeared as encephalopathy with a nearly exclusive involvement of cerebral hemispheres. The reaction of microglia, lymphocytes and diffuse demyelination found in these cases are regarded by the authors as a result of autoimmunization in the course of malignant neoplasm. Attention is called to the importance of axial computer tomography in the intravital diagnosis of this encephalopathy.

Adenocarcinoma↗