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Biomedical subjects

J Fagul'a

Publications and source records attributed to J Fagul'a.

At least 19 recordsLinked to original sources
PubMed1991

[Periradiculographic and CT examination in the differential diagnosis of pain after intervertebral disk surgery].

Between February 1, 1982 and December 31, 1988 at the Neurosurgical Clinic of the Faculty Hospital and Policlinic in Kosice on account of justified suspicion of a relapse of discogenic compression of the lumbosacral spinal roots 102 patients were re-operated (38 women, 64 men) aged 18 to 65 years (mean 39.5 years). Of these three who were hypersensitive to iodine were reoperated at a time when the hospital did not yet possess a CT based on clinical symptoms. In 61 patients the indicated re-operation was supported by the conclusions of periradiculographic, in 21 of native CT and in 17 based on both mentioned examinations. Comparison of the surgical findings with the X-ray findings revealed that on periradiculography the conclusion was in complete agreement in 31 patients, in another 27 partial agreement (a total of 73.3% patients examined in this way), in those examined by CT there was complete agreement in 16 and partial agreement in 11 (i.e. 71.1% on this sub-group). Neither of the two examination methods was quite reliable for indication of re-pleration of intervertebral discs.

Adolescent↗
PubMed1991

[Problems of recurrence and reoperations in discogenic lumboischiadic syndromes. 1].

During the period between Feb. 1 1982 and Dec. 31 1989 at the Neurosurgical Clinic in Kosice 2346 patients were operated (813 women and 1533 men) on account of discogenic lumboischiadic syndrome. Because of true relapses 79 patients were reoperated (29 women, 50 men), i.e., 3.37% of 2346 patients. These formed the investigated group. The youngest patient was 18 years old, the oldest 60 years, the mean age was 38.5 years. Check-up examinations, X-ray material and mathematical evaluation revealed that even marked deviations from the ideal weight according to Broca, balneotherapy, regular physical training and localization of the damaged disc did not influence the development of a true relapse which called for re-operation. The latter were significantly more frequent in subjects engaged in excessively hard physical work and those who developed a complication during the first operation.

Adolescent↗
PubMed1991

[Problems of recurrence and reoperation in discogenic lumboischiadic syndromes. 2].

In a group of 79 patients (29 women and 50 men) reoperated at the Neurosurgical Clinic of the Faculty Hospital with Policlinic in Kosice between Feb. 1 1982 and Dec. 31, 1989 for substantiated suspicion of a true relapse of discogenic lumboischiadic syndrome it was revealed that neither perimyelography nor CT examination of the spine disclosed reliably the conditions in the spinal canal. The assumed disc compression of spinal roots was confirmed by the surgeon on reoperation only in 58.2% of the patients. Complications were encountered on reoperation in 26.6% patients of the group whereby in the majority an injury of the dura mater fixed by an epidural scar was involved. The results of reoperations were worse than the results of primary operations. Improvement can be expected from a better differential diagnosis of complaints after disc operations and from improvement of the surgical technique which will reduce the risk of preoperative complications, e.g. by using the microsurgical technique.

Adolescent↗
PubMed1991

[Prolonged epidural hemorrhage].

The authors give an account of four male patients aged 4, 26, 34 and 51 years where they removed on the 4th to 20th day following head injury an epidural haematoma. In the youngest patient the haematoma was in the area of the posterior cranial fossa on the left in another patient on the left in the occipital area, in the third patient concurrent epidural and subdural haemorrhage in the left temporal region was involved as well as contusion of the brain on the same side, in the last patient a large epidural parieto-occipital haematoma on the right side was involved. In the four-year-old boy the haemorrhage developed without fracture of the skull, in the remainder there was fracture of the skull, its course was, however, so inconspicuous that with the exception of one it was found only on operation. Although the clinical symptoms in all patients suggested that a posttraumatic intracranial complication is involved, CT helped to establish the correct diagnosis. All four patients are alive, three without an obvious neurological deficit, one suffers from mild hemiparesis.

Adult↗
PubMed1990

[Results of treatment of infantile hydrocephalus (a group of 64 children)].

The authors present a report on 64 children operated between January 1, 1982 and December 31, 1986 on account of infantile hydrocephalus. As the primary operation in the great majority of children ventriculo-atrial drainage with a valve according to Spitz- Holter (60 times) was indicated, in exceptional cases ventriculo-mastoidostomy according to Nosik without a valve (four times). Thirty-eight patients (59%) had to be re-operated, some repeatedly on account of different disorders of the system. Most frequently the valve failed (22 times). Forty-four children (62.6%) of the group survive. Twenty-four (37.6%) thrive, sixteen are retarded as regards psychomotor development (25%), thirteen died (20.3%), eleven did not attend examination (17.1%).

Cerebrospinal Fluid Shunts↗
PubMed1990

Spontaneous spinal epidural hematoma.

The authors presented a 61-year-old patient after the spontaneous epidural hemorrhage in the spinal canal. Her state has improved after the surgical intervention. The authors attach call attention to the atypic clinical course of this disorders. Because paraclinical diagnostic is not complicated, the effective surgical aid immediately after the origin of the motility disorders may mean the significant rescue of the patient's health.

Female↗
PubMed1990

Two-dimensional ultrasonographic examination through postoperative defects in skull.

The authors describe the advantages of two-dimensional ultrasound examination in patient with skull defects of various origin. It is better to use ultrasound transducer with high frequencies, which have higher discerning capability to distinguish fine anatomic details. In comparison to CT the two-dimensional echoencephalography is harmless for the patient, it enables the monitoring of intracranial situation through an "acoustic window" and examination in several planes.

Brain Diseases↗
PubMed1990

[Problems of hemorrhage in the cerebellum].

The authors give an account on their experience with the treatment of five patients (three women and two men) with non-traumatic haemorrhage into the cerebellum. The oldest patient was 67 years, the youngest 14 years, the mean age was 51.2 years. In four the cause of haemorrhage was hypertension, in one patient an A-V malformation. The correct diagnosis was established by CT examination, while originally it was assumed that a supratentorial cerebrovascular attack was involved. One female patient recovered after conservative treatment, in the remainder the haematoma was removed by suboccipital craniectomy. One patient died, the fourteen-year-old female patient which was admitted with symptoms of decerebration, survives with a marked neurological deficit, three patients feel well. In one instance hydrocephalus developed which was treated by ventriculo-peritoneal drainage with a valve.

Adolescent↗
PubMed1990

[Multiple meningiomas--diagnostic and therapeutic problems].

The authors present the case of a 0-year-old patient with multiple meninglomatous intracranial foci. They draw attention to the relatively rare occurrence of this condition and its complexity from the diagnostic and therapeutic aspect. The incidence of multiple meningiomas is more typical for advanced age (above 60 years), whereby their size increases with age and the male:female ratio is 1:3.

Brain Neoplasms↗
PubMed1990

[Penetrating head injuries caused by animal anesthesia guns].

An account is given of experience recorded from 15 patients who had been surgically treated for head injuries from animal stunning guns. All of them were male patients and were aged from 19 to 66 years. All cases were attempted suicides. Three patients died, including one of pyocephalus and two of injuries of vital structures. Eight patients whose first treatment had been restricted to wound suturing developed dangerous intracranial purulence. Seven patients of this group survived, following treatment of the bullet path. Patients with such injuries can be saved, if wound dressing is accompanied by removal of foreign bodies, bone fragments, blood clots, and devitalised tissue and if the dura mater is sealed watertight.

Adult↗
PubMed1989

[Treatment in a patient with multiple brain abscesses].

The authors present an account of successful treatment of a 23-year-old patient with multiple relapsing abscesses of the right cerebral hemisphere of otogenic origin by repeated punctures. They emphasize the importance of computed tomography for assessment of the type of lesions, their localization and follow-up of the disease.

Adult↗
PubMed1989

CT-scan or two-dimensional echoencephalography in neonatal intracranial pathology?

The authors compare advantages and disadvantages of CT-scan and two-dimensional echoencephalography in examination of intracranial space of small babies. CT is more precise and complex, but it requires anesthesia and transport (CT-scanners are only in regional centers), moreover the child is endangered by irradiation. Echoencephalography is not so descriptive, but is noninvasive, simple, mobile, cheaper, enables to follow the dynamics of the process, examination in three planes and can be very useful during the operation.

Brain Diseases↗
PubMed1989

[Peroperative use of two-dimensional ultrasonic imaging in neurosurgery].

The use of "real-time" ultrasonographic two-dimensional picture in the neurosurgery operation theatre increases and improves the possibility of localization of intracerebral and intraspinal lesions, enables precise needle biopsies, decreases a potential risk of damage to healthy brain tissue, visualizes the results of tumour resection, helps in the localization of catheters into chambers and cysts. The final results of the application of two-dimensional picture in the course of neurosurgery operation is in speeding up the surgical therapy, giving it more precision and safety, while the prolongation of the operation due to the ultrasonography is negligible. The authors document the visualization possibilities of two-dimensional ultrasonographic scanning with linear probe in preoperational recordings of different types of lesions in intracranial and intraspinal space.

Adolescent↗