[Atypical clinical appearances of the breast cancer].
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Adult↗
Biomedical subjects
J Kochanowicz
Publications and source records attributed to J Kochanowicz.
[F wave occurrence in patients after stroke].
F wave parameters are connected with spinal motoneuron excitability. In view of this, the authors performed the study of the evolution of that response in 30 patients after cerebral stroke in three subsequent periods: I--1st or 2nd day, II--14th or 15th day, III--5 to 6 weeks after stroke. We found F wave occurrence to be reduced in the first period after stroke; subsequently its parameters increased greatly. Changes of F wave parameters could be observed earlier than changes of clinical status, especially of muscle tonus.
Aged↗
[Multi-system atrophy or symptomatic orthostatic hypotension].
The authors describe a case of a 74-year-old patient with orthostatic hypotension syndrome. They discuss the possible symptomatic or idiopathic mechanisms of the aetiology of this syndrome, taking into account their possible coincident.
Aged↗
[Empty sella syndrome].
The authors present two middle-aged female patients with empty sella revealed at imaging studies (CT, MRI). Their main complaint was severe fronto-parietal and fronto-temporal headache. Physical examination showed obesity, hypertension, and local hypersensitivity on deep palpation and percussion in the above-mentioned regions, in both cases. Endocrine function of pituitary gland, visual fields and fundi were normal as was EEG. The CSF composition and pressure also showed no abnormalities. The diagnostic and therapeutic problems of empty sella syndrome are discussed.
Aged↗
[Subcortical infarcts (caudate nucleus) in a case of bilateral anterior cerebral artery occlusion].
The authors describe a patient with bilateral anterior cerebral artery (ACA) occlusion. CT and MRI revealed bilateral encephalomalacia in the regions supplied by Heubner arteries and/or by perforating branches of ACA. The patient presented mainly with frontal symptomatology resulting from caudate nuclei lesion. Frontal symptomatology due to caudate impairment is discussed in the sense of frontal-subcortical circuits: lateral orbitofrontal and anterior cingulate ones. We emphasise a similarity of behavioural and cognitive disorders in early Huntington's disease and in frontal lobe lesion.
Arterial Occlusive Diseases↗
[Seasonal variations in stroke incidence in North-Eastern Poland].
The authors analysed seasonal and monthly incidence of and mortality from ischaemic stroke (IS) in the region of Białystok (North-Eastern Poland). 839 cases of IS (437 men and 402 women), aged 22 to 94 years, were hospitalised in the Department of Neurology, Medical Academy in Białystok during the analysed period (1990-1997). Significant seasonality in IS incidence was observed in both sex groups, with a nadir in summer. The lowest occurrence of infarcts was observed in August in women, and in June in men. The peak month for IS, independently of sex, was January. 240 patients (28.6%) died of stroke or its complications during the analysed period. The occurrence of fatal IS followed also a clear seasonal pattern with peak in autumn. The authors attempt to explain this seasonal incidence and mortality pattern of IS in relation to variation in temperature, diet, way of life (holidays in summer), and biochemical blood changes, which occur in different seasons of the year.
Adult↗
[Neurologic and psychiatric sequelae of carbon monoxide poisoning].
Carbon monoxide intoxication may result in neuropsychiatric abnormalities that can be overlooked or not fully appreciated. The authors describe two female patients who developed troublesome cognitive and emotional problems following carbon monoxide poisoning and stress the value of the precise neuropsychological testing and prolonged clinical observation in such cases.
Adult↗
[Fetomaternal macrotransfusion--a cause for decreased fetal movements. 2 cases].
Two cases of fetomaternal macrotransfusion in otherwise normal pregnancies are reported. In both cases the main symptoms observed by the patients were decreasing fetal movements. Cardiotocography revealed a highly pathologic pattern an immediate cesarean section was performed. The cause of massive fetomaternal hemorrhage (390 and 635 ml fetal blood) remains unclear. Delayed treatment leads to severe anemia followed by hypovolemic shock and ultimately to stillbirth. Pregnancies complicated by fetomaternal hemorrhage develop normally until signs of fetal decompensation begin to appear. Decreasing fetal movements in the most common symptom reported by the patients. In addition to a contraction-stress-test, blood from the pregnant women should be looked at for fetal erythrocytes, a test that can be performed very quickly and easily. If the fetus is viable, immediate delivery should be performed and blood transfusions to the newborn should be administered. In preterm pregnancies cordocentesis and intrauterine blood transfusion may be considered.
Adult↗
[Bilateral internuclear ophthalmoplegia as the only symptom in the relapse of multiple sclerosis].
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Adult↗