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Biomedical subjects

J Výrostko

Publications and source records attributed to J Výrostko.

At least 19 recordsLinked to original sources
PubMed1997

[Brain injuries with abattoir guns].

The authors present a report on the treatment of 16 patients with brain injuries caused by a slaughterhouse gun. Nine patients had to be re-operated because of the presence of a foreign body; the primary operations of six patients were made in another surgical department. Two patients were re-operated twice. The reason for the first revision were bone fragments. The reason for the second revision was nasal liquorrhoea and posttraumatic hydrocephalus. Three patients (18.75%) of the investigated group died. The immediate cause of death was cerebral oedema. Eleven patients (68.75%) were referred for after-treatment to other health facilities, their condition had already improved. Two patients (12.5%) were referred in a poor, unaltered condition (coma). The rare incidence of gunshot injuries leads to a certain embarrassment how to treat patients with this type of injury. It was found that in gunshot wounds of the head and brain it is necessary to revise the gunshot canal from a craniotoic approach, remove foreign bodies, bone fragments, brain debris and then close perfectly the aperture in the dura mater, remove the margins of the bone contaminated with the injuring object and suture the skin. The authors draw attention to difficulties associated with localisation of the foreign body in the gunshot canal and possibilities of peroperative application of two-dimensional ultrasonography.

Abattoirs↗
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↗
PubMed1989

[The fate of patients after surgical revision of 3 intervertebral spaces in lumbo-ischiadic syndrome].

The authors present a report on 9 patients (out of which five were female and four male patients) in the age group ranging from 34 to 55 years, who underwent in the period between 1 January 1982 and 31 December 1987 the revision of three intervertebral spades due to the unilateral lumbo-ischiadic syndrome. Operations of such an extent were performed only exceptionally, in case clinical symptoms and myelographic or CT examination proved the lesion of three intervertebral discs. Ensuing from the control examination performed in November 1988 two patients have been invalided and the rest of them working on a full load (five of them doing their original job and two doing a new one). Almost all of them suffer from occasional pain in sacrum and - but for one exception - also in the lower extremity. Only in one case (a female patient) the condition has not improved after the operation. The recovery of working ability has been in most cases facilitated also by spa treatment.

Adult↗
PubMed1988

Bilateral intracerebral hypertonic haemorrhage.

Bilateral hypertonic intracerebral haemorrhage is a rare pathological entity. CT-scan enables precise diagnostics, but in a case of bilateral intracerebral bleeding it is difficult to make decision whether to operate or not. In our group of 65 operated patients with intracerebral haemorrhage in the time interval 1985-1987 there was only one with bilateral bleeding. After the surgical removal of blood clots from one hemisphere the patient recovered.

Brain Edema↗
PubMed1988

Chronic extradural haematoma of the posterior fossa. Case report.

The authors present the case of extradural haematoma of the posterior fossa in a four-year-old boy who was successfully operated on seventeen days after he had suffered a blow on his occiput. Emphasis is placed on the importance of an early CT scan in a patient showing any clinical signs of possible intracranial pathology following such injury.

Brain Concussion↗