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Biomedical subjects

M Głowacki

Publications and source records attributed to M Głowacki.

16 recordsLinked to original sources
PubMed2000

[Solitary cyst of the calcaneus contemporary diagnostic possibilities: the results and treatment].

Bone remodeling within solitary cyst of the calcaneus has been investigated, its unique location underlined. Different theories behind its origin within the short bone like the calcaneus are discussed. The diagnosis might be supported by magnetic resonance imaging according to Greenfield data. At the final radiographic assessment according to the Neer criteria in majority of the patients incomplete healing with small osteoporotic areas has been found.

Adolescent↗
PubMed2000

Combined treatment of cerebral aneurysms with utilization of clipping and coiling techniques.

Cerebral aneurysm clipping is a widely used and accepted treatment option. However, in some patients in severe condition (IV and V WFNS grade), with aneurysms of basilar and vertebral part of the arterial circulation and with high general surgical risk, direct aneurysm surgery can be a real technical and clinical problem. Therefore, low risk of coiling procedures gain more and more support. Out of 218 patients with diagnosed aneurysms, 60 were selected for coiling treatment, and 15 patients with multiple aneurysms were treated with both procedures. Special attention has to be addressed to the selection of patients for coiling procedures, especially in the cases when aneurysmal neck is directed accordingly to the main blood stream. The follow-up of the treatment effects is necessary. In the cases with growing aneurysms clipping is recommended. In the cases with stable size of the aneurysmal sack and visible coils compression, the coiling procedure is repeated. The coiling procedures can offer a valuable treatment option for selected patients. However, the maintenance of permanent occlusion of the aneurysm sack after coiling gives rise to some controversy.

Embolization, Therapeutic↗
PubMed1998

[Lower extremity deformities as an obstacle in rehabilitation of meningomyelocele patients--pathogenesis and principles of treatment].

The fate of 89 patients with meningomyelocele operated at the Institute of Orthopedics and Rehabilitation in Poznań between 1970 and 1989 due to paretic deformities of lower extremities has been traced by the authors. Deformities prevented nursing, standing or ambulating; their type and results of treatment have been related to the level of neurosegmental lesion. Modified Sharrard's classification served to group the patients. The level of lesion established during lower extremities muscles testing has been verified after neurological examination supplemented with electrophysiological tests: sensory response within L3-S2 dermatomes, afferent conduction velocity of the peroneal nerve and selected muscles of lower extremity electromyogram. Deformities due to inadequate nursing (hip and knee contractures and equinus foot) were the main obstacle in the rehabilitation in patients with spinal Th12-L2 lesion. In patients with L3-L5 lesion hip contractures were accompanied by dislocation or subluxation of the hip due to muscular imbalance. Knee contracture was less frequent in this group and foot deformities were diverse. Surgical correction of paretic deformity of the hip was the last stage of management designed to promote rehabilitation, following previous foot and knee surgery. In patients with Th12-L2 lesion recurrence of contractures made standing and walking impossible. In patients with L3-L5 neurosegmental lesion surgery for paretic dislocation or subluxation of the hip inclusive of open reduction, varus-derotation osteotomy of the proximal femur, transiliac osteotomy and iliopsoas transfer to the greater trochanter according to Mustard resulted in stable hip. Seventy percent of patients with L3-L4 lesion and all patients with L5 lesion profited from hip surgery with reduced orthotic use and effective gait.

Adolescent↗
PubMed1998

[The evaluation of selected risk factors of solitary bone cyst recurrence after its curretage and bone graft filling].

Selected risk factors of solitary bone cyst recurrence after curretage and bone graft filling have been analyzed in this study. Seventy-four patients (42 males, 32 females) have been reviewed. The age of patients at the diagnosis ranged between 4 and 55 years (mean 12 years). During follow-up ranging from 1 year to 48 years (mean 18 years) 15 recurrences appeared. It has been found, that sex of the patient, localization and volume of the cyst, septa presence or absence within it have no statistically significant influence on the recurrence. Age below 10 years and the use of allogenic lyophilized bone grafts predispose for recurrence of solitary cyst of bone.

Adolescent↗
PubMed1998

[Anthropometric parameters in assessment of patients with Marfan syndrome or with Marfan phenotype].

A series of 37 patients aged 4-64 years has been evaluated with criteria of Lee and Ramirez. Diagnosis of Marfan syndrome has been established in 13 cases, in 24 patients the Marfan phenotype has been found. In both groups body height, upper extremities length, the length of upper and lower body segment, length of the foot and hand have been recorded. Metacarpal index has been calculated. Antropometric measurements did not reveal significant differences in body parts proportions between these two groups.

Adolescent↗
PubMed1997

[Solitary bone cyst: etiology, diagnosis, therapy, clinical and radiologic evaluation of treatment results].

Contemporary views on etiology and treatment for solitary bone cyst are presented. Coehn theory of metaphyseal blood flow disturbances as the cause of solitary cyst formation has been emphasized. Minimally invasive treatment modalities have been honored as steroid or autogenous marrow injections into the cyst. Campannaci classification, the most versatile one, embracing various types of cyst remodeling after treatment has been introduced in Polish literature for the first time.

Bone Cysts↗
PubMed1995

[Use of the Martin fixator for stabilization of bony fragments after resection of neoplasms].

The use of Martin fixator for bony fragments and graft stabilization after oncologic resection in 2 patients is presented. Good stabilization in both cases has been achieved. In one case due to the local recurrence of the tumor (sarcoma) an amputation was indispensable. In the other case (aneurysmal bone cyst) after 18 months complete union has been accomplished.

Adolescent↗
PubMed1995

[Clinical heterogeneity of myelomeningocele as evidence of multisite closure of the neural tube].

Eighty-two patients treated surgically for myelomeningocele or myelodysplasia between 1945 and 1993 are presented. Family and environmental history has been studied. The presence of genetic markers (HLA B27, ABO, Rh) has been investigated. Heterogenicity of localization and type of defect in the series reviewed has been found. Associations between certain genetic features confirm multisite mechanism of closure of the neural tube. The relationship between site of neural tube defect and concurrence of developmental defects has been substantiated. A higher site often results in multiple defects.

ABO Blood-Group System↗
PubMed1995

[Companacci classification and result of treatment for aneurysmal bone cyst].

Results of treatment of 17 patients operated because of aneurysmal bone cyst have been assessed. Age at the onset of symptoms ranged from 4 to 39 years, 14 on an average. There were 6 aggressive and active cysts in this series according to the Campanacci classification. Treatment consisted of segmental resection of the bone in 5 patients, curettage of the lesion filing of the defect with autogenous bone in 11 cases. Recurrence of the cyst has been observed in 3 patients, only one of them had aggressive type of tumor.

Adolescent↗
PubMedDate not supplied

[Paranoid syndrome in a patient with tumor in anterior part of corpus callosum. Case report].

The reported case was a patient with tumour situated in the region of the corpus callosum, with symptoms diagnosed initially as affective syndrome and later on as paranoid syndrome. With this diagnosis he was treated for 12 years in psychiatric out-patient clinics and hospitals with antidepressants and and neuroleptics. Brain imaging (CT and MRI) performed only after an epileptic seizure demonstrated a tumour in the anterior part of the corpus callosum with a broad oedema area. Neuropsychological examination revealed disturbances of emotional-motivation processes and defects in cognitive functions. Following surgical treatment only a slight improvement of functioning was noted. Histological diagnosis (PNET) suggested that the tumour was expanding during many years. Much earlier diagnosis with neurosurgical intervention could result in a better therapeutic effect.

Aged↗