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Biomedical subjects

M Kala

Publications and source records attributed to M Kala.

At least 37 records · Page 2Linked to original sources
PubMed1992

Can arachnoidal adhesions lead to hypoperfusion of the nervous tissue?

The author presents the possible mechanism that probably lead to deterioration of neurological finding after changes of parenchymatous pressure of neural tissue in the course of lumbar puncture, ventriculography or some neurosurgical interventions. The possible cause are arachnoidal adhesions impeding free circulation of cerebrospinal fluid. "Trapped" cerebrospinal fluid leads to the ischemia of the neural tissue because of relative increasing of cerebrospinal fluid pressure.

Arachnoid↗
PubMed1992

Subdural empyema--clinical experiences.

The authors present the experiences from their clinic with diagnostic and treating of subdural empyema. In the years 1953-1991 altogether 5 patients were treated with this diagnosis in the Clinic of Neurosurgery in Olomouc. Nobody of the patient died. There was possible to observe in all these patients before operation symptoms of meningeal irritation, febrilities and in 4 patients the neurologic focal symptomatology. The authors arrive to the conclusion, that the most convenient operation approach is craniotomy, which must be preferred to smaller surgical approaches. One part of the intracranial operation must be sanation of the primary inflammation leading to arising of subdural empyema. The regular postoperation control of the patient by means of computed tomography renders possible the timely detection of relapse and leads to timely surgical intervention.

Adolescent↗
PubMed1991

[Health status and quality of life in patients who recovered after surgery for a brain abscess].

The authors examined a group of 13 patients who recovered after operation of a brain abscess. They evaluated also the records of two patients who were unable to attend examination. For examination the WAIS-R test was used, Wechsler's memory test, Benton's test, the Cornell Medical Index 3 and other methods of evaluation. In the group of the 13 examined subjects in 8 instances a pathological deterioration of mental abilities was found, in five patients a psychopathological symptomatology. In one patient the authors detected ethylism with degradation of personality. The results of the investigation suggest a frequent incidence of serious changes after operation of brain abscesses with consequences for the quality of life of the patients and their families.

Adolescent↗
PubMed1991

Conservative treatment of cerebral abscess.

Available literature and the author's own experience are summed up concerning conservative therapy of brain abscesses. Absolute necessity of CT checking in the course of this kind of treatment is stressed.

Brain Abscess↗
PubMed1991

Psychosocial sequelae of brain abscesses.

A group of 13 patients recovered after surgical treatment of brain abscess was examined. The patients were tested using WAIS-R, WMS, BVRT and CMI 3 methods. The reports of two patients not examined in person were also evaluated. Pathological deterioration of mental capacities was found in 8 cases, psychopathological symptomatology was recorded in 5 cases. One patient was amaurotic. The reports of two patients in the examination not present gave the diagnosis of ethylism and personality degradation in one case. The results obtained suggest that mental and physical disabilities occur after surgical treatment of brain abscess.

Adult↗
PubMed1991

[Late findings on computer tomography after cerebral abscess surgery].

The authors subjected 10 patients CT examination after recovery from surgery of cerebral abscesses. The shortest interval after operation was one year, the longest 20 years. In all instances a hypodense focus of varying extent was revealed, in four patients it gave the impression of a pseudocyst. In one patient the author observed a pseudocyst with an expansive effect on the lateral ventricle. Puncture produced clear, colourless fluid without signs of inflammatory changes. Extensive pathological lesions were found in particular in patients where recovery was complicated by a relapse. It was surprising that quite extensive pathological changes were found also in patients who were treated by so-called minimal surgical intervention (puncture with drainage). The authors emphasize the importance of regular postoperative check-ups by CT which make it possible to detect in time possible relapses and leads to optimal therapy before further cerebral tissue is affected.

Adult↗
PubMed1990

Our experience with cerebral abscess management.

A review of the authors' 35 years experience with treating patients suffering from a cerebral abscess. A series of 58 patients is presented, 8 of which (13.79%) have died. Stress is laid primarily upon early diagnosis and timely surgery. Current reports dealing with the studied problem are discussed.

Adolescent↗
PubMed1990

Does low serum immunoglobulin level contribute to the origin of a brain abscess?

Nine patients operated on for a cryptogenic cerebral abscess and healed were studied for serum immunoglobulin levels. There was a control group of another 9 patients operated on in the past for a contusion injury of the brain or cerebral haematoma. All the patients were examined after complete healing, i.e. 6 months after surgery at least. Statistically significant differences in IgA concentrations could be proved for both the groups. There was a statistically significant difference in IgG values as well. No difference was found with IgM. The possible participation of immune mechanisms in the origin of a cryptogenic cerebral abscess is discussed.

Brain Abscess↗
PubMed1990

Surgical approach to hypophysis.

The history and development of operations on the hypophysis are described including the present trends of surgical approaches and stereotaxy, utilized in the authors' department. Their own indication criteria for stereotaxic surgery are defined.

Humans↗
PubMed1990

[Results of treatment of brain abscesses at a neurosurgery facility in Olomouc 1953-1988].

At the neurosurgical department in Olomouc in 1953-1988 58 patients were treated with the diagnosis of cerebral abscesses. Eight patients died. The most frequently applied surgical operation was total extirpation of the abscess which led to the lowest mortality rate. Less radical surgery (aspiration, drainage) gave much poorer results. This is however, due to the indications of these operations in patients in a poor general condition. After introduction of CT we may expect further development of these less invasive methods. The authors draw attention to differential diagnostic ensuing from the impossibility to differentiate a CT picture of a brain abscess from other pathological conditions. If also clinical signs of inflammatory disease are lacking, the diagnostic error may cause delay of the surgical operation with adverse results for the patient.

Brain Abscess↗
PubMed1989

Current possibilities of diagnosing syringomyelia.

The diagnostic contribution of radiological examinations to the verification of the diagnosis of syringomyelia is assessed. A case report of the authors' own patient is given with the diagnosis confirmed by nuclear magnetic resonance.

Adult↗
PubMed1989

Unusual penetrating craniocerebral injury.

An unusual injury with a steel wire, 6.5 mm in diameter, penetrating the right frontal lobe into the left orbit and getting stuck under the skin is described. The surgery was made from bifrontal craniotomy. There were no complications in the postoperative period. The neurological, psychological and eye examinations brought quite physiological findings. The boy applies for secondary school attendance.

Adolescent↗