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Biomedical subjects

P Levkus

Publications and source records attributed to P Levkus.

5 recordsLinked to original sources
PubMed2001

[Personal experience with surgical treatment of degenerative diseases of the cervical spine using an anterior approach].

In 1995 to 1999 the authors operated on account of cervical spondylosis, using an anterior approach and methylmethacryl filling of the intervertebral space 57 patients. The mean period of hospitalization was 6.2 days (4-9 days). The clinical condition was evaluated 1, 3, 6, and 12 months after surgery. In 55 patients also X-ray pictures were evaluated. One year after surgery in a group of 14 patients with radiculipathy complete restoration of the condition occurred in 13 patients, improvement was recorded in one patient. In a group of 4 patients with myelopathy the condition did not change in two patients and in two deterioration was recorded. In a group of 39 patients with radiculo- and myelopathy improvement of the condition was recorded in 30 and the condition was unaltered in 9 patients. X-ray examination revealed bridging of the intervertebral space in 11 patients, mobility in the operated segment in 8 and a slight shift of the graft in three instances. The submitted results are comparable with those of other authors.

Adult↗
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

[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↗