Biomedical subjects

Piotr Skiba

Publications and source records attributed to Piotr Skiba.

3 recordsLinked to original sources

PubMedDate not supplied

[Problems in the selection of surgical approach for the treatment of non-traumatic deformities of the craniocervical junction].

Developmental abnormalities or inflammatory disorders provoke deformations and instability of the craniocervical junction. The most dangerous results of these lesions are: sudden brainstem compression or cervical myelopathy. The authors propose the guidelines for surgical management of non-traumatic deformities caused by: a) rheumatoid arthritis of the spine, b) congenital anatomic changes of the occipit and odontoid. Main goals of surgical treatment are decompression and stabilization. The choice of surgical approach and method depends on pathology. It is very important to estimate individual anatomic changes and mobility--possibility of reduction. The authors discuss surgical methods actually used for fusion and decompression of the occipitocervical junction.

Arthritis, Rheumatoid↗

PubMedDate not supplied

[Brachial plexus tumors].

The brachial plexus is a primary site of tumours originating from peripheral nervous system, such as neurilemmoma and neurofibroma. Moreover, the brachial plexus is affected by various neoplasms spreading from the neighbouring anatomic structures. Surgical treatment of neoplasms provoking plexopathy is often realised by multidisciplinary teams. The authors present the series of 7 patients operated on for brachial plexus affection between 1993-2000, the pathologic findings were as follows: neurofibroma, neurilemmoma, lymphogranulomatosis, neurofibrosarcoma, lipoma, chordoma, sarcoma neurogenes. The analysis of clinical course includes: main symptoms, diagnostic procedures and results of treatment. Surgical technique is also described.

Adult↗

PubMedDate not supplied

[Atlanto-occipital instability due to the transverse atlas ligament rupture. Report of a case with symptoms persisting for 21 years].

The authors describe a case of a judo sportsman with a cervical spine injury sustained 21 years earlier. The injury initiated characteristic sensations of severe generalized pain with paraesthesias recurring whenever he was hit on the top of the head. In February 2001 the patient fell on his head, which resulted in tetraplegia with a complete sensory loss. The symptoms disappeared after ten minutes. Plain radiography, CT and MRI performed after this episode revealed occipitalization of the atlas and C1-C2 instability due to a rupture of the transverse atlas ligament. The patient underwent surgery by the posterior approach: decompression of the foramen magnum, fixation of the occiput and C-2 (with wiring and a bone graft). At one-year follow-up after the surgery the patient had limited movements of the neck without neurological symptoms. Plain radiograms confirmed stability of the occipitocervical fusion. There was no recurrence of the preoperative symptoms.

Adult↗