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Biomedical subjects

W J Lebkowski

Publications and source records attributed to W J Lebkowski.

At least 19 recordsLinked to original sources
PubMed2000

[Intradural reconstructive surgery of anterior fossa dural lesions using pedunculated periosteal flaps].

The cranio-cerebral injury could result in cerebro-spinal fluid fistula with serious consequences in form of meningitis. In a number of cases a surgical procedure is needed, however in spite of established standards the controversies are still present concerning approach and reconstruction technique. The author presents his own experience in duroplastic operations with intradural use of pedunculated periostal allograft flaps.

Adult↗
PubMed1997

["Back pain" in teenagers and young adults].

The studies aimed to estimate an incidence of the low back pain (LBP) in the youngsters and teenagers and correlating it with risk factors. A groups of 2,346 secondary school pupils (1,704 girls and 642 boys) of a mean age 17 +/- 1 yrs, and 970 high-school students (532 women and 438 men) of a mean age 24 +/- 2 yrs have been examined. Low back pain has been seen in 1,416 out of 2,346 secondary school pupils (60%), and in 32% of the examined students. Statistical analysis with chi 2 test has confirmed a correlation between LBP and such risk factors as the incorrect sedentary position (p < .001 for pupils, and p < .02 for students), and smoking (p < .001 for students and p < .02 for pupils).

Activities of Daily Living↗
PubMed1994

Does hyperalimentation improve outcome in patients with severe head injury?

The purpose of this investigation was to evaluate the effectiveness of hyperalimentary therapy on the outcome in patients after severe head injuries. The observations were carried out in patients admitted within 24 hours after injury and divided into various alimentary groups (hyperalimentation, parenteral nutrition and enteral nutrition). The follow-up examination of patients' reactivity according to the Glasgow Coma Scale (GCS) performed 8-10 days after admission revealed improvement 1.2 +/- 0.9 pts in hyperalimentary subjects, while in the groups fed enterally or parenterally only 0.6 +/- 0.6 pts and 0.7 +/- 0.9 pts, respectively. In patients with severe head trauma and GCS score level lower than 5 the prognosis is unfavourable, irrespective of the treatment method.

Adolescent↗
PubMed1993

[Spinal arachnoid cyst].

Four patients treated operatively have been presented. In 2 cases complete recovery has been achieved, in one case lower extremities paralysis has been slightly reduced and in one case only the pain has been eliminated.

Adult↗
PubMed1993

Visualisation of the model of human lumbosacral spine in ultrasound examination.

The model of human spine was evaluated in ultrasound (US) examination. The vertebral and vertebro-ligamental models after immersion in liquid paraffine were examined from dorsal aspect. The performed observation let us to identify the vertebral elements. During US examination the structures like: vertebral canal, lateral recesses and intervertebral foramens were measured.

Humans↗
PubMed1993

Percutaneous "disc" disease treatment.

It is almost 60 years since first surgical removal of prolapted disc. From this time the surgeons try to decrease intraoperative trauma. In this way some percutaneous methods of treatment, like chemonucleolysis and nucleotomy, were involved. Deciding one of these method, we need to keep in mind, that accurate up-to-date diagnostic (CT even NMR) is necessary and that described methods are rather for protruded than for prolapted disc. We should remember that using these techniques many serious complications and side-effects may occur.

Chymopapain↗
PubMedDate not supplied

[Lymphocytic meningitis with the involvement of the skull in the course of spinal cord neoplasm simulating neuroborreliosis. Case report].

UNLABELLED: We describe a case of 48 year old male patient treated in the Department of Parasitic Diseases and Neuroinfections AMB with suspected neuroborreliosis. CLINICAL SYMPTOMS: lymphocytic meningitis with cranial neuropathies n. VII palsy and radiculitis after numerous tick bites in endemic area--indicated neuroborreliosis. Because there was no effect of antibiotic therapy and lack antibodies against B-burgdorferi in serum and CSF we excluded neuroborreliosis. Developing neuropathies III-XII, increasing cytosis and protein concentration, radiculalgia and difficulties in walking, cachexia made us think of tbc etiology. Patient failed to improve after anti-tbc treatment. CT and MR showed presence of neoplasmatic masses in spinal canal. In cytologic examination "neoplasma malignum male differentiatum probabiliter metastaticum" was found. Primary focus of neoplasmatic process was not found.

Borrelia burgdorferi Group↗
PubMedDate not supplied

[Intracranial pressure and mean arterial pressure: possibilities and necessity of their control].

Already Cushing pointed out that intracranial volume, thus the intracranial pressure, or ICP should exhibit an equilibrium state. Brain receives about 15% of the heart stroke volume. Cerebral blood flow (CBF) which is under control of an autoregulatory system, results from the cerebral perfusion pressure, or CPP being the difference between the mean arterial pressure and ICP. Intracranial pathology results in a reduced CBF, that under extreme conditions can lead to death. The up-to-date experiments indicate that both the ICP and arterial pressure can be successfully monitored for a quite long period. These observations make the choice of optimum therapy easier. According to some researchers such a monitoring has been introduced as a regular method of the neurosurgical intensive care.

Blood Pressure↗