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Biomedical subjects

Z Huber

Publications and source records attributed to Z Huber.

At least 19 recordsLinked to original sources

The critical evaluation of the late results after temporal lobectomy performed because of medically refractory complex partial epilepsy (CPE).

Basing on a follow-up study till 27 years of a group of 50 young patients suffering on medically refractory complex partial epilepsy which were treated by temporal lobectomy the author has reached a complete seizure-free result in 66% of them. A critical evaluation of the transient disadaptation syndrome and of a permanent amnesic syndrome in a part of them as well as psychometric memory tests have been performed. The pathophysiological interpretation of the results and selection criteria for the efficient temporal lobectomy have been proposed.

Amnesia

The comprehensive management of brain neoplasms in children.

The author presents the theoretical basis and the complex treatment of brain neoplasms performed in 26 cases in the Paediatric Institute of the Medical Academy in Poznań (Poland) and compares the results with a control group of 13 children exclusively surgically treated. The cathamnestic analysis (till 4 years), using the Karnowsky Rating Scale for evaluation of the results, has shown the superiority of the complex treatment in children, hence the percentage of deaths is four times lower and the favourable clinical course two times more frequent in this group.

Adolescent

E1Intensive therapy and prevention of epilepsy in newborn infants.

On the basis of an analysis of the material from the Department of Neonatology, Institute of Gynaecology and Obstetrics, Medical Academy in Poznań the authors evaluated clinical seizures and their electroencephalographic correlates in the perinatal period. Attention is called to scant clinical symptoms despite frequent seizure activity in EEG. The authors describe the principles of comprehensive treatment in the first days of life.

Electroencephalography

[Infection of the shunt system in children treated for hydrocephalus].

From 1983 to 1988 25 infected shunt systems were found in 205 hydrocephalic children. Four children were treated successfully with antibiotics given into the shunt system and intravenously. Seventeen shunt systems had to be removed and Rikham reservoir or external drainage implanted. Antibiotics were given both into the ipsilateral ventricle and intravenously. In four children with "low dynamic" hydrocephalus the shunts were removed and antibiotics were given intravenously only. Six patients died, in eight neurological impairment developed.

Adolescent

[25 years of caring for epileptics in the Greater Poland region].

On the basis of an analysis of experiences in 25 years of health care of epileptic patients in the Great Poland region the author discusses the mean elements of outpatient health care and resocialization treatment which include the classification concept and the therapeutic system. The author describes a schema of selective treatment in various clinical syndromes, results of conservative and surgical treatment, prophylactic management and most frequent sociomedical problems. The schema is outlined in form of theses with a list of papers in which they had been discussed in more detail. Conclusions have been put forward for further organization of treatment of epileptic patients.

Anticonvulsants

[Neurosurgical treatment of developmental defects of the nervous system (ddns) in infants].

In a survey of 151 children treated surgically in the earliest period of life the author discusses the complex pathomechanism of damage to the nervous tissues in various age groups indicating important elements in the surgical management which may prevent secondary changes impairing human development in further life periods. In the follow-up 89.4% of children the previously inhibited development was resumed, at the level determined by the preserved nervous structure.

Child

[Intrauterine neurosurgical intervention in a case of congenital hydrocephalus].

The authors point to new perspectives of fetosurgery development in Poland describing a case of hydrocephalus with intracranial haematoma treated by an intrauterine procedure under USG control. After birth the newborn was subjected to an operation for coexistent myelomeningocele and ventriculo-atrial shunt was implanted for prevention of secondary hydrocephalus development. Attention is called to the necessity of observation of indications to these operations, and precise ultrasonographic teratological diagnosis. Legal and deontological problems created by fetosurgery are discussed.

Cerebrospinal Fluid Shunts

[Classification of clinico-electroencephalographic syndromes in epilepsy in the developmental age].

The author describes the clinical-electroencephalographic classification of eleven syndromes of epilepsy in developmental age used by himself, based on verification of 3613 successive patients aged from 0 to 18 years who were treated in the years 1970-1976 and followed up for 5 years in the Poznań Epilepsy Treatment Centre. On the ground of clinical status (seizures and neuropsychiatric findings) and serial EEG records 2746 patients (76%) could have been classified into these epilepsy types. The practical aim of the classification was identification of the focus and circuit of the seizure at a given structural-functional level or organization of the developing brain for guided comprehensive therapy.

Adolescent