Isoprostanes as potential cerebral vasospasm biomarkers
Publication date: Available online 4 October 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Karol Wiśniewski, Jagoda Jóźwik-Pruska, Michał Bieńkowski, Ernest J. Bobeff, Maciej Bryl, Joanna Kałużna-Czaplińska, Dariusz J. JaskólskiAbstractDespite enormous progress in medicine, symptomatic cerebral vasospasm (CVS), remains an unexplained clinical problem, which leaves both physicians and patients helpless and relying on chance, due to the lack of specific marker indicative of imminent danger as well as the lack of specific treatment. In our opinion CVS occurrence depends on dynamic disbalance be...
Source: Polish Journal of Neurology and Neurosurgery - October 5, 2018 Category: Neurosurgery Source Type: research

Guidelines of the Polish Medical Society of radiology for the routinely used MRI protocol in patients with multiple sclerosis
Publication date: Available online 4 October 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Marek Sąsiadek, Katarzyna Katulska, Agata Majos, Małgorzata Siger, Marcin Hartel, Alicja Kalinowska, Jerzy WaleckiAbstractMagnetic resonance imaging is widely used in diagnosing multiple sclerosis as a basic method for detecting and monitoring the disease.IntroductionPolish Medical Society of Radiology presents the second version of the recommendations for the routinely conducted MRI in multiple sclerosis, which include new data and practical remarks for radiographers and radiologists. The recommended protocol aims to im...
Source: Polish Journal of Neurology and Neurosurgery - October 5, 2018 Category: Neurosurgery Source Type: research

Editorial Board
Publication date: September–October 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 5Author(s): (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Psychiatric comorbidity in multiple sclerosis
ConclusionPsychiatric illness is highly prevalent in patients of multiple sclerosis leading to poor quality of life and significant distress. Psychiatric disability was higher in patients who had greater deterioration in neurological function. All cases of MS should be assessed for psychiatric morbidities as can be alleviated by appropriate intervention. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

TRIO gene segregation in a family with cerebellar ataxia
Conclusions and clinical implicationsThe TRIO p.A1214V variant is associated with cerebellar ataxia in the studied family; it was present in all affected and unaffected family members. Phenotype is severe and broad. Anticipation seems to be present (based on 2 affected generations). It is warranted to screen additional familial early-onset and rapidly progressive ataxia cases for this genotype. TRIO gene mutations may well represent a novel spinocerebellar ataxia subtype. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Age as a prognostic factor in relation to surgical evacuation of spontaneous supratentorial intracerebral haemorrhage
Conclusions and clinical implicationsNeurosurgical treatment of the sICH patients is indicated only if age and potentially improved morbidity is carefully evaluated considering the STICH and this study; otherwise, we will just increase the health care burden with a number of extremely care-dependent patients. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Intradiploic epidermoid cyst of the temporal and occipital bone with intracranial extension
Publication date: Available online 26 September 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Piotr Dąbrowski, Rafał Kidziński, Emilia Frankowska, Rafał Górski, Maciej Bujko (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Characteristics and clinical correlates of white matter changes in brain magnetic resonance of migraine females
ConclusionWMHs are present in more than one third of migraine females, regardless of aura. WHMs are located supratentorially, subcortically and in the frontal lobes. Older age, longer disease's duration, obesity and positive history of pregnancy are main risk factors for WMHs. Symptomatology and migraine severity, hyperhomocysteinemia, OCP and anti-migraine medications do not increase WMHs. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Electroencephalogram findings in patients with posterior cortical atrophy
ConclusionsThis study of limited sample size suggests that there may be an increased predilection to find IEDs within PCA when compared to typical AD. Larger cohorts are required to determine frequency of abnormal EEGs in PCA, roles of AEDs in therapy, and in the selection of preferred AED.Clinical implicationsPatients with PCA would potentially benefit from an EEG for assessment of IEDs which may provide the clinician with a therapeutic opportunity. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Central nervous system microbleeds in the acute phase are associated with structural integrity by DTI one year after mild traumatic brain injury: A longitudinal study
ConclusionsPresence of Mb detected by SWI was associated with worse cognitive outcome and persistent PCS in mTBI patients, while DTI did not prove to predict neuropsychological outcome in the acute phase. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - September 13, 2018 Category: Neurosurgery Source Type: research

Mechanical versus electrical detachment of coils in treatment of intracranial aneurysms: Role in sickle cell disease
Publication date: Available online 11 September 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Dutta Gautam, Sachdeva Deepashu, Singh Daljit, Singh Hukum, Srivastava Arvind Kumar (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - September 12, 2018 Category: Neurosurgery Source Type: research

Central liponeurocytoma as a clinical entity
Publication date: Available online 11 September 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Ali Börekci, Pınar Kuru Bektaşoğlu, Ali Fatih Ramazanoğlu, Bora Gürer, Erhan ÇelikoğluAbstractIntroductionLiponeurocytomas are mostly localized in cerebellar hemispheres and the second most common location is the vermis. It is rarely observed within the intracranial ventricles. Here, we present a case of liponeurocytoma located in the right lateral ventricle and the systematic review of the literature.State of the artWe searched PubMed with keyword ‘central liponeurocytoma’ and the refe...
Source: Polish Journal of Neurology and Neurosurgery - September 12, 2018 Category: Neurosurgery Source Type: research

Benign epilepsy with centrotemporal spikes – Current concepts of diagnosis and treatment
Publication date: Available online 7 September 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): P. Dryżałowski, S. Jóźwiak, M. Franckiewicz, J. Strzelecka (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - September 8, 2018 Category: Neurosurgery Source Type: research

Surgical treatment and prognosis of adult patients with brainstem gliomas
Publication date: Available online 5 September 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Krzysztof Majchrzak, Barbara Bobek-Billewicz, Anna Hebda, Henryk Majchrzak, Piotr Ładziński, Lech KrawczykAbstractThe paper presents 47 adult patients who were surgically treated due to brainstem gliomas. Thirteen patients presented with contrast-enhancing Grades III and IV gliomas, according to the WHO classification, 13 patients with contrast-enhancing tumours originating from the glial cells (Grade I; WHO classification), 9 patients with diffuse gliomas, 5 patients with tectal brainstem gliomas and 7 patients with e...
Source: Polish Journal of Neurology and Neurosurgery - September 5, 2018 Category: Neurosurgery Source Type: research

Posterior reversible encephalopathy syndrome in immunoglobulin A-associated vasculitis
Publication date: Available online 5 September 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Gregorio P. Milani, Mario G. Bianchetti, Sebastiano A.G. Lava (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - September 5, 2018 Category: Neurosurgery Source Type: research

Treatment of the dens fractures in children
ConclusionThe C2 dens fracture is a rare injury in children. The classification system of dens fractures developed by Anderson is useful in choosing the mode of treatment of dens fractures. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - September 1, 2018 Category: Neurosurgery Source Type: research

Ganglion Impar block improves neuropathic pain in coccygodynia: A preliminary report
ConclusionsGanglion Impar block is effective in decreasing the neuropathic component of chronic coccygodynia. This improves painless sitting in patients but its reflections on quality of life is not clear. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - August 30, 2018 Category: Neurosurgery Source Type: research

Case series of trigonal meningiomas
ConclusionThe incidence of deficit is low on employing the “shortest route” approach, even in the dominant hemisphere and through eloquent area. This may be secondary to possible shift of eloquent area function due to longstanding lesion and may thus be a “workable” surgical option, especially in resource-limited centres where such resources as neuronavigation and tractography may be unavailable. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - August 23, 2018 Category: Neurosurgery Source Type: research

Lymphocyte populations and their change during five-year glatiramer acetate treatment
Publication date: Available online 18 August 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Zbyšek Pavelek, Oldřich Vyšata, Lukáš Sobíšek, Blanka Klímová, Ctirad Andrýs, Doris Vokurková, Radka Mazurová, Pavel Štourač, Martin Vališ (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - August 18, 2018 Category: Neurosurgery Source Type: research

The role of inflammation and potential pharmacological therapy in intracranial aneurysms
Publication date: Available online 17 August 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Wojciech Gruszka, Miłosz Zbroszczyk, Jacek Komenda, Katarzyna Gruszczyńska, Jan Baron (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - August 17, 2018 Category: Neurosurgery Source Type: research

Cerebral thrombolysis in patients with ischemic stroke and heart failure
ConclusionThe presence of systolic HF, defined according to an old and a new definition, does not determine safety and efficacy of cerebral iv-thrombolysis in patients with IS. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - August 17, 2018 Category: Neurosurgery Source Type: research

sP- and sE-selectin in stroke patients with metabolic disorders
ConclusionSoluble E- and P-selectin, blood markers of vascular injury and platelet activation, could be useful in the assessment of atherothrombotic properties of hyperglycemia and hyperlipidemia in stroke patients. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - August 17, 2018 Category: Neurosurgery Source Type: research

Editorial Board
Publication date: August 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 4Author(s): (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - August 14, 2018 Category: Neurosurgery Source Type: research

Editorial – The Bibliometric Measurements of the Polish Journal of Neurology and Neurosurgery (Neurologia i Neurochirurgia Polska) for 2017
Publication date: August 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 4Author(s): Mariusz Siemiński, Jarosław Sławek, Zbigniew Wszołek (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - August 14, 2018 Category: Neurosurgery Source Type: research

Antidepressants in epilepsy
Publication date: Available online 11 August 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Natalia Górska, Jakub Słupski, Wiesław Jerzy Cubała, Mariusz Stanisław Wiglusz, Maria Gałuszko-WęgielnikAbstractPeople with epilepsy (PWE) frequently suffer from comorbid mood and anxiety disorders. Depression is one of the major psychiatric comorbidities having a negative impact on the quality of life in people with epilepsy. A review of the literature indicates that the majority of antidepressant-related seizures have been associated with either ultra-high doses or overdosing and, generally, the risk of anti...
Source: Polish Journal of Neurology and Neurosurgery - August 12, 2018 Category: Neurosurgery Source Type: research

Which came first, the risk of migraine or the risk of asthma? A systematic review
Publication date: Available online 3 August 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Mehdi Sayyah, Amal Saki-Malehi, Fatemeh Javanmardi, Arash Forouzan, Kiarash Shirbandi, Fakher RahimAbstractObjectivesWe conducted this review to systematically assess the association and risk of the migraine in the patient with asthma and vice versa.MethodsWe systematically searched publishes articles indexed in PubMed, Scopus, Cochrane library, PsycINFO, CINAHL, ISI Web of Science, Science Direct from inception, and Embase databases until June 2017. The quality assessment of the involved studies was done using the Newcastl...
Source: Polish Journal of Neurology and Neurosurgery - August 3, 2018 Category: Neurosurgery Source Type: research

State-of-the-art approach towards magnetic resonance imaging of the nervous system structures in patients with cardiac implantable electronic devices
Publication date: Available online 20 July 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Katarzyna Gniadek-Olejniczak, Karol Makowski, Adam Olszewski, Kazimierz Tomczykiewicz, Andrzej Krawczyk, Józef MrózAbstractIntroductionMRI generated forces are the source of potential complications in patients with cardiac implantable electronic devices (CIED). The technological progress, and growing clinical evidence concerning the operation of the contemporary MR non-conditional CIEDs during MRI, have started to significantly change our every-day clinical practice. Nevertheless, a lot of patients who could ha...
Source: Polish Journal of Neurology and Neurosurgery - July 20, 2018 Category: Neurosurgery Source Type: research

Effects of the Inerventions method on gross motor function in children with spastic cerebral palsy
ConclusionsThere is no superior efficacy of the Inerventions method compared to conventional physiotherapy. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 20, 2018 Category: Neurosurgery Source Type: research

Surgical treatment of adult patients with thalamic tumors with the aid of tractography, fMRI, transcranial electrical stimulation and direct electrical stimulation of the subcortical white matter
Publication date: Available online 17 July 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Krzysztof Majchrzak, Barbara Bobek-Billewicz, Anna Hebda, Piotr Adamczyk, Henryk Majchrzak, Piotr ŁadzińskiAbstractThe aim of investigation was to assess treatment outcomes in adult patients with thalamic tumors, operated on with the aid of tractography (DTI) and monitoring of motor evoked potentials (MEPs) generated due to transcranial electrical stimulation (TES) and direct electrical stimulation (DES) of the subcortical white matter.38 subsequent patients with thalamic tumors were operated on using tractography (DTI)-in...
Source: Polish Journal of Neurology and Neurosurgery - July 18, 2018 Category: Neurosurgery Source Type: research

Comparison of the biochemical and radiological criteria for lumbar disc degeneration
ConclusionsThe KS level and the KS/ChS ratio were high in patients with marked radiological degeneration on lumbar MRI, demonstrating the sensitivity and reliability of the Pfirrmann five-stage grading system for showing radiological degeneration. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

The influence of motor ability rehabilitation on temporal-spatial parameters of gait in Huntington's disease patients on the basis of a three-dimensional motion analysis system: An experimental trial
ConclusionThe three-week motor ability rehabilitation programme positively influences spatial-temporal gait parameters in HD patients. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Noninfectious complications of acute stroke and their impact on hospital mortality in patients admitted to a stroke unit in Warsaw from 1995 to 2015
ConclusionsOver the last two decades Polish urban stroke units may have achieved a significant reduction of the occurrence of some noninfectious complications (i.e. MI, exacerbated CHF and DVT). However, the list of conditions associated with stroke unit mortality includes not only MI and exacerbated CHF but also PE, gastrointestinal bleeding and recurrent stroke. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Low-symptomatic skeletal muscle disease in patients with a cardiac disease – Diagnostic approach in skeletal muscle laminopathies
Publication date: March 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 2Author(s): Agnieszka Madej-Pilarczyk, Michał Marchel, Karolina Ochman, Joanna Cegielska, Roman SteckiewiczAbstractMild skeletal muscle symptoms might be accompanied with severe cardiac disease, sometimes indicating a serious inherited disorder. Very often it is a cardiologist who refers a patient with cardiomyopathy and/or cardiac arrhythmia and discrete muscle disease for neurological consultation, which helps to establish a proper diagnosis. Here we present three families in which a diagnosis of skeletal muscle laminopathy was made...
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Late ophthalmological manifestations in patients with subarachnoid hemorrhage and coiling of cerebral aneurysm
Publication date: March 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 2Author(s): Iwona Obuchowska, Grzegorz Turek, Jan Kochanowicz, Andrzej Lewszuk, Zofia Mariak, Zenon MariakAbstractLate ocular manifestations of aneurysmal subarachnoid hemorrhage (SAH) have not been previously investigated except for one study which demonstrated that one half of patients subjected to aneurysm clipping suffer from symptoms of visual pathway impairment. We assessed ophthalmological status of patients after 1–4.5 years from SAH and aneurysm embolization to identify predictors of damage to the visual pathways. Comple...
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

The association of vertebrobasilar calcification with etiological subtypes, stroke recurrence and outcome in acute brainstem ischemic stroke
Publication date: March 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 2Author(s): Elif Gökçal, Elvin Niftaliyev, Tuğçe Özdemir, Mehmet Kolukısa, Talip AsilAbstractArterial calcification (AC), a frequent finding on imaging studies, has been reported as a risk factor for ischemic stroke. However few studies have explored the association of AC with etiological subtypes and prognostic implications. The purpose of this study was to investigate the association of AC with demograhics, risk factors and etiological subtypes and to determine whether it predicts stroke recurrence and funct...
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Linear and nonlinear parameters of heart rate variability in ischemic stroke patients
ConclusionsCardiac monitoring in clinical routine using HRV analysis in order to identify autonomic imbalance may highlight cardiac dysfunctions, thus helping preventing potential cardiovascular complications, especially in right hemisphere ischemic stroke patients with sympathetic hyperactivation. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Peripheral glutamate and TNF-α levels in patients with intracerebral hemorrhage: Their prognostic values and interactions toward the formation of the edemal volume
ConclusionsOur results support the idea for the significance of glutamate and TNF-α as peripheral markers for excitotoxicity and inflammation in ICH patients. The developed multiple regression model for prediction of the development of the edema could be beneficial in decision making between conservative treatment and surgical intervention in the clinical practice. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Significance of noncompliance when treating patients with epilepsy
ConclusionPatient's poor compliance, the great frequency of seizures, the higher number of antiepileptic drugs and the adverse drug reactions have negative impact on the course of the epileptic disease. The improved compliance results in optimizing the antiepileptic treatment, improving patients’ condition and significantly cutting down costs incurred in the healthcare area. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Evaluation of activities of daily living in patients with slowly progressive neuromuscular diseases
Publication date: March 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 2Author(s): Katarzyna Bienias, Joanna Ścibek, Joanna Cegielska, Jan KochanowskiAbstractSlowly progressive neuromuscular diseases include but are not limited to: facioscapulohumeral muscular dystrophy (FSHD) and limb-girdle muscular dystrophy (LGMD), hereditary motor and sensory neuropathy (HMSN) and spinal muscular atrophy type III (SMA3). The purpose of this study is to present an evaluation of basic and complex activities of daily living in patients suffering from these diseases.The study was conducted on a group of 58 Polish patien...
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Central nervous involvement by chronic lymphocytic leukaemia
Publication date: March 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 2Author(s): Dariusz Szczepanek, Ewa Wąsik-Szczepanek, Agnieszka Szymczyk, Małgorzata Wach, Maria Cioch, Monika Podhorecka, Ewelina Grywalska, Marek HusAbstractInclusion of the central nervous system (CNS) in the course of chronic lymphocytic leukaemia (CLL) is rare. At the moment no risk factors or proven treatment methods are known. The disease is described both in its early phase and during its acceleration period, thus it has been suggested that there might be independent mechanisms influencing the development of this condition. A...
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Diagnostics, treatment and secondary prevention of ischemic stroke in the Silesian Province, Poland between 2009 and 2015
ConclusionsThere has been observed a significant improvement in the quality of diagnosis and treatment of acute ischemic stroke during recent years. However, further actions are required both in terms of reperfusion treatment (thrombolysis and/or thrombectomy) and secondary prevention of stroke. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

The relation between plasma α-synuclein level and clinical symptoms or signs of Parkinson's disease
ConclusionsPlasma ASN level is not valuable marker of the disease. It does not differ in subtypes of the disease. There is relation between plasma ASN level and the severity of the disease in PIGD subtype. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Characteristics of hospitalizations due to acute stroke in the Silesian Province, Poland, between 2009 and 2015
Publication date: March 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 2Author(s): Anna Starostka-Tatar, Beata Łabuz-Roszak, Michał Skrzypek, Anetta Lasek-Bal, Mariusz Gąsior, Marek GierlotkaAbstractIntroductionThe available data on acute stroke (AS) in Poland come mainly from non-representative cohorts or are outdated. Therefore, the current study was done to access the most recent data on AS in the industrial region that covers 12% (4.6 mln) of the country's population.ObjectiveTo evaluate the epidemiological data of AS in the Silesian Province, Poland.Patients and methodsAnalysis of the data fr...
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Free thyroxine and TSH interact with secreted protein acidic and rich in cysteine-like 1 in ischemic stroke
Publication date: March 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 2Author(s): Wojciech Ambrosius, Justyna Rosinska, Slawomir Michalak, Maria Lukasik, Radoslaw Kazmierski, Wojciech KozubskiAbstractThe role of the thyroid gland in ischemic stroke pathology is not well understood. As thyroid hormones modulate the extracellular matrix, we explored the possible link between them and secreted protein acidic and rich in cysteine like 1 (SC1) – one of the extracellular matrix molecules.In the 81 patients with acute ischemic stroke, serum SC1 levels were much higher compared with 30 control subjects: 4....
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Hypoglossal nerve palsy in the course of dissection of the internal carotid arteries – Case reports
ConclusionThe diagnosis of spontaneous non-traumatic dissection of the carotid arteries is a major challenge for clinicians. ICAD must be considered for young and middle-aged patients when severe headache is preceded by the co-existence of focal neurological symptoms. The probability of ICAD increases in the presence of predisposing diseases. The final diagnosis is based on imaging studies: color duplex ultrasound, CT angiography or MR angiography. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Cavernous hemangiomas of the third ventricle: Alternative surgical routes in two cases
Publication date: March 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 2Author(s): Mehmet Seçer, Murat Ulutaş, Fatih Alagöz, Kadir Çınar, Özhan Merzuk Uçkun, Ergün DağlıoğluAbstractCavernous Hemangiomas (CH) arise from any part of the cerebrum. Intraventricular lesions are rare and pure third ventricular localization is rare for CHs. Cavernomas of the ventricles may present with bleeding or signs associated with hydrocephalus. Radical excision is advocated for optimal management of cavernomas.In the present study, we present two cavernomas of the third ventricle wh...
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Fatal serotonin syndrome in a patient with Marchiafava–Bignami disease: Combined neurological and psychiatric emergency
In this report, we present a case with fatal serotonin syndrome happening in a non-alcoholic patient with the chronic form of MBD. To our knowledge, this case is the first report of fatal serotonin syndrome due to citalopram in an MBD patient. The present report may indicate that citalopram and other SSRIs should not be used in patients with MBD. Our case is also among few reported cases in the literature where no cause was identified in a patient with no previous history of alcohol intake. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Repetitive transcranial magnetic stimulation in treatment of post polio syndrome
ConclusionrTMS can be an effective method in treatment of post polio syndrome but further studies with larger group need to be done to confirm that data. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

A case with CMTX1 disease showing transient ischemic-attack-like episodes
We describe a 15-year-old male patient with CMTX1 who had stroke-like findings along with foot deformities and peripheral neuropathy. Strokes and stroke-like attacks are rarely seen in children and adolescents. Herein, neurological signs, MRI findings and genetic results of a CMTX1 case are presented and discussed. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Life-threatening parkinsonism-hyperpyrexia syndrome following bilateral deep brain stimulation of the subthalamic nucleus
Publication date: March 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 2Author(s): Mehmet Osman Akçakaya, Nihan Hande Akçakaya, Mustafa Ömür Kasımcan, Talat KırışAbstractParkinsonism-hyperpyrexia syndrome (PHS), or neuroleptic malignant syndrome (NMS), is a neurophysiologic reaction to the acute withdrawal/decrease of central dopamine levels. It is a severe complication characterized by rigidity, change in consciousness level, fever, hypertension, and autonomic instability, that can be fatal. To the best of our knowledge, PHS following deep brain stimulation (DBS) of subthalami...
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research