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Tytuł:
Adrenomyeloneuropathy – a case report
Autorzy:
Leksa, Natalia
Aebisher, David
Galiniak, Sabina
Uberman-Kluz, Dominika
Bartosz, Serweryn
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/454995.pdf
Data publikacji:
2019
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
adrenoleukodystrophy
fatty acids
steroid therapy
Opis:
Introduction. Adrenoleukodystrophy is a genetic disorder linked to the X chromosome, in which the peroxisomal beta-oxidation process is disturbed. It is a metabolic disease that results in the accumulation of very long chain fatty acids (VLCFAs - very long chain fatty acids) responsible for the symptoms of damage to the adrenal cortex, gonads and the brain. Aim. A clinical case is reported. Description of case. This article describes the case of a 64-year-old woman who had neurological symptoms for many years, gradually increasing without significant improvement after the treatment (periodic steroid therapy). Conclusion. Based on tests (including the determination of the ABCD1 gene and very long chain fatty acids - VLCFA), adrenoleukodystrophy was suspected.
Źródło:
European Journal of Clinical and Experimental Medicine; 2019, 3; 274-276
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
An iliac artery aneurysm
Autorzy:
Leksa, Natalia
Leksa, Dawid
Gałuszka, Łukasz
Uryniak, Adam
Aebisher, David
Galiniak, Sabina
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/2038415.pdf
Data publikacji:
2020-09-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
arteriograph
iliac artery aneurysms
intravascular therapy
Stent-Graft
Opis:
Introduction. Isolated common iliac artery aneurysms (CIAs) are rare. The rarer are rupture of the common iliac artery. We can treat them surgically: classic or endovascular. Open surgery has a main role in the management of aneurysms not suitable for repair by endovascular techniques. Aim. The aim of the study is to present the possibility of occurrence of such a disease at a young age, to indicate non-characteristic symptoms that may predict the above-mentioned disease entity at the level of a primary care physician or SOR. Review of medical publications from 2000-2019 regarding guidelines or methods of conduct in that cases. Description of the case. A patient 39 years old, admitted to the Department of Vascular Surgery, in an interview: about 15 years ago severely beaten, as a result of injuries total loss of hearing, memory and basic skills such as: speech, writing, reading, hospitalized over 6 months. Conclusion. Good rehabilitation and patient persistence restored cognitive skills. Advances in surgical has lowered the mortality and morbidity rates even in patients.
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 3; 242-244
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Clinical aspects of protein glycation
Autorzy:
Galiniak, Sabina
Krawczyk-Marć, Izabela
Sęk-Mastej, Anna
Leksa, Natalia
Biesiadecki, Marek
Orkisz, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/454911.pdf
Data publikacji:
2017
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
AGEs
glycation
advanced glycation end products
multiple sclerosis
Opis:
Introduction. Glycation is a post-translational modification of proteins that depends on the non-enzymatic linkage of a ketone or aldehyde group of sugar with a free amino group of protein. Pathological effects of this process are observed in many disease states under conditions of hyperglycemia, in diabetic complications, and neurodegenerative diseases such as multiple sclerosis. Aim. In this paper we present the characteristics of the glycation process, its consequences, as well as a review of current knowledge about the role of glycation in multiple sclerosis. Material and methods. The databases EBSCO, PubMed, ScienceDirect and SpringerLink were used to search the literature. Analysis of the literature. Intermediate glycation products form a number of derivatives that contribute to oxidative stress and structural changes in the proteins, including induction of aggregation or reduction of affinity for drug proteins. Glucose products may contribute to neurodegenerative changes in patients with multiple sclerosis. Determination of protein glycation products can be successfully used to evaluate the course of multiple sclerosis as a diagnostic marker.
Źródło:
European Journal of Clinical and Experimental Medicine; 2017, 3; 263-267
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Diagnostic and therapeutic difficulties of tick-borne encephalitis – a two case reports
Autorzy:
Przetacznik, Dominika
Leksa, Natalia
Aebisher, David
Galiniak, Sabina
Bartosz, Seweryn
Leksa, Dawid
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/2037691.pdf
Data publikacji:
2020-06-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
diagnostic
tick borne encephalitis
treatments
Opis:
Introduction. The paper presents epidemiology, routes of infection, forms of the disease, diagnostic and treatment methods, and prophylaxis of tick-borne encephalitis. Aim. In this paper, we present two descriptions of the cases of tick-borne encephalitis. Description of the cases. Case 1. A 60-year-old man with fever up to 39 degrees for 3 days, multi-site headache and other body aches, as well as an earstuck feeling. The day before hospitalization, there was a feeling of numbness on the right side of the face from eye level to the chin and speech distortion. Case 2. A 60-year-old patient with headaches and an increase in temperature to 39 degrees for 3 days, who, approximately, three weeks earlier was ticked by a tick in the lower parts of the back. Conclusion. It is also important for doctors to take a broader view and to make society aware of that Lyme disease is not associated only with Lyme disease. Further work is also needed towards effective treatments for Tick-borne encephalitis (TBE).
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 2; 135-140
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Diagnostyka obrazowa okiem neurologa
Imaging diagnostics through the eyes of a neurologist
Autorzy:
Leksa, Natalia
Truszkiewicz, Adrian
Aebisher, David
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/985943.pdf
Data publikacji:
2019
Wydawca:
Indygo Zahir Media
Tematy:
spektroskopia
diagnostyka obrazowa
KT
MR
USG
PET
SPECT
angiografia
spectroscopy
diagnostic imaging
CT
angiography
Opis:
W diagnostyce chorób układu nerwowego dostępne jest szerokie spektrum metod diagnostycznych. Niektóre są wykonywane powszechnie, inne tylko w ośrodkach specjalistycznych. W opracowaniu poniżej omówiliśmy badania obrazowe stosowane w diagnostyce chorób neurologicznych. Szeroko omówiona diagnostyka w kontekście neurologicznym pozwala na uwypuklenie potrzeb, jakie istnieją w tym zakresie z punktu widzenia lekarza neurologa. Pokazano również wartości różnych badań dla różnych schorzeń neurologicznych. Praca ta nie może wyczerpać tematu, jakim jest diagnostyka obrazowa okiem neurologa, ze względu na rozległość tematyki. Założeniem jej jest dokonanie przeglądu dostępnych metod obrazowania i ukazanie ich wartości w leczeniu pacjentów.
A wide spectrum of diagnostic methods are available in the diagnosis of nervous system diseases. Some are commonly performed, others only in specialist centers. In the study below, we discussed imaging tests used to diagnose neurological diseases. The broadly discussed diagnostics in the neurological context allow to highlight the needs that exist in this regard from the point of view of the neurologist. The values of various studies for various neurological diseases are also shown. This work cannot exhaust the topic of diagnostic imaging through the eyes of a neurologist due to the extent of the subject. Its assumption is to review the available imaging methods and show their value in treating patients.
Źródło:
Inżynier i Fizyk Medyczny; 2019, 8, 5; 363-370
2300-1410
Pojawia się w:
Inżynier i Fizyk Medyczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Fibromuscular dysplasia – a case description
Autorzy:
Leksa, Natalia
Seweryn, Bartosz
Uberman-Kluz, Dominika
Galiniak, Sabina
Kawalec, Magdalena
Powiązania:
https://bibliotekanauki.pl/articles/454927.pdf
Data publikacji:
2018
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
fibromuscular dysplasia
arteries
computed tomography
Opis:
Introduction. Fibromuscular dysplasia is an idiopathic, non-inflammatory and non-atherosclerotic disease that affects the walls of arteries (mostly renal and carotid arteries). Histological classification distinguishes three main types of the disease, depending on the structural changes occurring in one of the three layers of arterial vessel walls. Objective. We present here a case of fibromuscular dysplasia affecting the internal carotid arteries. Case description. This article describes the case of a 52-year-old female patient with hypertension, hyperlipidemia, and a cardiac pacemaker in whom computed tomography angiography revealed a narrowing of the internal carotid arteries without atherosclerotic symptoms. We describe the diagnostic methods and various types of treatment that the patient suffering from fibromuscular dysplasia was subjected to. Conclusions. Due to a low detection rate of fibromuscular dysplasia, if the disease is suspected, all available diagnostic methods should be employed. Taking into account the unknown etiology of the disease, it is not possible to use a preventive therapy, or a therapy focused on stalling the progression of the disease
Źródło:
European Journal of Clinical and Experimental Medicine; 2018, 1; 63-67
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Generation of retractive spine circuits in the process of vitamin B12 deficiency
Autorzy:
Mucha, Patrycja
Leksa, Natalia
Aebisher, David
Galiniak, Sabina
Bartosz, Seweryn
Leksa, Dawid
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/2037833.pdf
Data publikacji:
2020-06-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
ataxia
B12 avitaminosis
retinal spinal cord degeneratio
Opis:
Introduction. Subacute degeneration of the posterior and lateral spinal cord is a rare neurological complication of B12 avitaminosis. Aim. In this paper, we present the case of a 65-year-old man who, in the course of long-term vitamin B12 deficiency associated with atrophic gastritis, developed a severe set of neurological symptoms that are part of the retinal spinal cord degeneration with characteristic features in MR imaging of the cervical spine in the form of an inverted “V mark” ‘in axial images and typical localization in the spinal cord. Description of the case. After careful analysis of the syndrome and making an early diagnosis, parenteral vitamin B12 supplementation began, resulting in improved neurological status, laboratory parameters as well as regression of changes in magnetic resonance imaging. Conclusion Significant symptoms of this syndrome are paresthesia in the distal parts of the limbs, ataxia, spastic paresis.
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 2; 131-134
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Granular cell tumor of the neurohypophysis – a case report
Autorzy:
Dziedzic, Rafał
Leksa, Natalia
Aebisher, David
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/454840.pdf
Data publikacji:
2019
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
granulomatous tumor
pituitary gland
MRI
Turkish saddle
Opis:
Introduction. The granulomatous tumor (GCT) is formed from the posterior pituitary (neurohypophysis) or its pedicle. The location of such a tumor in the region of the Turkish or supra saddle is a very rare matter. Aim. To present a case report. Description of the case. This article describes the case of a 39-year-old man admitted to the Department of Neurosurgery with a MR-diagnosed head tumor in the suprasellar area growing out of the pituitary funnel. The tumor appeared to be an epileptic fit. Conclusion. Herein we described a clinical case of granulomatous tumor. GCTs in the pituitary nerves are benign tumors, which makes treatment dependent on the individual case. After the operation, the H-P study showed a granulomatous tumor (GCT) of the posterior pituitary gland.
Źródło:
European Journal of Clinical and Experimental Medicine; 2019, 4; 378-380
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Influence of Adriblastin and Bleomycin on Wistar rat mothers and fetus development
Autorzy:
Sęk-Mastej, Anna
Galiniak, Sabina
Krawczyk-Marć, Izabela
Balawender, Krzysztof
Szymczak, Artur
Kaniewski, Maciej
Leksa, Natalia
Biesiadecki, Marek
Orkisz, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/454733.pdf
Data publikacji:
2018
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
pregnancy
foetus
congenital defect
teratogen
Opis:
Introduction. Gestation is a very sensitive time both to mother and child. Any substance, factor, or environmental condition disturbing homeostasis may cause congenital defects, anomalies or even death. Teratology evaluates those potential factors and their influence. Also, medicinal products used during pregnancy may be teratogenic. Adriblastin, also known as Doxorubicin, and Bleomycin are widely used cytostatic drugs in oncology. Aim. Aim of this study was to evaluate the embryotoxic effects of Doxorubicin and Bleomycin in an animal model. Materials and methods. Fertilised Wistar rat females were given each drug intraperitoneally between the 8th and 15th gestation day, and compared to control group receiving placebo (distilled water, 0.9% NaCl). Another group received acetyl salicylic acid, as a model, well known teratogen. Changes in mothers’ weight from baseline, implantation of embryos, any discrepancies in mothers wombs and health as well as defects in fetuses were evaluated and compared. Fetus skeletons were stained by Dowson’s method to visualise bone defects. Results and conclusion. Both Adriblastin and Bleomycin were teratogenic, producing significantly more embryo absorptions, and fetal defects compared to placebo. The effects of the two cytostatics were similar to the model teratogen acetyl salicylic acid.
Źródło:
European Journal of Clinical and Experimental Medicine; 2018, 2; 85-91
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Paradygmaty w fMRI
Paradigms in fMRI
Autorzy:
Leksa, Natalia
Truszkiewicz, Adrian
Aebisher, David
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/2146758.pdf
Data publikacji:
2020
Wydawca:
Indygo Zahir Media
Tematy:
fMRI
paradygmaty
funkcjonalny rezonans magnetyczny
paradigms
functional magnetic resonance imaging
Opis:
Funkcjonalny Rezonans Magnetyczny (fMRI) jest nieinwazyjną techniką badawczą, która daje wgląd w procesy zachodzące w mózgu pacjenta. Przy jego pomocy ocenia się zarówno miejsca odpowiedzialne za motorykę, jak i funkcje poznawcze. Ta metoda badawcza oparta o własności magnetyczne oksyhemoglobiny i deoksyhemoglobiny zapewnia identyfikacje ośrodków mózgowia w sposób do tej pory niemożliwy. Jej stosowanie jest ważne nie tylko w procesie poznawczym, ale również w procesie leczenia, w szczególności w procesie przygotowywania pacjentów do zabiegów operacyjnych. FRMI należy do diagnostyki szczególnie wymagającej współpracy ze strony pacjenta, ponieważ najczęściej musi on realizować zadania narzucone przez personel badający. To właśnie od właściwego zaprojektowania tychże zadań i schematu czasowego ich realizacji i oceny wyników zależy właściwa diagnostyka. Celem niniejszej pracy jest prezentacja wybranych paradygmatów stosowanych w FMRI.
Functional Magnetic Resonance Imaging (fMRI) is a non-invasive research technique that gives insight into the processes in the patient’s brain. With its help, both the places responsible for motor skills and cognitive functions are assessed. This research method based on the magnetic properties of oxyhemoglobin and deoxyhemoglobin ensures identification of brain centers in a way that has not been possible so far. FRMI use is important not only in the cognitive process, but also in the treatment process, in particular in the process of preparing patients for surgery. FRMI belongs to the diagnostics particularly demanding cooperation on the part of the patient, because he most often has to carry out tasks imposed by the research staff. It is the proper design of these tasks and the time schedule of their implementation and evaluation of results that determine the correct diagnosis. The purpose of this work is to present selected paradigms used in FMRI.
Źródło:
Inżynier i Fizyk Medyczny; 2020, 9, 2; 109--112
2300-1410
Pojawia się w:
Inżynier i Fizyk Medyczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Rapidly progressing dementia as a manifestation of the Creutzfeldt-Jakob disease: an analysis of two cases
Autorzy:
Bartosz, Seweryn
Leksa, Natalia
Uberman-Kluz, Dominika
Szymczak, Artur
Biesiadecki, Marek
Galiniak, Sabina
Powiązania:
https://bibliotekanauki.pl/articles/454939.pdf
Data publikacji:
2019
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
14-3-3 protein
brain biopsy
cerebrospinal fluid
Creutzfeldt-Jakob disease
EEG
prion
Opis:
Introduction. Creutzfeldt-Jakob disease (CJD) is a rare and fatal neurodegenerative disease of the central nervous system which is caused by an infectious protein called prion. Multiple forms of CJD have been classified including sporadic (more than 90% cases), familial, iatrogenic and variant type of disease. CJD, especially in its early stages, is a highly challenging illness to diagnose. Aim. Article aims to present cases of Creutzfeldt-Jackob disease with early symptoms of rapidly progressing dementia at the initial stage of CJD. Description of the cases. This paper describes two cases of patients with suspected CJD with a history of rapidly progressive dementia admitted to the Department of Neurology, MSWiA Hospital in Rzeszów. Conclusion. Despite the fact that CJD is an incurable illness and there is no cure guaranteeing recovery, it is important to make the right diagnosis. Assay of 14-3-3 protein in cerebrospinal fluid is a sensitive and specific marker which is helpful in the diagnosis of CJD. The only relevant method of correctly confirming a diagnosis of this disease is by performing a brain biopsy.
Źródło:
European Journal of Clinical and Experimental Medicine; 2019, 1; 89-93
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sarkoidoza w badaniu MR
Sarcoidosis in MR examination
Autorzy:
Stanowski, Dariusz
Leksa, Natalia
Truszkiewicz, Adrian
Aebisher, David
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/985924.pdf
Data publikacji:
2019
Wydawca:
Indygo Zahir Media
Tematy:
sarkoidoza
rezonans magnetyczny
neurologia
układ nerwowy
sarcoidosis
magnetic resonance imaging
neurology
nervous system
Opis:
Rezonans magnetyczny jest podstawowym narzędziem w arsenale badań, jakim dysponuje dzisiejsza neurologia. Badanie to w sposób całkowicie nieinwazyjny pozwala odpowiedzieć na szereg pytań związanych zarówno z morfologią, jak również przemianami, jakie zachodzą w OUN. Niniejsza praca prezentuje opis przypadku sarkoidozy jako choroby, dla której rezonans magnetyczny jest metodą z wyboru. Praca ta ma na celu ukazanie rezonansu jako wszechstronnej metody diagnostycznej w neurologii. Sarkoidoza – przewlekła choroba układu odpornościowego. W chwili obecnej jej etiologia nie jest dostatecznie wyjaśniona. Możliwość występowania w niemal wszystkich narządach ciała oraz konieczność różnicowania z innymi jednostkami chorobowymi czyni jednostkę tę trudną w diagnostyce. Niniejsza praca prezentuje sarkoidozę w diagnostyce rezonansu magnetycznego (MR). Opis przypadku ukazuje zarówno spojrzenie kliniczne, jak również trudności diagnostyczne.
Magnetic resonance imaging is an essential tool in the research of today’s neurology. This study in a completely non-invasive way allows you to answer a number of questions related to both morphology as well as changes that occur in the CNS. This work presents a case report of sarcoidosis as a disease for which magnetic resonance imaging is the method of choice. This work aims to show resonance as a comprehensive diagnostic method in neurology. Sarcoidosis – a chronic disease of the immune system. At present, its etiology is not sufficiently explained. The possibility of occurring in almost all organs of the body and the need to differentiate with other disease entities makes this entity difficult to diagnose. This work presents sarcoidosis in magnetic resonance imaging (MR). The case report shows both clinical view and diagnostic difficulties.
Źródło:
Inżynier i Fizyk Medyczny; 2019, 8, 5; 379-382
2300-1410
Pojawia się w:
Inżynier i Fizyk Medyczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sciatic vessels – a case report
Autorzy:
Gałuszka, Łukasz
Leksa, Natalia
Leksa, Dawid
Uryniak, Adam
Aebisher, David
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/2040141.pdf
Data publikacji:
2020-12-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
artery
sciatic vessels
surgical treatment
Opis:
Introduction. Sciatic vessels most often accompany the sciatic nerve. Sciatic vessels are very rare. Aim. In this paper we determine the procedure in sciatic vessels surgical treatment. Description of the case. We present the case of a 75-year-old patient with symptoms of acute right lower limb ischemia. The patient was discharged home in good condition, and remains in outpatient control to this day. Conclusion. The popliteal artery proved to be available, but much deeper than usual.
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 4; 326-327
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Stroke masks – a case report
Autorzy:
Chmielewska, Beata
Leksa, Natalia
Aebisher, David
Galiniak, Sabina
Leksa, Dawid
Bartosz, Seweryn
Bartusik-Aebisher, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/2038416.pdf
Data publikacji:
2020-09-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
brain metabolic disorders
MRI
stroke
Opis:
Introduction. Stroke is a common vascular disease encountered in the work of a practitioner. Despite this, his differentiation is difficult. This is due to a variety of diseases that can be a “mask” for stroke. These are neurological diseases other than vascular (brain tumors, epilepsy), head injuries and a number of metabolic disorders (fluctuations in glucose, electrolytes). Aim. This work aims to approximate the differentiation of this common disease entity. Case reports show both clinical view and diagnostic difficulties. Description of the cases. Case 1. The patient 59 years old treated for bipolar disorder, hypertension and alcohol abuse. Case 2. The patient 68 years old treated for type 2 diabetes, hypertension, ischemic heart disease, cholecystolithiasis – cholecystectomy. Conclusion. Stroke is a significant clinical and social problem both in Poland and in the world. Despite this, its diagnostics and especially differentiation is difficult. When analyzing the case of each patient with suspected sudden CNS vascular disease, all of them should be remembered. It should also be borne in mind that differential diagnosis cannot delay specific treatment for stroke
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 3; 245-249
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The outcomes in children with Hirschsprung’s disease treated with transanal endorectal pull-through method
Autorzy:
Szymczak, Artur
Ogorzałek, Anna
Leksa, Natalia
Sęk-Mastej, Anna
Orkisz, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/2054538.pdf
Data publikacji:
2022-06-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
aganglionosis
constipation
encopresis
soiling
Opis:
Introduction and aim. The evaluation of functional results, complications and problems of children with Hirschsprung’s disease treated with one-stage surgery (TEPT) or two-stage surgery (colostomy, TEPT) in Paediatric Surgery Clinic in Rzeszów. Material and methods. Medical documentation of 41 children treated due to Hirschsprung’s disease in years 2006-2018 in Rzeszów were retrospectively analysed. The results of the questionnaires conducted among the parents of operated children were surveyed. Results. The average time of the radical surgery was 189 minutes. The mean length of the resected intestine in the classic form was 19 centimeters, in long-segment 35 centimeters. In the post-operative period, 15 patients had a blood transfusion. The mean time of the children’s stay calculated from the date of surgery until the discharge equaled 13.4 days. Early post-operative complications: enterocolitis occurred in 6 patients (1 death in a septic shock mechanism), total dehiscence of anastomosis in 1 patient, abscess of perirectal space in 1 patient, anastomotic retraction in 1 patient and in 3 patients inaccurate intra-operative evaluation of the section (intra), buttock dermatitis appeared in all patients. Late post-operative complications (a control trial of 38 patients): Soiling was confirmed in 9 patients, periodic constipation in one. The abnormal consistency of stool was signaled in 3 children. Two children were repetitively hospitalized due to enterocolitis. The frequency of defecation almost in all patients was reduced after a three, four-month period since the operation from 10-15 per day to the age norm. In one child, where the retraction of the anastomosis was diagnosed, the soiling and heightened frequency of defecation throughout the day persists. All of the parents of the older children view the outcome of the surgery as positive and the life quality of their children does not differ from their peers. Conclusion. TEPT is a method which can be performed in newborns, infants, babies as well as in case of a long-segment aganglionosis. Barium enema is not reliable in evaluation of the length of the aganglionic section in the long-segment type of Hirschsprung’s disease. The treatment of choice in the early post-operative enterocolitis should be colostomy. Worse functional results were observed in children after two-stage treatment – especially, in cases where the colostomy was created due to the intestinal re-distention.
Źródło:
European Journal of Clinical and Experimental Medicine; 2022, 2; 194-201
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 19

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