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Biomedical subjects

A Klimek

Publications and source records attributed to A Klimek.

94 records · Page 6Linked to original sources

[Chronic Horton's neuralgia treated successfully with indomethacin].

The author describes a case in which different types of headaches occurred in life. In childhood the patient had typical attacks of ophthalmic migraine, at the age of 45 years classical Horton's neuralgia developed lasting 5 months, occurring 3-4 times daily and 2-3 times in night time. The pains were intense, their location was always identical and their duration was 15-20 min. It seemed at the time of observation that they represented a form intermediate between that described by Ekbom and Olivarius and that reported by Sjaastad and Dale. After treatment with Indomethacin immediate improvement was obtained with disappearance of pains.

Chronic Disease↗

[A case of asymptomatic central pontine myelinolysis].

In 1959 year Adams, Victor and Mancella described central pontine myelinolysis (CPM) as a disease of fulminant course and fatal prognosis. In the typical cases progressive tetraparesis with bulbar signs results in severe crippledom or death. The disease was diagnosed before only by autopsy, as soon as the modern radiological technics i.e., CT and MRI were developed it is sometimes successfully diagnosed with patients alive. The authors present the case of 62-year old woman suffering from slight hemiparesis which made use to perform the CT examination. It showed central pontine lesion which was confirmed by MRI examination. The authors suggest that there are not only typical cases of CPM but also the asymptomatic ones as presented above.

Female↗

[A trial of progressive supranuclear palsy with carbamazepine].

We present a 61-year old patient with diagnosis of progressive supranuclear palsy. 2 years after the beginning of her complaints the diagnosis was based on the results of neurological examination. The ENG examination (among others vertical gaze paralysis) and the MR examination (2 of 3 criteria were met). The course of the disease was complicated by epilepsy and the treatment with carbamazepine was commenced. A significant improvement of her neurological and mental status was observed. The authors suggest checking this observation on larger number of patients with PSP.

Anticonvulsants↗

[Electroencephalographic studies of 100 cases of migraine (control groups included)].

The investigations were done in a group of 100 patients with migraine, 50 patients with chronic diseases of various organs and 50 healthy subjects. EEG investigations in patients with migraine were carried out several times, in controls only once. The records were interpreted according to strictly defined criteria separating normal from pathological (slightly, moderately and severely) records. In 35% of migrainous patients slight or moderate changes were found. The frequency of these changes was significantly increased in relation to healthy subjects and approached the frequency found in non-neurological cases. EEG changes in migrainous patients failed to demonstrate any specific features and failed to correlate with clinical findings. The analysis of 330 EEG records in 100 cases of migraine demonstrated that some records changed in time and that the number of records showing deterioration was greater than that of records showing improvement.

Adolescent↗