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Biomedical subjects

B Zaleska

Publications and source records attributed to B Zaleska.

27 records · Page 2Linked to original sources
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[Pain tolerance and the effect of the treatment of headache by pinpoint stimulation of receptors].

In 53 patients with vasomotor headache treated by one of the methods of analgesic stimulation--pinpoint receptor stimulation (prs) the correlation was assessed between pain tolerance and the effect of prs. Pain tolerance was determined by the ischaemic tourniquet test of Smith. It was found that in patients with low pain tolerance much better therapeutic results were obtained (87.5%) than in patients with high pain tolerance (38.5%). No relationship was demonstrated between pain tolerance and the duration of improvement after prs.l Pain tolerance study may be important in qualification of patients for treatment by analgesic stimulation.

Acupuncture Therapy↗
PubMedDate not supplied

[Modified acupuncture in the treatment of pain].

The authors report the results of treatment with a modification of acupuncture associated with chemical stimulation in 144 patients with painful radicular syndromes and headaches. In 57 cases sciatic pains were present, in 21 cases shoulder pains, in 20 migraine and in 46 vasomotor headaches. Permanent disappearance of pain, that is disappearance of pain during the procedure and lack of recurrence within several successive days, was obtained in about 40% of cases of radicular syndromes and in 62% of cases of headaches, early disappearance of pain for 3 to 48 hours after the procedure was obtained in 14% of radicular syndromes and nearly 26% headaches, while improvement, that is reduction of pain intensity, was achieved in 29.5% of radicular pains and 3% of headaches, while in 15.3% of cases of radicular syndromes and 9% of cases of headaches no improvement was observed. Both vasomotor headaches and neuralgias belong to the group of nervous system diseases in which pain is the basic and sole symptom, while treatment includes its removal. In these cases acupuncture is a valuable analgesic method. The presently reported results agree with those in the literature on the use of classical acupuncture and its modifications. It is worth stressing that insertion of needles into the traditional points used in classical acupuncture is without any greater importance was shown by the presently reported experiences (various points were used in the same case) as well as by the reports of other authors. The modification of acupuncture with addition of chemical stimulation has been tried by the authors for 4 years. A weak stimulus resulting from insertion of the needle and irritation of the nerve endings with concentrated sodium chloride acts similarly as mechanical or electrical irritation. The method is simple and completely safe.

Acupuncture Therapy↗
PubMedDate not supplied

[Type of pain, personality traits and effectiveness of modified acupuncture].

In 50 patients with headaches and 50 with radicular pains pain sensitivity and pain tolerance as well as personality traits (Eysenck and Cattell questionnaire) were determined and a modification of acupuncture (with additional chemical stimulation) was used for treatment. The results of treatment were compared with personality traits. Differences were found in the personality traits between patients with paroxysmal headaches and patients with radicular pains. No statistically significant correlation was found, on the other hand, between the results of treatment and personality traits. The obtained results were best in the group of patients with paroxysmal headaches (permanent analgesic effect obtained in 70% of cases). The results of treatment obtained in the group of patients with continuous headaches and with radicular pains were similar. In patients with a lower threshold of pain sensitivity a higher proportion of permanent disappearance of pain was observed after treatment, and this observation may be useful for establishing indications to this therapy. Lack of any influence of personality traits on the result of this modified acupuncture may suggest that the basic analgesic action of these procedure is at lower levels of the nervous system and that it causes blockade of inflow of pain stimuli.

Acupuncture Therapy↗
PubMedDate not supplied

[Cervical discopathy, cervical migraine and vertebrobasilar arterial insufficiency: Clinical correlations].

The pathogenesis of cervical migraine may suggest that a connection exists between it and cervical discopathy and also vertebrobasilar arterial insufficiency. This correlation was studied in a group of 103 patients subjected to clinical observations. In 83 of them cervical discopathy was found, in 69 cervical migraine and in 40 vertebrobasilar insufficiency were present. Among those with discopathy migraine was present in 63.6% of cases, and vertebrobasilar insufficiency in 31%. In patients with cervical migraine degenerative changes of the type of cervical discopathy were present in 90% of cases, although in only 56.5% of cases clinical signs were present connected with these changes. Vertebrobasilar insufficiency was present in 45% of patients with cervical migraine, that is more frequently than in discopathy. In the group with vertebrobasilar insufficiency radiological changes in the cervical spine were present in 77.5% of cases and the same proportion of patients in this group had cervical migraine. These numbers confirm the connection between cervical migraine and radiological changes and clinical manifestations of discopathy, and they indicate also that cervical migraine may be a successive stage of vascular changes leading to circulatory failure in the area supplied by vertebral arteries. This failure may have a different course and pathological mechanism. In 12.5% of patients in this group no cervical migraine or radiological changes were demonstrated. The term "cervical migraine" seems inappropriate since this type of headache has another substrate and mechanism than true migraine.

Adult↗
PubMedDate not supplied

[Acupuncture in headache and radicular syndromes].

The reported own experiences are related to acupuncture with injections of 10% NaCl solution (irritating the nerve endings) into selected points. Since 1973 this method was applied in 171 patients with radicular painful syndromes and 120 patients with headaches. In a group of 107 cases of sciatic pain a persistent analgesic effect was achieved in 30 cases (28%) and immediate disappearance of pain occurred in 21 cases (20%). In a group of 64 patients with shoulder pains a persistent effect was obtained in 36 cases (56%) and immediate but transient in 7 (10,9%). Among 43 patients with migraine a persistent good effect was observed in 24 cases (55,8%) and an immediate relief which was transient in 9 cases (20,9%). In 77 cases of vasomotor headaches a persistent effect was noticed in 37 patients (48%) and an immediate transient one in 23 (29,8%). It is not absolutely necessary to insert the needles into the traditional points accepted in classic acupuncture. During one procedure from 3 to 10 needles were inserted leaving them for about 15 minutes. From 3 to 15 procedures were given, mostly on consecutive days until a significant effect was obtained.

Acupuncture Therapy↗
PubMedDate not supplied

[Cerebrolysin in treatment of acute ischemic stroke].

Cerebrolysin is composed of low molecular peptides and free amino-acids and as a nootropic drug it administered in various diseases of central nervous system. In an open clinical trial patients with acute ischaemic stroke in the region of the middle cerebral artery, were treated. Cerebrolysin was administered as intravenous infusion in daily dose of 15 ml during 21 days. Recovery in 10 patients and improvement in 3 was obtained and only one patient died. The results were compared to the large group of 108 patients treated earlier with other drugs. Therapeutic effect was similar in all groups.

Aged↗
PubMedDate not supplied

[Neurologic signs in Addison-Biermer disease (report of 3 cases)].

The authors report three patients in whom a neurological syndrome was the first manifestation of Addison-Biermer disease. In the first case a paraneoplastic neurological syndrome was suspected, in two other cases the initial tentative diagnosis was multiple sclerosis. The correct diagnosis was reached after a prolonged diagnostic procedure and after ruling out of other diseases. The course of the disease was very serious in all cases leading to death of one patient despite intensive treatment (postmortem examination confirmed the diagnosis). In the second case the neurological syndrome failed to regress completely. The authors stress the necessity of considering this aetiology in neurological syndromes of atypical pattern and course.

Adult↗