Biomedical subjects
Publications and source records attributed to J Fagul'a.
The authors report on a case of hydrocephalus caused by brain abscess in a four-months-old girl. After repeated punctures and antibiotics administration extirpation of abscess was necessary. The child recovered with only slight neurological deficit.
The authors report on their experiences in treating 21 patients with intracranial abscesses admitted to the Neurosurgical Department of the Teaching Hospital in Kosice in the years 1982-1987. Suppurative inflammation of the middle ear or of the paranasal sinuses was the most frequent source of infection. Six patients died, five of them in association with the intracranial infection, one female patient died of hemorrhagic necrosis of the pancreas. Two of the survivors suffer from epilepsy, in further three motor derangement of mild or medium degree has persisted on the contralateral side. Therapeutic measures which proved effective were trepanopuncture with pus aspiration, also repeatedly performed if necessary, and administration of antibiotics according to sensitivity of the microorganisms involved. In chronic abscesses with a solid capsule and in intracranial suppuration due to foreign bodies the whole focus as well as the capsule have to be extirpated.
The authors present a report on 9 patients (out of which five were female and four male patients) in the age group ranging from 34 to 55 years, who underwent in the period between 1 January 1982 and 31 December 1987 the revision of three intervertebral spades due to the unilateral lumbo-ischiadic syndrome. Operations of such an extent were performed only exceptionally, in case clinical symptoms and myelographic or CT examination proved the lesion of three intervertebral discs. Ensuing from the control examination performed in November 1988 two patients have been invalided and the rest of them working on a full load (five of them doing their original job and two doing a new one). Almost all of them suffer from occasional pain in sacrum and - but for one exception - also in the lower extremity. Only in one case (a female patient) the condition has not improved after the operation. The recovery of working ability has been in most cases facilitated also by spa treatment.
Examinations of both common carotid arteries in men and women divided into three age categories (up to 30 years, from 30 to 50 years, over 50 years) were performed by ultrasonographic B-scan and Doppler technique. The average value of the maximal systolic speed of blood flow was in men 100.55 cm.s-1, in women 99.10 cm.s-1. The average speed of blood flow in men as well as women at the age up to 30 years was 110 cm.s-1; at the age from 30 to 50 years 102 cm.s-1 (-7.2%); at the age over 50 years 86 cm.s-1 (-21.8%). The average diameter D of the right common carotid artery in men was 6.37 mm, of the left 7.0 mm; in women 5.75 mm of the right and 6.0 mm of the left.
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The authors present the case of extradural haematoma of the posterior fossa in a four-year-old boy who was successfully operated on seventeen days after he had suffered a blow on his occiput. Emphasis is placed on the importance of an early CT scan in a patient showing any clinical signs of possible intracranial pathology following such injury.
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