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J Nielubowicz

Publications and source records attributed to J Nielubowicz.

170 records · Page 10Linked to original sources

[The clinical picture of stenosis and occlusion of the extracranial cerebral arteries].

The authors report a clinical analysis of 200 cases of various forms of stenosis and occlusion of the extracranial arteries supplying the brain. The cases were collected in a period of 15 years. Follow-up investigations were conducted in 100 conservatively treated patients and 100 surgically treated ones. Syndromes of cerebral, ophthalmic, trophic and vascular signs are described, their incidence is discussed and the most salient features are emphasized.

Adult↗

[Delayed results of the surgical treatment of stenosis and occlusion of extracranial cerebral arteries].

Late (up to 15 years) results of surgical and conservative treatment were compared in patients with stenosis or occlusion of the extracranial brain-supplying arteries. The results of surgical treatment were better in patients with transient brain ischaemia as well as in those with completed stroke. In the surgically treated group the per cent of patients improved was greater (especially in cases with transient ischaemia), the survival time was longer, and the number of deaths caused by cerebral diseases was lower.

Adult↗

The origin of Raynaud's phenomenon.

107 patients presenting Raynaud's phenomenon attacks were studied. It has been demonstrated by means of arteriographies that in pallid phase of Raynaud's phenomenon attacks not only the digital but also the radial ulnar and interosseous arteries are in spasm. In the cyanotic phase of Raynaud's phenomenon the natural arteriovenous anastomoses are widely open bringing about peripheral skin ischemia. On the assumption that the opening of arteriovenous anastomoses in Raynaud's phenomenon attacks is due to injury of that part of the peripheral nerve which lies in contact with the cervical vertebral column all 107 studied patients were submitted to detailed cervical vertebral column X-ray examinations. In 103 patients i.e. in 96.3% characteristic degenerative changes of cervical vertebrae were recognised. In 100 controls who never had neither Raynaud's phenomenon attacks nor cervico-brachial neuritis the same type of degenerative changes were found in 10% only. The authors presume that the Raynaud's phenomenon attacks are due to peripheral mixed nerve or their roots injury. The blue phase of Raynaud's phenomenon attacks is due to opening of arteriovenous anastomoses.

Angiography↗

Natural history of Buerger's disease.

102 patients with clinically established diagnosis of Buerger's disease were treated and operated upon by the authors, in 45% of cases histology was obtained proving the clinical diagnosis. Buerger's disease is a rare pathology in Poland, it has been recognised in 3.3% of patients presenting with peripheral arterial pathologies. 46% of patients were followed up for 2-10 years. Clinical, radiological and histological documents demonstrating the gradual evolution of the disease have been presented.

Adult↗