[Multiple symmetrical and multistructural arthropathies in a patient with syringomyelia].
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Biomedical subjects
Publications and source records attributed to W Kawiak.
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Gasometric determinations of pO2, pCO2 and pH were carried out in capillary blood obtained from the upper extremities before and after 10 minutes of kinesitherapy in 30 patients with hemiplegia following stroke. The determinations were done with an acid-base equilibrium analyser Radiometer Copenhagen pH M 71 MKZ. Ten minutes of kinesitherapy caused significant changes in the pH of the blood towards alkalinization, less pronounced in the paralytic extremities. However, differences in the determinations in paralytic and non-paralytic extremities were statistically not significant. These results confirm earlier observations of the authors and point out that 10 minutes of kinesitherapy seems to be the shortest times of exercise giving significant biochemical and clinical effect.
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The determinations of the above substances were done in the blood and CSF of 27 patients with cerebral infarction and 10 controls. The glucose level was determined in the blood and CSF and lactate and pyruvate levels in the CSF before and in the 8th and 16th minutes after a glucose load. The 0-toluidine colorimetric method was used for glucose and spectrophotometric methods were applied for determination of lactate and pyruvate. In the patients with recent cerebral infarction as compared with the control group an increase of glucose concentration was found in the blood (statistically significant) and in the CSF (statistically not significant), while the levels of lactate and pyruvate were raised in the CSF before as well as in the 8th and 16th minutes of the test. Absence of a statistically significant difference between lactate and pyruvate concentrations in the CSF in the same patients with recent cerebral infarction before and in the 8th and 16th minutes of the test suggests that glucose in a hypertonic solution failed to exert any significant influence on CSF lactate and pyruvate concentrations. These biochemical findings seem to support the observations of good therapeutic effects of glucose in hypertonic solution in some cases of cerebral infarction.
A female patient is reported who had subarachnoid haemorrhage and in whom angiography demonstrated presence of an aneurysm and an arteriovenous angioma in the territory of the left middle cerebral artery. During surgical intervention an intracerebral haematoma was found additionally in the posterior part of the left temporal lobe. The postoperative course was uneventful. The patient was discharged without evidence of focal brain injury.
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