Neurologia i neurochirurgia polska最新文献

{"title":"A collaborative future: EAN RRFS and Polish young neurologists at the RRFS Representative meeting in Warsaw.","authors":"Aleksandra Pietruczuk, Alicia Gonzalez-Martinez, Alice Accorroni, Isabella Colonna, Nina Vashchenko, Katarzyna Krzywicka, Giacomo Sferruzza","doi":"10.5603/pjnns.106780","DOIUrl":"https://doi.org/10.5603/pjnns.106780","url":null,"abstract":"","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood-brain barrier-associated serum proteins in epilepsy - clinical and diagnostic implications.","authors":"Daniel Matovu","doi":"10.5603/pjnns.107937","DOIUrl":"https://doi.org/10.5603/pjnns.107937","url":null,"abstract":"","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New-onset psychotic symptoms following continuous dopaminergic stimulation with subcutaneous foslevodopa/foscarbidopa.","authors":"Mateusz Toś, Agata Dymek, Jakub Malkiewicz, Justyna Gawryluk, Joanna Siuda","doi":"10.5603/pjnns.107127","DOIUrl":"https://doi.org/10.5603/pjnns.107127","url":null,"abstract":"","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary optic nerve lymphoma masquerading as neuromyelitis optica spectrum disorder.","authors":"Maksymilian A Brzezicki, Jakub Moskal, Wojciech Wierzchołowski, Natalia Pawlak, Szymon Jurga, Radosław Kaźmierski","doi":"10.5603/pjnns.107023","DOIUrl":"https://doi.org/10.5603/pjnns.107023","url":null,"abstract":"","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clarification on the prevalence and phenotype of headache and facial pain in URTIs.","authors":"Marcin Straburzyński, Marta Waliszewska-Prosół","doi":"10.5603/pjnns.108102","DOIUrl":"https://doi.org/10.5603/pjnns.108102","url":null,"abstract":"","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Before headache in upper respiratory tract infection can be attributed to immune response, it must be quantified and causative virus identified.","authors":"Josef Finsterer","doi":"10.5603/pjnns.106795","DOIUrl":"https://doi.org/10.5603/pjnns.106795","url":null,"abstract":"","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute kidney injury in patients with spontaneous intracerebral hemorrhage - Is it a real problem?","authors":"Kamil Ludwiniak, Oliwia Maciejewska, Piotr Olejnik, Andrzej Opuchlik, Jolanta Małyszko, Aleksandra Golenia","doi":"10.5603/pjnns.104530","DOIUrl":"https://doi.org/10.5603/pjnns.104530","url":null,"abstract":"<p><strong>Introduction: </strong>Acute kidney injury (AKI) is common in critically ill intensive care unit patients, including those with intracerebral hemorrhage (ICH). Spontaneous ICH (sICH) accounts for 10-15% of all strokes and is a significant cause of death and disability in people over 40 years of age worldwide, and the development of AKI in these patients might further worsen their outcomes. The aim of the study was to determine the incidence and risk factors for AKI, as well as short-term outcomes in patients with sICH.</p><p><strong>Material and methods: </strong>In this single-center study, we retrospectively analyzed the data of consecutive patients diagnosed with sICH.</p><p><strong>Results: </strong>Of the 237 patients with sICH included in the study, 13.5% developed AKI. Risk factors for AKI were as follows: severity of neurological deficit as measured by the National Institutes of Health Stroke Scale (NIHSS), larger hematoma volume, as well as higher baseline mean systolic and diastolic blood pressure. Furthermore, patients who developed AKI had higher levels of serum glucose, urea, and serum creatinine and lower estimated glomerular filtration rate (eGFR) on hospital admission. In addition, the overall and in-hospital mortality were much higher in patients with AKI than in those without AKI. Finally, adjusted regression analysis identified the in-hospital use of nephrotoxic antibiotics as a major risk factor, increasing the likelihood of AKI eightfold.</p><p><strong>Conclusions: </strong>These findings highlight the importance of early identification of high-risk patients and careful management of nephrotoxic agents to reduce the incidence and adverse outcomes of AKI in ICH patients.</p>","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144962552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cerebrovascular events - from transient ischemic attack and transient global amnesia to transient ischemic attack with MRI-DWI lesions.","authors":"Krzysztof Duda, Tomasz Chmiela, Magdalena Targosz-Gajniak, Aleksandra Cieśla-Fuławka, Szymon Pokora, Agata Dymek, Aleksandra Krzan-Bosaczyk, Anetta Lasek-Bal, Joanna Siuda","doi":"10.5603/pjnns.104698","DOIUrl":"https://doi.org/10.5603/pjnns.104698","url":null,"abstract":"<p><strong>Aim of study: </strong>To compare transient ischemic attack (TIA), transient global amnesia (TGA), and transient ischemic attack with lesions found in magnetic resonance imaging/diffusion-weighted imaging (MRI-DWI) scans, in order to find similarities and differences in their clinical picture.</p><p><strong>Clinical rationale for study: </strong>Magnetic resonance imaging scans account for a substantial part of the financial burden associa-ted with cerebrovascular events. Finding initial clinical features that differentiate transient brain ischemic events will be useful in developing standardized procedures for selecting patients who require further radiological imaging, thereby reducing overall costs.</p><p><strong>Material and methods: </strong>A total of 9701 patients hospitalized in two major tertiary hospitals in the Silesian voivodeship in Poland between January 2016 and July 2024 with a diagnosis of TGA, TIA, and ischemic stroke were analyzed. The final group consisted of 947 patients, who were further divided into three categories: 425 TIA (44.87%), 125 TGA (13.19%), and 387 TIA with MRI-DWI lesions (41.92%). The data of patients were statistically analyzed.</p><p><strong>Results: </strong>Patients with transient focal symptoms and confirmed DWI lesions in MRI scans were significantly older. They were more likely to have coronary heart disease, had higher C-reactive protein (CRP) levels, more severe symptoms, and were less likely to receive antiplatelet treatment than TGA and TIA patients. Transient global amnesia patients had higher systolic blood pressure on admission compared to other groups.</p><p><strong>Conclusions: </strong>The presence of DWI-MRI lesions is associated with a higher initial clinical burden. Our results confirm that the lack of stroke prevention therapies may have determined the more severe course of the vascular event. This study supports a sudden rise in blood pressure being a contributing factor in TGA patients.</p><p><strong>Clinical implications: </strong>Older patients with TIAs, having several vascular risk factors, but lacking prevention therapies are likely to present with cerebral lesions on DWI-MRI. These patients should undergo additional imaging procedures.</p>","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oropharyngeal dysphagia in Parkinson's disease: potential utility of speech acoustic analysis in detection and evaluation of swallowing impairment progression.","authors":"Natalia Madetko-Alster, Piotr Alster, Sławomir Budrewicz","doi":"10.5603/pjnns.105102","DOIUrl":"https://doi.org/10.5603/pjnns.105102","url":null,"abstract":"<p><strong>Aim of the study: </strong>This study aimed to evaluate the utility of speech acoustic analysis as a tool for diagnosing dysphagia in Parkinson's disease.</p><p><strong>Clinical rationale for the study: </strong>Swallowing impairment is a common and potentially life-threatening symptom of Parkinson's disease (PD). Fiberoptic endoscopic examination of swallowing (FEES), considered the gold standard for dysphagia diagnosis, is often inaccessible in everyday clinical practice. Many studies highlight the link between speech and swallowing impairment in PD patients. Evaluating possible correlations between speech acoustic parameters and the presence or severity of dysphagia in PD could potentially indicate speech acoustic parameters for use in a non-invasive screening tool for swallowing impairment in PD patients.</p><p><strong>Material and methods: </strong>This study included 40 patients with a clinical diagnosis of PD aged from 36 to 82 years. The disease duration varied from 1 to 25 years. All study participants were treated with oral medications, allowing them to achieve and maintain the best possible performance status. All study participants underwent a subjective and objective neurological examination, speech acoustic analysis, which was performed based on a standardized speech recording, and FEES, according to a specific study protocol. The obtained results were analyzed statistically.</p><p><strong>Results: </strong>The presence of oropharyngeal dysphagia was confirmed among 92.5% of the analyzed patients. The FEES findings described in this study are consistent with the specific pattern of swallowing impairment characteristic of PD. The obtained results indicate the existence of multiple statistically significant correlations between the FEES findings and speech acoustic analysis parameters. The most important speech acoustic parameters in terms of swallowing impairment evaluation include the phonation time, efficiency coefficient, average efficiency, energy modulation depth, standard deviation of the length of the interval between segments, standard deviation of the length of the intervals between segments in the speech disfluency test, unharmonic-to-harmonic ratio (U2H), Yanagihara coefficient (YG), 1/Q, residual-to-harmonic ratio (R2H), and amplitude irregularity (APQ).</p><p><strong>Conclusions: </strong>Speech acoustic analysis could be useful in everyday clinical practice for performing non-invasive dysphagia screening tests in PD patients, especially when an endoscopic examination is unavailable. Results obtained in the study require further validation in larger cohorts. However, if confirmed, this tool could be used to identify patients who potentially require an invasive examination of swallowing for individualized dysphagia management.</p>","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors for long-term incomplete nidus obliteration following stereotactic radiosurgery for brain arteriovenous malformations: a systematic review and meta-analysis.","authors":"Maurycy Rakowski, Natalia A Koc, Samuel D Pettersson, Tomasz Klepinowski, Piotr Zieliński, Tomasz Szmuda","doi":"10.5603/pjnns.103718","DOIUrl":"10.5603/pjnns.103718","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to identify predictive factors for long-term incomplete nidus obliteration following stereotactic radiosurgery (SRS) for brain arteriovenous malformations (AVMs).</p><p><strong>Material and methods: </strong>A systematic search across the PubMed, Web of Science, and Scopus databases identified observational studies reporting such factors. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The study protocol was registered through PROSPERO. Each eligible study's quality was assessed using the modified Newcastle-Ottawa Scale. Odds ratios (ORs) were calculated for dichotomous parameters.</p><p><strong>Results: </strong>Two high-quality prospective cohort and three high-quality retrospective cohort studies were included, covering patients with complete (n = 638) and incomplete (n = 297) nidus obliteration. The mean age of the patients was 25.54 ± 12.81 years and the mean follow-up time was 95.98 ± 27.64 months. Predictors for incomplete obliteration of nidus included: AVM classified as Spetzler-Martin (SM) grade ≥ IV (odds ratio (OR) 10.57, 95% confidence interval (CI) 2.00-55.96, p = 0.006), the presence of multiple (> 1) feeding arteries (OR 6.47, 95% CI 2.20-19.10, p = 0.0007), nidus volume > 10 mL (OR 5.08, 95% CI 1.68-15.33, p = 0.004), and the occurrence of intranidal aneurysm (OR 3.33, 95% CI 1.10-10.08, p = 0.03). No statistically significant difference in proportions of patients with incomplete nidus obliteration was found between paediatric (≤ 18 years) and adult (> 18) patient cohorts (p = 0.95).</p><p><strong>Conclusions: </strong>The following factors were found to be predictive for long-term incomplete nidus obliteration post-SRS for brain AVMs: SM grade equal to or higher than IV; the presence of multiple feeding arteries; AVM nidus volume exceeding 10 mL; and the occurrence of intranidal aneurysm. These findings will be beneficial in refining patient selection for radiosurgical treatment.</p>","PeriodicalId":19132,"journal":{"name":"Neurologia i neurochirurgia polska","volume":" ","pages":"153-162"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143616431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}