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Ceskoslovenska neurologie a neurochirurgie最新文献

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[Radical and selective removal of hyperfunctional hypophyseal adenomas using a transsphenoidal approach]. [经蝶窦入路根治性和选择性切除垂体功能亢进性腺瘤]。
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-03-01
J Steno, D Jezová, V Belan, E Tomecková, M Vigas
{"title":"[Radical and selective removal of hyperfunctional hypophyseal adenomas using a transsphenoidal approach].","authors":"J Steno,&nbsp;D Jezová,&nbsp;V Belan,&nbsp;E Tomecková,&nbsp;M Vigas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors investigated the possibility of radical removal of adenomas of the pituitary (AH), while preserving remnants of pituitary tissue, in 23 patients with primarily operated hyperfunctional AH producing PRL (14 patients), STH (8 patients) and ACTH (1 patient). Normalization of the pathologically elevated hormone level was achieved by the transsphenoid operation without supplementary treatment in 13 of 16 patients with defined and in 3 of 7 patients with invasively growing AH (PRL in 10, STH in 5 and ACTH in one patient), i.e. in 69.5% Identification and preservation of remnants of the pituitary was possible in 20 patients (in all 16 with defined and in 4 of 7 with invasive AH); 17 of them (73.9%) do not need hormonal substitution. Radical and at the same time selective adenomectomy was achieved in 14 patients (60.9%) incl. three patients with invasively growing tumours. The improved activity of the pituitary is manifested clinically after successful operation in particular in young patients by improved gonadal function.</p>","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 2","pages":"107-15"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12812537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Somatosensory evoked potentials in the acute phase of focal cerebral ischemia]. [局灶性脑缺血急性期的体感诱发电位]。
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-03-01
S Vohánka, P Strnad
{"title":"[Somatosensory evoked potentials in the acute phase of focal cerebral ischemia].","authors":"S Vohánka,&nbsp;P Strnad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors made 38 examinations of the somatosensory evoked potentials of the median nerve (SEP) in 28 patients in the acute stage of focal cerebral ischaemia (20 men, 8 women mean age 62 years; range 28-81). According to the clinical and CT picture the patients were divided into two groups: affections in the carotid vessels (22 patients) and in the vertebrobasilar vessels (6 patients). The investigated parameters comprised the so-called central conduction time (interval N13-N19) and amplitude N19/P22. The highest incidence of abnormalities was in the group of vertebrobasilar ischaemias (83%), while in the group of ischamias in the carotid vessels it amounted only to 50%. In both the central conduction time as well as amplitude N19/P22 were effected. In the group of focal ischaemias the authors did not find a close correlation between the carotid circulation and the sensory deficit, but recorded a correlation between the affection of SEP and the resultant condition: in patients without SEP abnormalities complete restoration of the condition predominated (63%), while in the group with pathological findings during the SEP examination complete restoration was recorded only in 9%. Repeated (dynamic) evaluations and the relationship between the ischaemic focus and the somatosensory pathway are important.</p>","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 2","pages":"102-6"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Changes in the spectrum of neuroinfections over the past 30 years]. [过去30年神经感染谱的变化]。
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-03-01
S Doutlík
{"title":"[Changes in the spectrum of neuroinfections over the past 30 years].","authors":"S Doutlík","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 2","pages":"124-9"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Implantation of ganglionic cells into peripheral nerves]. [神经节细胞植入周围神经]。
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-03-01
D Slováková, P Mráz
{"title":"[Implantation of ganglionic cells into peripheral nerves].","authors":"D Slováková,&nbsp;P Mráz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author tried to implant live ganglion cells into a peripheral nerve. They implanted in an experiment 6-8 spinal ganglia of 5-6-day-old rats into the distal part of the n. ischiadicus of an operated full grown rat. Part of the cells of implanted spinal ganglia was unaltered and in their vicinity were numerous groups of non-myelinized axons, probably regenerated processes of these cells. In the perikarya of neurons these were structures of the apparatus of Golgi and granulated endoplasmatic reticula. The mitochondria were in some perikarya large oval, dilated with impaired cristae mitochondriales. These cells were more numerous 42 days after implantation.</p>","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 2","pages":"90-5"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Reflex response in the masseter muscle after tapping the chin in healthy persons--an electromyographic study]. [正常人叩击下巴后咬肌的反射反应——肌电图研究]。
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-03-01
L Lisý
{"title":"[Reflex response in the masseter muscle after tapping the chin in healthy persons--an electromyographic study].","authors":"L Lisý","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a group of healthy subjects the author evoked reflex responses in both masseters by percussion of the chin with a reflex hammer. The reflexes were evoked during relaxation, slight or intense contraction of the masseters with the mouth open or closed. By percussion of the chin from above extension reflexes were evoked and by percussion of the chin from below contracting reflexes. The response was recorded by means of an electromyographic apparatus. The short-term stretch responses were evoked from the relaxed and slightly contracted masseters with the mouth open or closed. During intense contraction of the masseters the short-latency reflex stretch response was not evoked. In that case at first a short-latency inhibition of the basal activity of the masseter was observed followed by a medium and late-latency excitation response. With the masseters relaxed a long-latency stretch response was observed only with the mouth open. Percussion of the chin from beneath with slight contraction of the masseter caused initial inhibition of its basal activity followed then by a short-latency excitation response. Based on the assembled results the author analyzed the mechanism of the reflex control of the masseters.</p>","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 2","pages":"96-101"},"PeriodicalIF":0.0,"publicationDate":"1991-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13200304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Occurrence of spontaneous electromyographic repetitive activity]. 自发性肌电图重复活动的发生。
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-01-01
P Kukumberg
{"title":"[Occurrence of spontaneous electromyographic repetitive activity].","authors":"P Kukumberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spontaneous repetitive activity of different types reflects the reduced threshold of excitability of the peripheral motor neuron under different conditions of its irritation. In addition to tetanic syndrome it is found in rare instances also in amyotrophic lateral sclerosis, polyneuropathy, myositis, traumatic nerve damage, Isaacs syndrome. Probably it develops in distant portions of the motor neuron as a result of changes of the accommodating ability of nerve fibres. The authors demonstrate spontaneous repetitive activity in postparetic hemispasm of the facial nerve, polyneuropathy and generalized scleroderma.</p>","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 1","pages":"53-7"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13011385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Periradiculographic and CT examination in the differential diagnosis of pain after intervertebral disk surgery]. [椎间盘手术后疼痛的根周造影与CT鉴别诊断]。
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-01-01
J Sulla, J Fagul'a, M Santa, J Výrostko
{"title":"[Periradiculographic and CT examination in the differential diagnosis of pain after intervertebral disk surgery].","authors":"J Sulla,&nbsp;J Fagul'a,&nbsp;M Santa,&nbsp;J Výrostko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Between February 1, 1982 and December 31, 1988 at the Neurosurgical Clinic of the Faculty Hospital and Policlinic in Kosice on account of justified suspicion of a relapse of discogenic compression of the lumbosacral spinal roots 102 patients were re-operated (38 women, 64 men) aged 18 to 65 years (mean 39.5 years). Of these three who were hypersensitive to iodine were reoperated at a time when the hospital did not yet possess a CT based on clinical symptoms. In 61 patients the indicated re-operation was supported by the conclusions of periradiculographic, in 21 of native CT and in 17 based on both mentioned examinations. Comparison of the surgical findings with the X-ray findings revealed that on periradiculography the conclusion was in complete agreement in 31 patients, in another 27 partial agreement (a total of 73.3% patients examined in this way), in those examined by CT there was complete agreement in 16 and partial agreement in 11 (i.e. 71.1% on this sub-group). Neither of the two examination methods was quite reliable for indication of re-pleration of intervertebral discs.</p>","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12988234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Rett's syndrome]. [Straight综合征]
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-01-01
E Malá
{"title":"[Rett's syndrome].","authors":"E Malá","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors describe Rett's syndrome, its diagnostic criteria--indispensible, supplementary and eliminating symptoms. Historical development and description and prevalence on a world-wide scale. Detailed account of symptoms of different stages, differential diagnosis (in particular of Rett's and Kanner's syndrome). Course of disease and final stage. The aetiology is obscure, the majority of research workers are inclined to accept the assumption of genetic conditioning of Rett's syndrome.</p>","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 1","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13178666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Late findings on computer tomography after cerebral abscess surgery]. [脑脓肿手术后计算机断层扫描的最新发现]。
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-01-01
M Kala, S Burval, J Nekula
{"title":"[Late findings on computer tomography after cerebral abscess surgery].","authors":"M Kala,&nbsp;S Burval,&nbsp;J Nekula","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors subjected 10 patients CT examination after recovery from surgery of cerebral abscesses. The shortest interval after operation was one year, the longest 20 years. In all instances a hypodense focus of varying extent was revealed, in four patients it gave the impression of a pseudocyst. In one patient the author observed a pseudocyst with an expansive effect on the lateral ventricle. Puncture produced clear, colourless fluid without signs of inflammatory changes. Extensive pathological lesions were found in particular in patients where recovery was complicated by a relapse. It was surprising that quite extensive pathological changes were found also in patients who were treated by so-called minimal surgical intervention (puncture with drainage). The authors emphasize the importance of regular postoperative check-ups by CT which make it possible to detect in time possible relapses and leads to optimal therapy before further cerebral tissue is affected.</p>","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13178661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Neurological aspects of dementia]. [痴呆症的神经学方面]。
Ceskoslovenska neurologie a neurochirurgie Pub Date : 1991-01-01
A Mikulec
{"title":"[Neurological aspects of dementia].","authors":"A Mikulec","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75690,"journal":{"name":"Ceskoslovenska neurologie a neurochirurgie","volume":"54 1","pages":"58-67"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13178664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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