Malignant middle cerebral artery (MCA) infarction in people over 85 years old – Diagnosis, management and risk factors
ConclusionThe key risk factor in this group is the atrial fibrillation. The elderly patients require an intensive monitoring of the health condition by reference to brain stroke risk factors, especially atrial fibrillation. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Looking for novel, brain-derived, peripheral biomarkers of neurological disorders
Publication date: May–June 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 3Author(s): Natalia Chmielewska, Janusz Szyndler, Karolina Makowska, Dawid Wojtyna, Piotr Maciejak, Adam PłaźnikAbstractThe role of blood brain barrier (BBB) is to preserve a precisely regulated environment for proper neuronal signaling. In many of the central nervous system (CNS) pathologies, the function of BBB is altered. Thus, there is a necessity to evaluate a fast, noninvasive and reliable method for monitoring of BBB condition. It seems that revealing the peripheral diagnostic biomarker whose release pattern (concentratio...
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Effectiveness of complex regional pain syndrome treatment: A systematic review
ConclusionAvailable evidence, although numerous, does not necessarily reflect what is truly effective and what is sham in the management of CRPS. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Assessment of cervical range of motion in patients after axis fracture
ConclusionsOdontoid fractures lead to limitations in mobility of the cervical spine even after treatment with methods that in theory should preserve the C1/C2 mobility. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

BOLD fMRI signal in stroke patients and its importance for prognosis in the subacute disease period – Preliminary report
ConclusionThere are differences observed in the activation areas of the cerebral cortex both in the stroke and non-stroke hemispheres. More than half of the patients with hemispheric stroke but all with good outcome showed cerebellar activation. There is probable positive correlation between the BOLD-signal size, young age, activation of supplementary motor area in stroke hemisphere and good functional status of patients in the subacute period of stroke. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

The frequency of complementary and integrative medicine methods in headache patients and their spending habits
ConclusionHalf of the patients that applied to outpatient clinic with headaches use one or more of these methods and make budgets in accordance with their income levels. Physicians should have sufficient knowledge and clinical opinions about the CIM methods used by headache patients. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Future challenges of stroke treatment
Publication date: May–June 2018Source: Neurologia i Neurochirurgia Polska, Volume 52, Issue 3Author(s): Simona Lattanzi, Mauro SilvestriniAbstractPosterior circulation stroke accounts for approximately 20% of all ischaemic strokes. Acute basilar artery occlusion (BAO) is one of the most severe conditions, it is associated with death or major disability in more than three quarters of the cases, and its optimal management remains unestablished. Currently, the treatment is based primarily upon consensus, the clinical practice varies widely, and the actual benefit of mechanical thrombectomy has to be fully estimated. Althoug...
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

The impact of Apolipoprotein E alleles on cognitive performance in patients with Parkinson's disease
Publication date: Available online 5 May 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Pierzchlińska Anna, Białecka Monika, Kurzawski Mateusz, Sławek Jarosław (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Cognitive performance in young and middle-aged adults with migraine: Investigating the correlation with white matter hyperintensities and psychological symptoms
ConclusionsThis study suggested that MwA may be associated with low cognitive performance which was correlated with depression and anxiety but not with WMHs. Further, longitudinal studies for assessing the relationship between WMHs, cognitive functions, and migraine, and for establishing the causality are warranted. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Standard neurophysiological studies and motor evoked potentials in evaluation of traumatic brachial plexus injuries – A brief review of the literature
ConclusionsThe ENG and EMG studies clarify the level of brachial plexus damage, its type and severity, mainly using the Seddon clinical classification. In contrast to F-wave studies, the use of the MEPs in the evaluation of traumatic brachial plexus injury provides valuable information about the function of its proximal part. MEPs study may be an additional diagnostic in confirming the location and extent of the lesion, considering the pathomechanism of the damage. Clinical neurophysiology studies are the basis for determining the appropriate therapeutic program, including choice of conservative or reconstructive surgery w...
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Enzymatic replacement therapy in patients with late-onset Pompe disease – 6-Year follow up
ConclusionThe improvements of exercise tolerance and FVC were observed in all patients in the first three years of treatment and were the most pronounced in the longest-treated patients and with the least severe neurological and respiratory symptoms. Our research suggests that early start of the ERT results in higher improvement of respiratory and ambulation functions. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

MMP-9 and/or TIMP as predictors of ischaemic stroke in patients with symptomatic and asymptomatic atherosclerotic stenosis of carotid artery treated by stenting or endarterectomy – A review
Publication date: Available online 30 May 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Justyna Zielinska-Turek, Małgorzata Dorobek, Grzegorz Turek, Maria Barcikowska-KotowiczAbstractWe still lack an optimal tool to predict ischaemic stroke in patients with symptomatic and asymptomatic carotid stenosis (CS). It has already been shown that patients at increased risk of ischaemic stroke can be identified based on the elevated plasma levels of metalloproteinases (MMPs) and reduced activity tissue inhibitor of metalloproteinase (TIMP). There are few studies presenting the role of MMP-9 and TIMP in ischaemic stroke ...
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

The impact of subthalamic deep brain stimulation on polysomnographic sleep pattern in patients with Parkinson's disease – Preliminary report
ConclusionsWe found that DBS-STN improved quality of life, subjective quality of sleep and sleepiness, however, contrary to the previous studies the objective parameters of sleep worsened after the surgery. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Case report: Hemorrhage in the wall of an abscess mimicking a hemorrhagic tumor
Publication date: Available online 7 June 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Michael Bayat, Allan Bayat (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research

Convulsive status epilepticus management in adults and children: Report of the Working Group of the Polish Society of Epileptology
ConclusionsExperts agree that close and early cooperation with a neurologist and anesthetist aiming to reduce the risk of pharmacoresistant cases is an extremely important factor in the treatment of patients with SE. This report has educational, practical and organizational aspects, outlining a standard plan for SE management in Poland that will improve therapeutic efficacy. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - July 6, 2018 Category: Neurosurgery Source Type: research