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Serum interleukin 15 levels in patients with seropositive myasthenia gravis do not correlate with disease severity
Conclusions Serum interleukin 15 levels in patients with seropositive myasthenia gravis do not correlate with disease severity. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - January 6, 2018 Category: Neurosurgery Source Type: research

Tako-tsubo cardiomyopathy with transient global amnesia and cerebellar embolic stroke triggered by existential fear
Conclusions TGA is not a disease for the neurologists exclusively but also cardiac comorbidities have to be considered and cardiologists should be involved in the acute care of these patients in order not to overlook life-threatening diseases. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - January 6, 2018 Category: Neurosurgery Source Type: research

Cerebral amyloid angiopathy-related inflammation – A case report presenting diagnostic difficulties
We describe an 86-year-old woman with a history of hypertension who presented sudden disturbances of consciousness and left hemiparesis. Brain magnetic resonance imaging (MRI) revealed diffused hyperintensive changes on T2-weighted images localized subcortically in the white matter of both cerebral hemispheres, corresponding to acute vasogenic edema, causing moderate mass effect. Posterior reversible encephalopathy syndrome was initially diagnosed. After implementation of anti-edema intravenous steroid treatment and hypotensive therapy the symptoms began to retire, till the total regression. The successive hospitalizations...
Source: Polish Journal of Neurology and Neurosurgery - January 6, 2018 Category: Neurosurgery Source Type: research

Free thyroxine and TSH interact with secreted protein acidic and rich in cysteine-like 1 in ischemic stroke
Publication date: Available online 6 January 2018 Source:Neurologia i Neurochirurgia Polska Author(s): Wojciech Ambrosius, Justyna Rosinska, Slawomir Michalak, Maria Lukasik, Radoslaw Kazmierski, Wojciech Kozubski The role of the thyroid gland in ischemic stroke pathology is not well understood. As thyroid hormones modulate the extracellular matrix, we explored the possible link between them and secreted protein acidic and rich in cysteine like 1 (SC1) – one of the extracellular matrix molecules. In the 81 patients with acute ischemic stroke, serum SC1 levels were much higher compared with 30 control subjects: 4....
Source: Polish Journal of Neurology and Neurosurgery - January 6, 2018 Category: Neurosurgery Source Type: research

Primary isolated intracranial Rosai –Dorfman disease: Report of a rare case and review of the literature
Conclusion Primary intracranial RDD, especially located in the cranial base, is exceptionally rare, which hard to be distinguished with meningoma by imageology and clinical manifestations, but could be diagnosed by pathological and immunohistochemical examinations. Surgery is of the most importance treatment and prognosis is optimistic for this disease. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - December 27, 2017 Category: Neurosurgery Source Type: research

Mechanical thrombectomy: Determining the proportion of eligible acute ischemic stroke patients in the cohort of single academic stroke center
Conclusion Among AIS patients, in whom onset-to-arrival time allowed to initiate the endovascular procedure within 6h of symptom duration, 21% were eligible for MT treatment according to more and 33% to less restrictive criteria. It accounts for about 6% and 9% of all AIS cases, respectively. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - December 26, 2017 Category: Neurosurgery Source Type: research

Alpha-2-antiplasmin Arg407Lys polymorphism and cryptogenic ischemic cerebrovascular events: Association with neurological deficit
Conclusion The presence of 407Lys allele is associated with better prognosis in cryptogenic cerebrovascular events. Our findings suggest that the α2AP Arg407Lys polymorphism could be involved in the pathogenesis of cerebral ischemia and its outcomes. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - December 26, 2017 Category: Neurosurgery Source Type: research

The frequency of complementary and integrative medicine methods in headache patients and their spending habits
Conclusion Half 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 - December 24, 2017 Category: Neurosurgery Source Type: research

BOLD fMRI signal in stroke patients and its importance for prognosis in the subacute disease period – Preliminary report
Conclusion There are differences observed in the activation areas of the cerebral cortex both in the stroke and non-stroke hemispheres of the brain in stroke patients. More than half of the patients with hemispheric stroke but all with good outcome showed cerebellar activation. There was no clear correlation between the cortical activation pattern and the neurological status on the first day of stroke. There is probable positive correlation between the size of BOLD-signal in fMRI, 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 - December 24, 2017 Category: Neurosurgery Source Type: research

Malignant middle cerebral artery (MCA) infarction in people over 85 years old – Diagnosis, management and risk factors
Conclusion The 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 - December 16, 2017 Category: Neurosurgery Source Type: research

Importance rating of risk factors of ischemic stroke in patients over 85 years old in the polish population
Conclusion The course of brain stroke in the Polish population is more severe in patients over 85 years old than in younger ones. The key risk factor in this group is atrial fibrillation. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - December 15, 2017 Category: Neurosurgery Source Type: research

Cerebral ring enhancing lesion with diffusion restriction in a South American patient
Publication date: Available online 16 November 2017 Source:Neurologia i Neurochirurgia Polska Author(s): José Manuel Matamala, Rodrigo Fernández-Gajardo, Alonso Yañez, Gabriel Cea, Rodrigo Salinas (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - December 15, 2017 Category: Neurosurgery Source Type: research

The relation between plasma α-synuclein level and clinical symptoms or signs of Parkinson's disease
Conclusions Plasma ASN level is not valuable marker of the disease. It does not differ in subtypes of the disease. There is relation between plasma ASN level and the severity of the disease in PIGD subtype. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - December 15, 2017 Category: Neurosurgery Source Type: research

Characteristics of hospitalizations due to acute stroke in the Silesian Province, Poland, between 2009 and 2015
Conclusions This comprehensive long-term analysis of the epidemiological situation related to AS in the industrial region of Poland should encourage further development of educational and treatment programmes for improvement in the health status of the population. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - December 15, 2017 Category: Neurosurgery Source Type: research

Unusual location of developmental venous anomaly within fourth ventricle causing obstructive hydrocephalus – A case report
Publication date: Available online 6 December 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Keng-Liang Kuo, Feng-Ji Tsai, Yao-Ju Liu, Yu-Kai Huang, Ann-Shung Lieu Developmental venous anomaly (DVA) is now considered common and benign disease within the field of cerebral vascular malformation. Though symptomatic DVA is uncommon, further management is necessary to alleviate the symptoms and signs induced by symptomatic DVA, such as parenchymal hemorrhage, venous infarction, brain edema, obstructive hydrocephalus, and nerve root compression. From the viewpoint of obstructive hydrocephalus, mostly resulted f...
Source: Polish Journal of Neurology and Neurosurgery - December 15, 2017 Category: Neurosurgery Source Type: research