Repetitive transcranial magnetic stimulation in treatment of post polio syndrome
Conclusion rTMS can be an effective method in treatment of post polio syndrome but further studies with larger group need to be done to confirm that data. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - November 6, 2017 Category: Neurosurgery Source Type: research

O6-methylguanine-DNA-methyltransferase immunostaining intensity in glioblastoma
Publication date: Available online 4 November 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Daniel Jiménez, José Manuel Matamala, Alessandra Chiti, Carmen Vergara, Claudia Tissera, Romulo Melo, Luis Cartier Immunohistochemistry (IHC) for O6-methylguanine-DNA-methyltransferase (MGMT) has shown heterogeneous results. Cell staining intensity has not been included as a quantifiable variable in IHC analyses. We performed MGMT IHC in 29 patients diagnosed as glioblastoma classifying cells into three categories based on nuclear staining intensity compared with adjacent endothelium. The median proportions of...
Source: Polish Journal of Neurology and Neurosurgery - November 5, 2017 Category: Neurosurgery Source Type: research

Central nervous involvement by chronic lymphocytic leukaemia
Publication date: Available online 1 November 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Dariusz Szczepanek, Ewa Wąsik-Szczepanek, Agnieszka Szymczyk, Małgorzata Wach, Maria Cioch, Monika Podhorecka, Ewelina Grywalska, Marek Hus Inclusion of the central nervous system (CNS) in the course of chronic lymphocytic leukaemia (CLL) is rare. At the moment no risk factors or proven treatment methods are known. The disease is described both in its early phase and during its acceleration period, thus it has been suggested that there might be independent mechanisms influencing the development of this condit...
Source: Polish Journal of Neurology and Neurosurgery - November 2, 2017 Category: Neurosurgery Source Type: research

Optical coherence tomography in diagnosis and monitoring multiple sclerosis
Publication date: Available online 31 October 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Jan Kucharczuk, Zdzisław Maciejek, Bartosz L. Sikorski This paper presents application of optical coherence tomography (OCT) for diagnosis and monitoring of multiple sclerosis (MS). The peripapillary retinal nerve fibre layer thinning and the reduced total macular volume analysis are shown. With the course of the MS, the severity of these abnormalities increases which reflects the progressive degeneration of retinal ganglion cells and nerve fibres. The OCT parameters are sensitive, non-invasive indicators useful in...
Source: Polish Journal of Neurology and Neurosurgery - November 1, 2017 Category: Neurosurgery Source Type: research

Cavernous hemangiomas of the third ventricle: Alternative surgical routes in two cases
Publication date: Available online 31 October 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Mehmet Seçer, Murat Ulutaş, Fatih Alagöz, Kadir Çınar, Özhan Merzuk Uçkun, Ergün Dağlıoğlu Cavernous Hemangiomas (CH) arise from any part of the cerebrum. Intraventricular lesions are rare and pure third ventricular localization is rare for CHs. Cavernomas of the ventricles may present with bleeding or signs associated with hydrocephalus. Radical excision is advocated for optimal management of cavernomas. In the present study, we present two cavernomas of the third ventricle which were completely excis...
Source: Polish Journal of Neurology and Neurosurgery - November 1, 2017 Category: Neurosurgery Source Type: research

Fatal serotonin syndrome in a patient with Marchiafava –Bignami disease: Combined neurological and psychiatric emergency
In this report, we present a case with fatal serotonin syndrome happening in a non-alcoholic patient with the chronic form of MBD. To our knowledge, this case is the first report of fatal serotonin syndrome due to citalopram in an MBD patient. The present report may indicate that citalopram and other SSRIs should not be used in patients with MBD. Our case is also among few reported cases in the literature where no cause was identified in a patient with no previous history of alcohol intake. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - November 1, 2017 Category: Neurosurgery Source Type: research

Children with epilepsy against their healthy peers and those with headaches: Differences –similarities
Conclusions The functioning of children with epilepsy in the assessment of children and their mothers was the closest to the functioning of children with headaches. Quality of children's life assessment by children with epilepsy and by healthy children differed between the group of girls and boys and between older and younger children in all PedsQLTM 4.0 questionnaire areas. A medium response compatibility between children with epilepsy and their mothers was shown in individual questions. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 28, 2017 Category: Neurosurgery Source Type: research

Idiopathic infratentorial superficial siderosis of the central nervous system: Case report and review of literature
Publication date: Available online 27 October 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Andrea Stabile, Vincenzo Di Lazzaro, Cesare Colosimo, Fabrizio Piazza, Carlo Ferrarese, Jacopo C. DiFrancesco The superficial siderosis (SS) of the central nervous system (CNS) is a rare condition characterized by a wide range of neurological manifestations directly linked to an acquired iron-mediated neurodegeneration. First described more than 100 years ago, only recently SS has been divided into two distinct entities, according to the distribution of iron deposition in the CNS: cortical superficial siderosis (...
Source: Polish Journal of Neurology and Neurosurgery - October 28, 2017 Category: Neurosurgery Source Type: research

Evaluation of activities of daily living in patients with slowly progressive neuromuscular diseases
Publication date: Available online 27 October 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Katarzyna Bienias, Joanna Ścibek, Joanna Cegielska, Jan Kochanowski Slowly progressive neuromuscular diseases include but are not limited to: facioscapulohumeral muscular dystrophy (FSHD) and limb-girdle muscular dystrophy (LGMD), hereditary motor and sensory neuropathy (HMSN) and spinal muscular atrophy type III (SMA3). The purpose of this study is to present an evaluation of basic and complex activities of daily living in patients suffering from these diseases. The study was conducted on a group of 58 Polish pat...
Source: Polish Journal of Neurology and Neurosurgery - October 28, 2017 Category: Neurosurgery Source Type: research

Efficacy of endoscopic third ventriculostomy in old aged patients with normal pressure hydrocephalus
Publication date: Available online 23 October 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Young Sill Kang, Eun-Kyung Park, Ju-Seong Kim, Dong-Seok Kim, Ulrich-Wilhelm Thomale, Kyu-Won Shim Normal pressure hydrocephalus (NPH) is a chronic disorder caused by interrupted CSF absorption or flow. Generally, shunt placement is first option for NPH treatment. Due to complications of ventriculo-peritoneal (VP) shunt placement, endoscopic third ventriculostomy (ETV) can be considered as an alternative treatment option. Here we report the efficacy of ETV especially in old aged patients with normal pressure hydr...
Source: Polish Journal of Neurology and Neurosurgery - October 24, 2017 Category: Neurosurgery Source Type: research

Significance of noncompliance when treating patients with epilepsy
Conclusion Patient's poor compliance, the great frequency of seizures, the higher number of antiepileptic drugs and the adverse drug reactions have negative impact on the course of the epileptic disease. The improved compliance results in optimizing the antiepileptic treatment, improving patients’ condition and significantly cutting down costs incurred in the healthcare area. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 24, 2017 Category: Neurosurgery Source Type: research

Peripheral glutamate and TNF- α levels in patients with intracerebral hemorrhage: Their prognostic values and interactions toward the formation of the edemal volume
Conclusions Our results support the idea for the significance of glutamate and TNF-α as peripheral markers for excitotoxicity and inflammation in ICH patients. The developed multiple regression model for prediction of the development of the edema could be beneficial in decision making between conservative treatment and surgical intervention in the clinical practice. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 23, 2017 Category: Neurosurgery Source Type: research

Substantial disease exacerbation in a patient with relapsing-remitting multiple sclerosis after withdrawal from siponimod
Publication date: Available online 13 October 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Tomasz Litwin, Łukasz Smoliński, Anna Członkowka Among patients with multiple sclerosis, discontinuing highly effective disease-modifying treatments can potentially lead to severe disease recurrence, especially cessation of natalizumab and fingolimod. Similar to fingolimod, siponimod is a sphingosine-1-phosphate receptor modulator that inhibits the egress of a lymphocyte subpopulation from lymph nodes. In the present case report, we describe a patient with MS who experienced substantial disease exacerbation after...
Source: Polish Journal of Neurology and Neurosurgery - October 13, 2017 Category: Neurosurgery Source Type: research

Linear and nonlinear parameters of heart rate variability in ischemic stroke patients
Conclusions Cardiac monitoring in clinical routine using HRV analysis in order to identify autonomic imbalance may highlight cardiac dysfunctions, thus helping preventing potential cardiovascular complications, especially in right hemisphere ischemic stroke patients with sympathetic hyperactivation. (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 11, 2017 Category: Neurosurgery Source Type: research

The association of vertebrobasilar calcification with etiological subtypes, stroke recurrence and outcome in acute brainstem ischemic stroke
Publication date: Available online 9 October 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Elif Gökçal, Elvin Niftaliyev, Tuğçe Özdemir, Mehmet Kolukısa, Talip Asil (Source: Polish Journal of Neurology and Neurosurgery)
Source: Polish Journal of Neurology and Neurosurgery - October 10, 2017 Category: Neurosurgery Source Type: research