Urazowe uszkodzenie mózgu = Traumatic brain injury

Kulesza Bartłomiej, Litak Jakub, Grochowski Cezary, Kulesza Jacek, Nogalski Adam. Urazowe uszkodzenie mózgu = Traumatic brain injury. Journal of Education, Health and Sport. 2016;6(12):215-221.eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.197104http://ojs.ukw.edu.pl/index.php/johs/article/view/4044https://pbn.nauka.gov.pl/sedno-webapp/works/763747   The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 02.11.2016. Revised 22.11.2016. Accepted: 07.12.2016.   Urazowe uszkodzenie mózguTraumatic brain injuryBartłomiej Kulesza1, Jakub Litak2, Cezary Grochowski2, Jacek Kulesza3, Adam Nogalski1 1 Katedra i Klinika Chirurgii Urazowej i Medycyny Ratunkowej Uniwersytetu Medycznego w Lublinie2 Katedra i Klinika Neurochirurgii i Neurochirurgii Dziecięcej Uniwersytetu Medycznego w Lublinie3 Oddział Neurochirurgiczny, Szpital Specjalistyczny w Sandomierzu lek. med. Bartłomiej Kulesza1,lek. med. Jakub Litak2,lek. med.  Cezary Grochowski2,dr n. med. Jacek Kulesza3,dr hab. n. med. Adam Nogalski1  StreszczenieUrazowe uszkodzenie mózgu (TBI)  nie jest właściwie jedną chorobą,  ale obejmuje szeroki zakres zmian w funkcjonowaniu mózgu lub inną ewidentną patologią mózgu spowodowaną zadziałaniem siły zewnętrznej.  TBI jest często określane mianem „cichej epidemii”.  Szacuje się że w Europie każdego roku z powodu jakieś formy TBI cierpi 2,5 miliona osób.  Patologiczny mechanizm TBI można podzielić na dwie fazy: pierwotne i wtórne uszkodzenie mózgu.  Są różne skale służące do oceny poszkodowanych po urazach, w przypadku urazów głowy największe znaczenie ma skala stanu świadomości Glasgow (GCS).  Najczęściej stosowana skala do oceny wyników leczenia chorych po TBI jest skala wyników leczenia Glasgow (GOS).  Rokowanie po TBI jest z reguły niekorzystne, można je próbować oszacować uwzględniając wiele czynników lub korzystając z dwóch kalkulatorów prognostycznych dostępnych w Internecie.Słowa kluczowe: urazowe uszkodzenie mózgu, epidemiologia, skala, rokowanieAbstractTraumatic brain injury (TBI) is not just one disease, but includes a wide spectrum alteration in brain function, or other evidence of brain pathology caused by external force. TBI is often referred to as "the silent epidemic". In Europe, it is estimated approximately 2,5 milion people suffer from some form of TBI.  The pathological mechanism of TBI is divided into two phases: primary and secondary brain injury. There are various scales to assess victims after injuries,  in case of head injuries the most important is Glasgow Coma Scale (GCS). The most common scale used to evaluate the results of treatment of patients after TBI is Glasgow Outcome Scale (GOS). The prognosis after TBI is generally unfavorable, there are a few factors which can try to assess outcomes or there are two prognostic calculators available on the Internet.Key words: traumatic brain injury, epidemiology, scale, outcom

Long - term concequences of subdural hematoma on quality of life

Czyżewski Wojciech, Litak Jakub, Kulesza Bartłomiej, Rolińska Agnieszka, Staniewicz Dominik, Grochowski Cezary, Kruk Rafał, Tyzo Bartłomiej. Long - term concequences of subdural hematoma on quality of life. Journal of Education, Health and Sport. 2018;8(9):961-965. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1419662 http://ojs.ukw.edu.pl/index.php/johs/article/view/5990 https://pbn.nauka.gov.pl/sedno-webapp/works/877650 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.09.2018. Revised: 12.09.2018. Accepted: 15.09.2018. Long - term concequences of subdural hematoma on quality of life Wojciech Czyżewski1, Jakub Litak2, Bartłomiej Kulesza2, Agnieszka Rolińska3, Dominik Staniewicz4, Cezary Grochowski2, Rafał Kruk2, Bartłomiej Tyzo2 1 Department of Didactics and Medical Simulation Medical University of Lublin. 2 Department of Neurosurgery and Pediatric Neurosurgery SPSK-4 in Lublin. 3 Department of Clinical Psychology, 4 Medical University of Lublin. \ Krwiak podtwardówkowy i jego długoterminowy wpływ na jakość życia 1 Zakład Dydaktyki i Symulacji Medycznej Uniwersytetu Medycznego w Lublinie. 2 Klinika Neurochirurgii i Neurochirurgii Dziecięcej SPSK4 w Lublinie. 3 Zakład Psychologii Stosowanej Uniwersytet Medyczny w Lublinie. 4 Uniwersytet Medyczny w Lublinie. Abstract Subdural hematoma (SDH) could be an acute state required rapid neurosurgical decompression, could also represent chronic form; both develop after head trauma as well. Long term influence on a quality of life depend on many factors. Researchers put a lot of effort to find those which play most predictive role. Abstrakt Krwiak podtwardówkowy jako stan nagły może wymagać szybkiej dekompresji neurochirurgicznej, może również mieć formę przewlekłą - oba mogą być związane z urazem głowy. Długoterminowy wpływ na jakość życia zależy od wielu czynników. Badacze poszukuję tych ,które maja największa wartość predykcyjną. Key words: Subdural hematoma, bleeding. Słowa kluczowe: Krwiak podtwardówkowy, krwawienie

Carpal Tunnel Syndrome - treatment

Litak Jakub, Grochowski Cezary, Litak Joanna, Szmygin Paweł, Kulesza Bartłomiej, Kamieniak Piotr. Carpal Tunnel Syndrome – treatment. Journal of Education, Health and Sport. 2017;7(1):141-146. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.238710 http://ojs.ukw.edu.pl/index.php/johs/article/view/4160 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016). 754 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.12.2016. Revised 20.12.2016. Accepted: 11.01.2017. Zespół cieśni nadgarstka – leczenie Jakub Litak [1], Cezary Grochowski [2], Joanna Litak [3], Paweł Szmygin [1], Bartłomiej Kulesza [1], Piotr Kamieniak [1] [1] Klinika Neurochirurgii i Neurochirurgii Dziecięcej SPSK-4 w Lublinie [2] Katedra i Zakład Anatomii Prawidłowej Człowieka Uniwersytetu Medycznego w Lublinie [3] Centrum Onkologii Ziemii Lubelskiej im. Jana z Dukli Carpal Tunnel Syndrome – treatment Jakub Litak [1], Cezary Grochowski [2], Joanna Litak [3], Paweł Szmygin [1], Bartłomiej Kulesza [1], Piotr Kamieniak [1] [1] Department of Neurosurgery and Pediatric Neurosurgery SPSK-4 in Lublin [2] Department of Human Anatomy Medical University of Lublin [3] St. John`s Cancer Center in Lublin Słowa kluczowe: Zespół cieśni nadgarstka Key words: Carpal Tunnel Syndrome Abstrakt Zespół cieśni nadgarstka jest częstym schorzeniem spotykanym w praktyce lekarskiej. Obraz kliniczny i diagnostyka przewodnictwa nerwowego są podstawą rozpoznania. Leczenie dobrane adekwatnie do nasilenia dolegliwosci daje ulgę w bólu . Zaniki mięśniowe w obrębie kłębu kciuka są wskazaniem do zabiegu operacyjnego . Abstract Carpal Tunnel Syndrome is a common disease in General Practice. Clinical symptoms and Nerve Conduction Evaluation are crucial for proper diagnosis. Adequate treatment leads to pain relief. Thenar dystrophy indicates surgical treatment

Long - term concequences of subdural hematoma on quality of life

Subdural hematoma (SDH) could be an acute state required rapid neurosurgical decompression , could also represent chronic form ; both develope after head trauma as well. Long term influence on a quality of life depend on many factors. Reaserchers put a lot of effort to find those wchich play most predictive role

Reasons for reoperation of patients undergoing surgical evacuation of an acute subdural hematoma – case raport and review of literature

Background: We are presenting a case and as well as its analyzis regarding subdural hematoma reoperations. Case description: A 48-year-old patient after head trauma operated on due to diagnosed right-sided subdural hematoma. On the second day of hospitalization he developed epidural hematoma at the operation site, which reuired second surgery. Conclusion: Early detection and prompt treatment may improve the poor outcome in this group of patients. The choice between craniotomy and craniectomy and additional risk factors as ASA and antiplatelet intake as well as age and alcohol abuse have unverified importance in the context of reoperation

Initial prognoctic factors of traumatic brain injury, complicate by acute, traumatic subdural hematoma and epidural hematoma and their association with outcome

Kulesza Bartłomiej, Szmygin Paweł, Nogalski Adam. Initial prognoctic factors of traumatic brain injury, complicate by acute, traumatic subdural hematoma and epidural hematoma and their association with outcome. Journal of Education, Health and Sport. 2017;7(4):279-286. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.439539 http://ojs.ukw.edu.pl/index.php/johs/article/view/4365 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.03.2017. Revised 12.03.2017. Accepted: 30.03.2017. Wczesne czynniki prognostyczne urazowego uszkodzenia mózgu, powikłanego ostrym, urazowym krwiakiem podtwardówkowym i nadtwardówkowym i ich wpływ na rokowanie Initial prognoctic factors of traumatic brain injury, complicate by acute, traumatic subdural hematoma and epidural hematoma and their association with outcome Bartłomiej Kulesza1, Paweł Szmygin2, Adam Nogalski1 1 Klinika Chirurgii Urazowej i Medycyny Ratunkowej UM w Lublinie 2 Klinika Neurochirurgii i Neurochirurgii Dziecięcej UM w Lublinie Streszczenie Urazowe uszkodzenie mózgu (TBI – Traumatic brain injury) nie jest jedną jednostką chorobową, ale obejmuje szeroki zakres skutków, obrażeń lub urazów mózgu, spowodowanych zadziałaniem siły zewnętrznej. Jednym z najistotniejszych skutków urazowego uszkodzenia mózgu jest powstanie krwiaków wewnątrzczaszkowych. Szacuje się że dochodzi do ich powstania w przypadku 25-45% - ciężkich, 3-12% - średnio ciężkich oraz 0,2 % - lekkich urazów czaszkowo-mózgowych. Najczęściej konsekwencja urazu jest ostry krwiak podtwardówkowy (SDH, subdural hemetoma) lub krwiak nadtwardówkowy(EDH,epidural hematoma). Wczesne czynniki prognostyczne można podzielić na takie grupy jak: dane demograficzne, funkcje życiowe, parametry laboratoryjne i cechy Tomografii Komputerowej. Dane demograficzne to: wiek, płeć, wstępna punktacja w skali Glasgow, mechanizm urazu i czas uraz-operacja. Funkcje życiowe: ciśnienie tętnicze, saturacja, częstość akcji serca i oddechów, wśród tych czynników są czynniki wtórnego uszkodzenia mózgu czyli hipoksja i hipotensja. Badania laboratoryjne zawierają rutynowa oznaczane badania laboratoryjne. Cechy Tomografii Komputerowej zawierają skale Marshalla I Rordema oraz czynniki indywidualne. Wiele z tych czynników wymaga jeszcze badań. Szczególnie dotyczy to czynników z grupy funkcji życiowych oraz parametrów laboratoryjnych wśród chorych z urazowym, ostrym krwiakiem podtwardówkowym i nadtwardówkowym. Słowa kluczowe: urazowe uszkodzenie mózgu, krwiak podtwardówkowy, krwiak nadtwardówkowy, rokowanie. Abstract Traumatic brain injury (TBI) is not just one disease, but includes a wide spectrum alteration in brain function, or other evidence of brain pathology caused by external force. The most important effect of traumatic brain injury is the development of the intracranial haematomas. It is estimated thet intracranial hematomas occur In 25-45% of severy traumatic brain injuries, 3-12% of moderate cases, and 0,2% of mild craniocerebral injuries. The mostly consequence of injury is acute subdural hematoma or epidural hematoma. Initial prognostic factors could be divided In: demographic factors, vital signs, laboratory parameters and Computer Tomography scan characteristics. Demographic factors as: age, gender, Glasgow coma scale, mechanism of injury, time injury-surgery. Vital signs: blood pressure, saturation, heart and respiratory rate, among that factors there are secondary brain injury so hypotensia and hipoxia. Laboratory paremeters include routine laboratory test were taken measuremets. Computer Tomography scan characteristics include Marshall and Roterdam scale and independent characterics. A lot of that factors has been requiring research yet. Particulary factors from vital sings and laboratory paremeters In patients with acute, traumatic subdural hematoma and epidural hematoma. Key words: traumatic brain injury, subdural hematoma, epidural hematoma, outcom

Treatment of Moya Moya disease using indirect surgery technique

Grochowski Cezary, Kulesza Bartłomiej, Szczepanek Dariusz. Treatment of Moya Moya disease using indirect surgery technique. Journal of Education, Health and Sport. 2016;6(8):236-240. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.60391 http://ojs.ukw.edu.pl/index.php/johs/article/view/3752       The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.07.2016. Revised 25.07.2016. Accepted: 12.08.2016.     Treatment of Moya Moya disease using indirect surgery technique   Cezary Grochowski1, Bartłomiej Kulesza2, Dariusz Szczepanek2   1Internship in SPSK nr. 4 in Lublin 2Department of Neurosurgery, Medical University of Lublin   Abstract   Introduction: Moya Moya disease is a rare health condition with unknown etiology. Because of the pathological process in the patient vessels we can observe narrowing or occlusion of distal part of internal carotid artery and proximal part of anterior and medial cerebral artery, which is characteristic for this disease. The disease occurs most often among asian women and it usually affects patients in their first decade of life or 3-4 decade. Case presentation: Four year old female suffered from headaches, dizziness as well as progressive paroxysmal hemiparesis and speech disorder. The symptoms were recurrent and lasted for two years. MRI and MRA were performed and revealed pathological changes in arteries of scull base and pathological collateral arteries, characteristic for moyamoya disease. Surgical treatment: Multiple burr hole surgery was performed. Holes were made in the left fronto-temporo-parietal area, peritoneal straps were inserted into the subarachnoidal area in order to start revascularization process. Conclusion: Presented technique is preferred among children suffering from moya moya disease because of the safety of the technique and good treatment effects. There is no need to perform by-pass surgery which is also considered as big advantage of presented technique

Factors Predisposing to The Formation of Degenerative Spondylolisthesis—A Narrative Review

The relationship between various factors predisposing to the formation of spondylolisthesis, including degenerative spondylolisthesis, has been analyzed by many authors. However, not all observations are consistent. In this review, we identified factors whose impact on the prevalence of spondylolisthesis was most often mentioned in the literature. These included gender, age, bone mineral density, ethnic origin, and oophorectomy. The results were inclusive in terms of physical activity, pregnancy status, and use of hormone replacement therapy. Associations between diabetes and smoking were very poorly marked. The literature so far has identified a number of factors significantly affecting the incidence of degenerative spondylolisthesis. These include age, gender, body weight, ethnic origin, bone mineral density, and hormonal balance. Radiological parameters, which include iliac crest, pelvic tilt, pelvic incidence, sacral slope, and lumbar lordosis, may also be of great importance for assessing changes in the occurrence and progression. However, the authors do not agree on the real significance of individual factors. The aim of this review was to identify the factors predisposing to the formation of degenerative spondylolisthesis, the importance of which has been suggested in the current literature. The systematization of knowledge in this field can allow a more accurate adjustment of the treatment plan for each patient affected by this condition

Initial Factors Affecting 6-month Outcome of Patients Undergoing Surgery for Acute Post-traumatic Subdural and Epidural Hematoma

Introduction: The most frequent consequences of a traumatic brain injury are acute subdural (SDH) and epidural hematoma (EDH), which usually require a surgical treatment. Most of the factors affecting the prognosis have been analyzed on a wide group of traumatic brain injuries. Nonetheless, there are few studies analyzing factors influencing the prognosis regarding patients with EDH and SDH. The aim of the study is to identify factors which have prognostic value in relation to 6-month outcome of patients undergoing surgery for acute hematoma. Patients and methods: The study included a group of 128 patients with isolated craniocerebral injuries. The patients were divided into two groups, namely a group of 28 patients operated on due to epidural hematoma and a group of 100 patients operated on due to acute subdural hematoma. All patients were operated and treated in the Department of Neurosurgery at the Medical University in Lublin from 1.10.2014 to 31.08.2017. The following factors from the groups were analyzed: demographic data, physiological factors, laboratory factors, computed tomography scan characteristics, and time between the trauma and the surgery. All the factors were correlated with six-month outcome in Glasgow outcome scale. Results: The univariate analysis has confirmed the influence of many factors affecting the outcomes. Conclusion: It is interesting that the factors such as GSC score, saturation, respiratory rate, and systolic blood pressure were associated with outcome with highly statistically significant differences in both group. These are factors that, with an appropriate treatment, could be normalized at the place of the accident

Upper cervical spine giant cell tumour of the vertebra - case report

Giant cell tumour (GCT) is a benign aggressive tumour, which affects the axial and peripheral skeleton. Pathological fractures often occur in cases where epiphyses are affected. GCT located in the cervical spine is rare and poses a serious surgical challenge and as far as approach and range of operation is concerned, is subject of debate. We report a case of GCT involving two vertebral bodies, C2 and C3, treated with posterior occipito-cervical junction stabilization, denosumab chemotherapy and transoral corpectomy