Żywienie dojelitowe i pozajelitowe w udarze mózgu — stanowisko Grupy Ekspertów Sekcji Chorób Naczyniowych Polskiego Towarzystwa Neurologicznego

U chorych po udarze mózgu bardzo często występują zaburzenia przyjmowania, wchłaniania i metabolizowania pokarmów. Niedożywienie w znaczącym stopniu zwiększa ryzyko wstąpienia powikłań oraz wpływa na czas hospitalizacji, skuteczność rehabilitacji i jakość życia. W pracy przedstawiono stanowisko Grupy Ekspertów powołanej z inicjatywy Sekcji Chorób Naczyniowych Polskiego Towarzystwa Neurologicznego dotyczące żywienia dojelitowego i pozajelitowego po udarze mózgu

Zmiany w jądrach podstawy mózgu u chorej z ruchami mimowolnymi jako pierwszym objawem cukrzycy : opis przypadku i przegląd literatury

We present a case of unilateral hyperdensity of the lentiform and caudate nucleus on CT with hyperintesity on T1-weighted images on MRI in a 71-year-old woman with hemichoreahemiballism and recently diagnosed diabetes

Miliary brain metastases from papillary adenocarcinoma of the lung : unusual MRI pattern with histopathologic correlation

Miliary brain metastases are very rarely described in the literature but if they are, they are quite obvious on magnetic resonance imaging (MRI) and enhance after intravenous administration of the contrast medium. The authors presented a case of miliary metastatic spread to the brain which was invisible on computed tomography and hardly visible on MRI, i.e. as countless, tiny, slightly T1-hyperintense foci that did not enhance. The authors discussed a few T1-hyperintense brain lesions which did not include metastases (except for metastatic melanoma which was a radiological suggestion after brain MRI). Autopsy revealed papillary adenocarcinoma of the lung with numerous metastatic lesions in both cerebral and cerebellar hemispheres and the meninges

The value of magnetic resonance imaging in the early diagnosis of Creutzfeldt-Jakob disease : own experience

Background: Creutzfeldt-Jakob disease (CJD) is a rare progressive neurodegenerative disorder, caused by the deposition of the pathological isoform of prion protein PrPsc in the central nervous system. The classic triad of symptoms consists of: rapidly progressive dementia, myoclonus and typical electroencephalographic findings (intermittent rhythmic delta activity and periodic sharp wave complexes). Detection of 14-3-3 protein in the cerebrospinal fluid plays an important diagnostic role as well. Magnetic resonance (MR) images of the brain have been recently incorporated into the diagnostic criteria of sporadic Creutzfeldt-Jakob disease. Case Report: MR examinations were performed in a 65-year-old man and a 54-year-old woman with delusional disorder and cognitive dysfunction, respectively. Diffusion restriction (hyperintense signal in DWI) was shown in the cortex of the left parietal and occipital lobe in the first patient and symmetrically in the cortex of both cerebral hemispheres except for precentral gyri in the second one. In both cases, the first examinations were misread, with the suspicion of ischemic infarcts as the first differential diagnosis. Consultations and subsequent MR examinations in which lesions in subcortical nuclei appeared allowed for a diagnosis of probable CJD. In the first case it was confirmed by clinical picture, EEG and finally - autopsy. In the second case, EEG was not typical for CJD but the clinical course of the disease confirmed that diagnosis. Conclusions: The authors present the cases of two patients with characteristic MR images that allowed early diagnosis of probable Creutzfeldt-Jakob disease before the characteristic clinical picture appeared. Early diagnosis is nowadays important for the prevention of disease transmission and in the future - hopefully - for early treatment