A case of post–traumatic cervicogenic headache treated by cervical cord stimulation

The case of a 26–year–old woman suffering from cervical trauma with disc herniation presenting with arm and neck pain is presented. She underwent cervical discectomy with fusion because the pain did not improve with medical therapies; as the neck pain resumed after surgery, a cervical cord neurostimulator was implanted, with improvement for cervicogenic headache. This report underlines the presence of two pathologies and the relationship between C2 and trigeminal pathways

Giant Aneurysm of the Extracranial Carotid Artery: Case Report

AbstractWe report a case of giant extracranial carotid aneurysm treated by carotid aneurysmectomy. A 70-year-old female was referred with a palpable swelling on left lateral region of the neck, associated with dizziness and dysarthria. Spiral-CT scan showed a 5-cm aneurysm of the internal carotid artery (ICA), kinking of ICA and increased flow in the right vertebral artery. Angiography showed, a fusiform ICA aneurysm, with lengthening and tortuosity of intracranial vessels. An aneurysmectomy was performed with end-to-end repair of ICA. The patient was discharged on the 12 post-operative day. Twelve months after the operation, the patient showed a complete recovery from the neurological deficit and patency of ICA. We recommend surgical treatment in order to avoid rupture, thromboembolism and cerebrovascular insufficiency

Predicting tree pollen season start dates using thermal conditions

Thermal conditions at the beginning of the year determine the timing of pollen seasons of early flowering trees. The aims of this study were to quantify the relationship between the tree pollen season start dates and the thermal conditions just before the beginning of the season and to construct models predicting the start of the pollen season in a given year. The study was performed in Krakow (Southern Poland); the pollen data of Alnus, Corylus and Betula were obtained in 1991–2012 using a volumetric method. The relationship between the tree pollen season start, calculated by the cumulated pollen grain sum method, and a 5-day running means of maximum (for Alnus and Corylus) and mean (for Betula) daily temperature was found and used in the logistic regression models. The estimation of model parameters indicated their statistically significance for all studied taxa; the odds ratio was higher in models for Betula, comparing to Alnus and Corylus. The proposed model makes the accuracy of prediction in 83.58 % of cases for Alnus, in 84.29 % of cases for Corylus and in 90.41 % of cases for Betula. In years of model verification (2011 and 2012), the season start of Alnus and Corylus was predicted more precisely in 2011, while in case of Betula, the model predictions achieved 100 % of accuracy in both years. The correctness of prediction indicated that the data used for the model arrangement fitted the models well and stressed the high efficacy of model prediction estimated using the pollen data in 1991–2010