[Brain stem insufficiency in acute ischemia and cerebral hemorrhage]. / Niedomoga pnia mózgu w ostrym niedokrwieniu i krwotoku mózgowym.

Consciousness disorders are closely related to the general dysfunction of the brain stem, and called by some authors brain stem insufficiency. To evaluate the degree of brain stem dysfunction, an original scale has been elaborated. Each group of brain stem functions are scored. Consciousness being the most important symptom of the brain stem insufficiency is scored about 50% in a 63-score scale. Scores are used to achieve the most objectivity in the clinical monitoring of the brain stem insufficiency. Its utility was examined in 75 patients with either ischemia or cerebral hemorrhage. Patients of both groups with severe insufficiency below 33 scores and persisting over 24 hours had no chance to survive. The authors suggest that the scores may successfully be used in the clinical monitoring of all disorders producing consciousness disturbances. Survival of patients with brain stem insufficiency in the course of cerebral ischemia or hemorrhage depends on the degree and duration of the brain stem insufficiency.

[Cost of the treatment of acute cerebrovascular insufficiency causing cerebral infarction]. / Koszty leczenia ostrej niedomogi krazenia mózgowego prowadzacej do zawalu mózgu.

Many countries are interested in the cost of therapy of the acute cerebral flow insufficiency leading to brain infarction. Total costs include: drugs, laboratory tests, nursing care, the cost of patients' food, equipment, amortization, hospital administration etc. The total expenditure for a 10-15-day treatment of the acute neurological incident depended on the severity of the disease and was 8 million ++ zloty in case of mildly ill patient, 9 million in case of moderately severe disease, and 21 million zloty in case of severely ill patient. If the costs of such tests as CT and TCD-scanning will be added, total cost will increase significantly.