[Coexistence of colloid cyst of the third ventricle with pituitary dwarfism in a female aged 16]. / Wspólistnienie torbieli koloidowej III komory z karlowatoscia przysadkowa u 16-letniej chorej.

A 16-year-old patient with pituitary dwarfism is reported, in whom a colloid cyst was found in the III ventricle. The authors believe that pituitary disorder and colloid cyst were a result of developmental anomalies manifesting themselves at various times.

[Reoperations in lumbar discopathies]. / Reoperacje w dyskopatiach ledzwiowych.

In the years 1976-1990 at the Neurosurgery Centre in Rzeszów 938 patients were treated surgically for lumbar discopathy. Reoperation was necessary in 5.4% of cases. In 0.6% of them purulent wound infection was the cause, in the remaining 4.8% lacking improvement or recurrence of sciatic pain after 1 month to 12 years. In 2.2% of cases the cause of pain recurrence was recurrent hernia at the same or other level, and after its removal sciatic pain disappeared. Root compression by cicatricial tissue or osteophyte caused reoperation in 1% and surgical decompression of the root gave only minor improvement. Lacking improvement after the first operation was due in 0.7% of cases to a fragment of the nucleus pulposus left in the vertebral canal and in 0.6% the cause was failure to recognize two-level discopathy. After reoperation in such cases all pains regressed. The analysis showed that the frequency of repeated interventions would be diminished by careful excochleation of the intervertebral space, operative revision of the space with comparison with the results of radiculography and clinical examination, and not too late decision of operation.

[Immediate and late results of the treatment of cerebrospinal rhinorrhea at the Department of Neurosurgery of the District Hospital in Rzeszów]. / Bezposrednie i odlegle wyniki leczenia plynotoków nosowych w Oddziale Neurochirurgii Wojewódzkiego Szpitala w Rzeszowie.

In the period 1976-1989 in the Neurosurgery Department, Province Hospital in Rzeszów 130 patients were treated for CSF rhinorrhoea and 104 of them were treated surgically. Out of these 104 patients 6 died after the operation because of purulent complications and severe brain injury following extensive open fractures of the anterior cranial fossa. The follow-up examinations are performed 1 to 13 years after the operation and conservative treatment. From the surgical group 77 (79%) came for the examination: 75 led active life, 50 resumed occupational work, 25 had disability pensions, 2 died, the cause of death was not established. From the group treated conservatively 15 patients responded (71%). Seven resumed occupation, 8 received disability pension, one died of cerebral abscess 3 years after head trauma.

[Treatment of skull defects by using plastic material "Codubix"]. / Leczenie ubytków kosci pokrywy czaszki z zastosowaniem materialu plastycznego "Codubix".

Early and late results of surgical treatment of cranial vault defects with Codubix prosthesis in 46 cases are presented. Early after the operation purulent complications were not observed. The main problem of normal healing-in of the prostheses was at that time accumulation of subgaleal haematoma which was observed in five patients (10.8%). Late complications necessitating removal of Codubix prosthesis occurred in four cases (8.7%). In one patient Codubix treatment led to meningitis due to late cerebrospinal fluid rhinorrhoea and in the second case staphylococcal infection was diagnosed 4 month after the operation. In 2 remaining cases prosthesis became movable 5 and 21 months after operation and became depressed by several millimeters. The inquiry sent to the patients for obtaining information on their present health was answered by 70% of them, and four reported slight, stable depression of the plate. The remaining ones reported no complications. In 91% of cases the patients regarded the cosmetic effect of the operation as good and 9% as unsatisfactory. Codubix is good material for filling of bone defects. It heals in quickly, produces rarely purulent complications, but requires very careful fixation.

[Assessment of surgical-orthopaedic management in craniofacial injuries complicated with nasal liquorrhoea]. / Ocena postepowania chirurgiczno-ortopedycznego w obrazeniach twarzowoczaszkowych powiklanych plynotokiem nosowym.

On the basis of experiences during 10 years with the cooperation of the departments of neurosurgery and maxillofacial surgery in the Province Hospital in Rzeszów the methods of surgical-orthopaedic management were assessed in craniofacial injuries. Out of 95 cases of craniofacial injuries treated in the years 1976-1985, in 42 cases (44.2%) nasal liquorrohea was present. For immobilization of the maxillary block in 32 cases Federspiel's traction was used, and in 5 cases interosseous binding of Adams. In 6 cases intermaxillary immobilization was applied. In this group of 42 cases of craniofacial injuries complicated with liquorrhoea in 24 (57.1%) liquorrhoea was stopped.

[Chronic intracranial hematoma]. / Przewlekly krwiak sródmózgowy.

A case of chronic increasing intracerebral haematoma was observed in a man aged 47 years.

[A case of multiple tuberculomas of the brain in a 17-year-old male]. / Przypadek mnogich gruzliczaków mózgu u 17-letniego mezczyzny.

The authors describe a case of multiple intracerebral tuberculomas in a man aged 17 years. History data and results of investigations failed to suggest the presence of tuberculoma. The diagnosis was established after histological examination of a surgically removed lesion in the right occipital area. Intensive antituberculous treatment gave complete cure confirmed by CT examination.

[Meningiomas of the posterior cranial fossa]. / Oponiaki tylnej jamy czaszki

In a period of 3 years 12 patients with meningiomas of the posterior cranial fossa were treated surgically. The group included 2 cases of meningioma situated on the cerebellar convexity, 5 on the tentorium, 2 on the posterior aspect of the pyramid bone, 1 of Blumenbach clivus, 2 of foramen magnum. The neurological findings and pneumoencephylographic changes in cases of meningiomas of cerebellar convexity, tentorium and posterior aspect of the pyramid bone made possible the diagnosis of posterior fossa tumour and the diagnosis of meningioma was made possible by carotid and vertebral angiography. In the case of Blumenbach clivus meningioma and in foramen magnum meningiomas the neurological changes were characteristic of tumours at the craniovertebral junction. One meningioma growing through the tentorium was approached from the middle cranial fossa, the remaining ones from the posterior cranial fossa. The tumour could have been removed radically in 7 cases. In 5 cases only partial removal was possible. Three patients died, two after operations for tentorial meningioma and one after operation for Blumenbach clivus tumour. The results in the remaining cases were good.

[Cyst of cisterna ambiens: case report]. / Torbiel zbiornika okalajacego: opis przypadku

The authors describe a rare case of congenital cyst of cisterna ambiens treated surgically. Histological examination of cyst wall suggested that the cyst belonged to the group of developmental anomalies of the type of dysraphic intracranial cerebral herniae.