[Multiple mononeuropathy in the course of the Churg-Strauss syndrome--a case study]. / Mnoga mononeuropatia w przebiegu zespolu Churga i Strauss - opis przypadku.

The Churg-Strauss syndrome (CSS) is a systemic vasculitis. The symptoms of CSS normally occur between the ages of 20 and 40. We present a case of a 60-year-old man with the CSS evolving in three phases. The initial symptoms included bronchial asthma and inflammation of the ethmoid sinuses. Later, the patient was diagnosed with peripheral blood eosinophilia, pulmonary changes, skin changes and neurological symptoms that progressed to multiple mononeuropathy. Electrophysiological tests confirmed progressive damage of the peripheral nervous system. An improvement of the patient's neurological state was observed after application of corticosteroids and rehabilitation. CSS is one of the causes of multiple mononeuropathy and should be taken into account in differential diagnosis. In patients with bronchial asthma, hypereosinophilia and progressive damage of many nerves, the syndrome is diagnosed in accordance with the criteria defined by the American College of Rheumatology.

[Contribution of occupational and non-occupational factors in the pathogenesis of carpaltunnel syndrome]. / Udzial czynników zawodowych i pozazawodowych w etiopatogenezie zespolu ciesni nadgarstka.

BACKGROUND: Carpal tunnel syndrome, involving the median nerve, is the most frequent compressive neuropathy. The aim of the study was to determine the influence of occupational and health factors on carpal tunnel syndrome development. MATERIALS AND METHODS: The group of patients comprised 271 persons (209 professionally active) who visited the EMG Service with suspected carpal tunnel syndrome. Almost 10% of them suffered from diabetes. RESULTS: On the basis of clinical and neurographic investigations a higher prevalence of carpal tunnel syndrome was found in blue collar workers and in women. CONCLUSIONS: In the diagnosis of carpal tunnel syndrome, Phalen's test and neurography of the median nerve are of similar value.

[Guillain-Barré syndrome with central nervous system symptoms. Report of two cases]. / Zespól Guillaina-Barrégo z objawami z osrodkowego ukladu nerwowego. Opis dwóch przypadków.

Guillain-Barré syndrome - acute inflammatory demyelinating polyradiculoneuropathy - is characterized by symmetrical flaccid paresis of limbs and areflexia or hyporeflexia which progress over a few days, up to 4 weeks. The central nervous system lesion is rarely reported in the course or treatment of the disease. In the paper two cases of patients with diagnosed Guillain-Barré syndrome with the central nervous system manifestations were discussed. A case of a 55-year-old woman was presented, who during hospitalization, on the last day of intravenous immunoglobulin therapy developed a hallucinatory syndrome. Furthermore, a case of a 18-year-old female patient with classic features of Guillain-Barré syndrome was described, because of its atypical initial presentation (headache, drowsiness and meningismus).

[Post-polio syndrome. A case report]. / Zespól post-polio. Opis przypadku.

Certain acute anterior poliomyelitis survivors express complaints of abnormal fatigue, weakness and muscular atrophy many years after acute onset. These are basic clinical symptoms of so-called post-polio syndrome (PPS). PPS is characterized by a relatively slow, but progressive pathological muscular process, in some cases leading to functional impairment of daily living and professional activity. Breathing, speaking and swallowing impairment are common but not severe medical problems of post-polio patients. Diagnosis is usually based on a typical medical history, electromyographic investigation and exclusion of other diseases presenting similar features. We report a case of PPS in a 49-year-old woman diagnosed in the Neurological Department in Zabrze. Thirty six years after acute anterior poliomyelitis with partial recovery, new symptoms of fatigue, muscular atrophy, exertional dyspnea, walking impairment and joint pain developed. Electromyography revealed features of coexisting spinal denervation and reinnervation in tested muscles. The differential diagnosis excluded other neuromuscular diseases. The patient fulfilled clinical and electromyographic criteria of PPS.