[Evaluation of non-cerebral complications in light of ischemic stroke severity]. / Ocena powiklan pozamózgowych w swietle ciezkosci udaru niedokrwiennego mózgu.

Extracerebral complications which were observed in great number of ischemic stroke patients increased the risk of death and disability. Pneumonia, myocardial infarction, pulmonary embolisms and urinary tract infections are most often. We considered the influences of extracerebral complications on anterior circulation territory disturbances. A cohort of 1697 patients with first-ever ischemic stroke within anterior circulation region was evaluated. Patients were divided into three groups: A, B, C according to the heaviness of stroke. We understood the heaviness of stroke as a degree of cerebral disfunction occurring within the first 24 hours of the onset and assessed it using Clinical Groups of the Whole Body Activity (CG WBM). CG WBM is an original classification, a three-degree one, prepared by Department of Neurology University School of Medicine Sciences in Bydgoszcz. The rate of complications was statistically significantly lower in group A with the mild course of ischemic stroke than in group B with moderate or in group C with the severe course of ischemic stroke. Pneumonia, myocardial infarction and pulmonary embolism were recognized more often in patients with fatal outcome. The amount of extracerebral complications raised with the severity of the ischemic stroke.

[Diagnostic difficulties with skull and brain injury complications in alcoholic patients]. / Trudnosci diagnostyczne nastepstw urazów czaszkowo-mózgowych u osób nietrzezwych.

About 20% of patients treated because of craniocerebral injuries are those after an alcohol intake. Great number of these patients slightly bodily injured without any focal cerebral deficit are stopped by police. The effects of injuries masked by the picture of alcohol intoxication are developed during that time. Published data and authors of this paper observations show that atypical clinical picture, lack of typical, specific disturbances of cerebral function make diagnosing of the effect of craniocerebral injuries difficult. To avoid diagnostic errors in inebriate patients with head injuries, the degree of cerebral function disturbances together with life-threatening risk factors should be carefully evaluated. Afterwards the range of diagnostic methods can be established. If the wide range of diagnostics is not necessary, patients should be observed over the period of a few hours. The authors present original 63-points Scale of Brainstem Insufficiency (ITC). This ITC scale assesses: consciousness, the whole body movements, vegetative functions (breath temperature, blood pressure, pulse), pupils and eye movements movements. This scale can be used for evaluation of global cerebral function disturbances observed in not only craniocerebral injuries but in alcohol intoxication as well.

[Physical activity in acute cerebrovascular insufficiency]. / Aktywnosc ruchowa w ocenie ostrej niedomogi krazenia mózgowego.

It was noted that physical activity of 1052 patients hospitalized for the acute cerebral flow failure due to atheromatosis is an important indicator of the cerebral ischemia. Extension of ischemia evaluated on the basis of physical activity enables to foresee possible improvement and survival. Authors' own classification of physical activity may be helpful in the monitoring of cerebral flow failure therapy.

[Cerebral infarction--a general-medical problem]. / Zawal mózgu--problem ogólnolekarski.

A knowledge of events accompanying the acute coronary failure may help understanding the acute cerebral blood flow insufficiency leading to brain infarction. Cerebral blood flow should be treated as an integral part of the systemic blood circulation. It is of importance when the disease produces lesions to the vascular wall, and the brain looses its autoregulation functions. In such a situation every extracerebral disorders--even slight--may produce extensive lesions to nervous tissue. Therefore, the treatment of the acute cerebral circulation failure requires proper functioning of all factors which may affect hemodynamics and tissue metabolism. Duration of cerebral flow disorders plays an important role in the avoidance of unfavourable complications such as brain infarction. Therefore, every physician is obliged to undertake any possible actions preventing such complications.

[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.

[A new model of computerized encephalovolumeter for monitoring of acute cerebrovascular insufficiency]. / Nowy model skomputeryzowanego encefalowolumometru do monitorowania ostrej niedomogi krazenia mózgowego.

A new model of the computerized encephalovolumeter (EVM.IR) is presented. Infrared light is used as an information carrier enabling to follow the dynamics of intracerebral equilibrium and blood flow disorders. The authors suggest that this model would help clinical examination in the acute cerebral flow failure, and increase better evaluation of the efficiency of drugs improving cerebral blood flow. It should also help to foresee the outcome and prognosis. A new model of EVM.IR and its programs require further constructional and experimental studies before the routine use at ICUs.

[Epidemiology and psychopathology of epileptics in Bydgoszca Province registered between 1976 and 1980]. / Untersuchungen zur Epidemiologie und Psychopathologie der zwischen 1976 und 1980 in der Woiwodschaft Bydgoszcz registrierten Epileptiker.

In the years 1976-1980, the province of Bydgoszcz had a total of 2635 registered epileptics, or 0.37% of the entire population, over the age of 16. From these, 200 patients were randomly selected, and between 1983 and 1985 a complats clinical follow-up investigation was carried out. Among the most frequent mental disorders found were postparoxysmal twilight state (19.5%) and affective psychoses (11%), among the chronic disorders, dementia of varying intensity (26.5%). In contrast with previous investigations the present investigation made it possible to determine with precision the cause of epileptic attacks. The ratio was 61% to 31%.