[Guillain-Barré syndrome in a patient with primary sicca syndrome]. / Ciezki zespól Guillain-Barré u chorej z pierwotnym zespolem suchosci.

At the age of 23 the patient showed the first signs of dryness syndrome. Those symptoms developed progressively and during a few years primary Sjögren syndrome was noted. In the 37th year of life suddenly the patient developed very severe Gullian-Barré syndrome with involvement of the peripheral and central nervous system and with a considerable autonomic component. After treatment the patient improved, however mild symptoms of central and peripheral nervous system destruction remained. Those symptoms are still present and the patient is under the care of the Neurology and Rheumatology Clinic.

[The relation between ischemic cerebral stroke and heart diseases]. / Wspólzaleznosc niedokrwiennych udarów mózgu i chorób serca.

The aim of the study was to evaluate the relation between heart diseases and ischemic cerebral stroke. In addition to routine tests, echocardiographic examinations were performed in 70 patients with ischemic cerebral stroke and in 30 persons constituting the control group. It was found that heart diseases occurred in 70% of the patients in the group studied i.e. three times more frequently than in the control group. Heart disease confirmed by echocardiography and electrocardiography occurred more frequently in patients with cerebral infarct than in those with RIND. In the majority of cases cardiac valve diseases and/or atrial fibrillation were noted. It was found that in 14.3% of the patients studied, the results of the echocardiography indicated the need for modification of the treatment applied.

[Abdominal migraine in adults]. / Migrena brzuszna u doroslych.

A case of a 35-year-old woman with abdominal migraine is presented. For four years she had been suffering from abdominal pains occurring only at night, always between 1 and 3 a.m. The patient always woke with abdominal pains and nausea. Each time she had diarrhoea and vomited and found that this gave her relief from the pain. Sometimes she lost consciousness for 1-2 minutes. After the attack she felt very weak, her legs and feet became numb and she found it difficult to get to sleep. The attacks and the fainting fits increased in frequency until she had several a month. Numerous gastrological examinations did not reveal any deviations from the normal. At the anti- epileptic consulting unit, abdominal epilepsy was excluded (no abnormalities were found in the eeg and CT examinations of the cranium). As a child she had paroxysmal abdominal pains. When the patient was 10 years old, she had an attack lasting one week and though the pain was severe on the left side, appendectomy was performed. Her mother suffers from migraine with very severe head pains. The patient was referred to our consulting unit where she was treated with Pizotifen in doses of 0.5 mg morning and noon and 1 mg in the evening for three months during which time she had no attacks. A few weeks after discontinuing this treatment, the nocturnal attacks again occurred though the pains were not so severe. She was then prescribed Nitrendipine, 5 mg nightly, and the attacks ceased. However, the patient said that she had felt better when taking Pizotifen.

[Concentration of magnesium in serum and cerebrospinal fluid in patients with stroke]. / Zawartosc magnezu w surowicy krwi i plynie mózgowo-rdzeniowym pacjentów z udarami mózgu.

Magnesium concentration in blood serum and cerebrospinal fluid (CSF) was determined in 131 patients aged from 21 to 91 years, with RIND, complete stroke, cerebral haemorrhage and control group. Magnesium was estimated by the use of colorimetry and the method of Mann and Yoe. The results are presented in figures. Statistical evaluations revealed significant decrease of magnesium concentrations in blood serum and CSF in ischaemic stroke compared with control group. In complete stroke significantly lower concentrations of magnesium in blood serum and CSF were found compared with RIND. In ischaemic stroke higher MgSER/MgCSF index was found compared with control group. Magnesium concentration in blood serum was not statistically different within 2 weeks of the disease. No relationships were found between blood serum or CSF Mg concentrations and gender or age.

[Multi-system atrophy or symptomatic orthostatic hypotension]. / Zanik wieloukladowy czy objawowe podcisnienie ortostatyczne.

The authors describe a case of a 74-year-old patient with orthostatic hypotension syndrome. They discuss the possible symptomatic or idiopathic mechanisms of the aetiology of this syndrome, taking into account their possible coincident.

[Diagnostic difficulties in Shy-Drager syndrome]. / Trudnosci diagnostyczne w rozpoznawaniu zespolu Shy-Dragera.

The authors describe two cases of Shy-Drager Syndrome in the aspect of diagnostic difficulties. The simple tests for evaluation of automatic system function, especially orthostatic test are stressed.

[Ischemic cerebral stroke and alcohol]. / Niedokrwienne udary mózgowe a alkohol.

Retrospective analysis of patients with ischaemic cerebral stroke with particular relation to an effect of alcohol has been made. A group of 277 male patients aged upto 60 years was distinguished. Out of these patients alcohol abuse in anamnesis concerned 128 patients, and ischaemic cerebral stroke occurred in 16 of them during or immediately after drinking. An analysis included neurological status of the patients and the status of vascular system in correlation with changes in cerebral vessels angiography.

[Rheoencephalographic evaluation of the relations between the changes in cerebral circulation in the areas supplied by specific arteries in patients with cerebral stroke]. / Wspólzaleznosc zmian krazenia mózgowego w obszarach poszczególnych tetnic w ocenie reoencefalograficznej chorych z udarami mózgu.

Rheoencephalography was made in 105 patients with ischaemic brain stroke during the first phase after the onset of the disease and 10 days later. It was found that the presence of an ischaemic focus in the area of the internal carotid artery induced blood supply alterations within the areas of adjacent++ arteries, i.e. contralateral carotid artery and vertebral arteries. In some cases it became visible in the reg records under the form of reduced or enhanced pulsation of blood flow followed by weaker reactions of changed vascular tonus. Most distinct changes were observed at the onset of the brain stroke. Ten days later these changes became less expressed.

[Rheoencephalographic studies in patients with vertebrobasilar insufficiency]. / Badania reoencefalograficzne u chorych z niewydolnoscia kregowo-podstawna.

Rheoencephalographic investigations in different head positions were carried out in 62 subjects, including 22 healthy ones and 40 patients with vertebrobasilar arterial failure comparing the results with degenerative changes in the cervical spine. In patients with advanced changes in this spine the blood flow in the cerebral vessels was lower and their tonus was greater than in the remaining patients. Rheoencephalographic investigations may be particularly useful in patients in whom vertebral angiography is contraindicated.

[Clinical picture of left posterior cerebral artery occlusion. Alexia syndrome without agraphia]. / W sprawie obrazu klinicznego niedroznosci lewej tetnicy mozgu tylnej. Zespól aleksji bez agrafii.

The authors present a clinical description of three cases of occlusion of the left posterior cerebral artery. The pathogenesis of the syndrome of alexia without agraphia is discussed, together with other coexistent symptoms and signs such as hemianopsia, colour anomia, disturbances of recent memory. The discussion is based on own observations and a review of the pertinent literature.

[Dynamic rheoencephalographic studies using nitroglycerin test in patients with ischemic stroke]. / Dynamiczne badania reoencefalograficzne z zastosowaniem próby nitroglicerynowej u chorych z niedokrwiennymi udarami mózgu.

Dynamic rheoencephalographic investigations with nitroglycerin test were carried out in 32 patients with ischaemic strokes in the carotid vascularization area during the first two weeks after disease onset. No complications were observed. As a rule, nitroglycerin reduced the tonus of intracranial vessels and improved the blood flow to the studied areas taking place parallelly during the first two weeks of the disease. Vascular tonus was decreased after nitroglycerin more in the cases in which this tonus was more increased initially. The dynamic investigations with the nitroglycerin test may be useful for selection of an optimal treatment.

[Evaluation of the dynamics of cerebral blood flow by rheoencephalography in patients with ischemic stroke during the first 14 days of illness]. / Próba oceny dynamiki ukrwienia mózgu przy pomocy roencefalografii u chorych z niedokrwiennymi udarami mózgu w pierwszych 14 dniach od zachorowania.

Dynamic rheoencephalographic investigations were carried out in 52 subjects including 20 healthy ones and 32 patients with ischaemic brain strokes in the first 14 days after disease onset. The investigations demonstrated changes of the mean values of the reg index, most evident in the initial stage on the disease. The author discusses the problem whether the fluctuations of the reg index in certain patients could be due to the lately described syndromes of excessive brain perfusion and intracranial steal syndromes.

[Clinical aspects and diagnostic difficulties in normotensive hydrocephalus]. / Obraz kliniczny i trudnosci diagnostyczne u chorych z wodoglowiem normotensyjnym.

Ten patients are presented with normotensive hydrocephalus treated by implantation of the ventriculo-atrial valve. The follow-up was from 1 to 5 years. The usefulness of the test of cerebrospinal fluid removal (Fisher's test) for qualification for this surgical treatment is stressed.