[Endovascular treatment of internal carotid artery giant aneurysm by embolization of the parent artery using a detachable balloon]. / Przeznaczyniowe leczenie gigantyccznego tetniaka tetnicy szyjnej wewnetrznej na drodze calkowitej embolizacji tetnicy macierzystej przy uzyciu balonu odczepialnego.

A giant, unclippable right ICA aneurysm located partially intracavernously is reported with neck deriving at C3 level. The aneurysm caused optic chiasm compression, progressive left eye vision loss and exophthalmus as well as persistent headache. The presence of the aneurysm was first found in CT and confirmed by angiography. After having performed the temporary occlusion test of right ICA the ICA was permanently occluded with a detachable balloon. Control angiography showed complete occlusion of right ICA and no opacification of the aneurysm sac from vertebral and left carotid arteries.

[Biological and clinical significance of acute phase proteins with particular emphasis on the role of C-reactive protein]. / Biologiczne i kliniczne znaczenie bialek ostrej fazy ze szczególnym uwzglednieniem roli bialka C-reaktywnego.

The acute phase response is a non-specific, early phenomenon, in which the concentration of a number of plasma proteins is increased following most forms of tissue injury, bacterial infection, inflammation, malignant neoplasia and surgical procedures. These plasma proteins are collectively termed acute-phase proteins. Their most important role is to restore the homeostasis of human organism. C-reactive protein (CRP) regarding his dynamic reaction, is one of the best non-specific biochemical indicators of most disorders. The multiple quantitative measurement of CRP is usefull in the diagnosis, differentiation, the assessment of treatment effectiveness and patient's prognosis, additionally to other clinical parameters.

[Direct effects of the intrathecal administration of normal saline for the brain expansion after the removal of subdural hematoma]. / Bezposrednie skutki dokanalowego podawania fizjologicznego roztworu soli w celu rozprezenia mózgu po usunieciu krwiaka podtwardówkowego.

In a group of 360 patients the effects were studied of various management methods in case of lacking expansion of the brain after removal of chronic subdural haematoma on the therapeutic results. It was found that intrathecal infusion of normal saline was an effective procedure, with small frequency of transient complications, and was followed by a considerably lower number of re-operations than after external or internal drainage of haematoma cavity.