[Cerebral cysticercosis. Case report]. / Wagrzyca mózgu. Opis przypadku.

The authors present a case of a long course of disseminated cerebral cysticercosis. Diagnosis of cysticercosis was confirmed by serial magnetic resonance examinations.

[Immediate and remote results of surgical treatment of intramedullary astrocytoma and ependymoma of the spinal cord]. / Bezposrednie i odlegle wyniki leczenia operacyjnego gwiazdziaków i wysciólczaków sródrdzeniowych.

In the Department of Neurosurgery, Medical Academy in Lódz 219 patients were operated on the years 1948-1982 for intraspinal tumours, 39 of which were situated within the spinal cord. Excluding 9 cases of tumours situated in the lumbar or lumbosacral areas in the remaining 30 cases 11 astrocytomas, 11 ependymomas, 3 malignant gliomas, and 1 case each of teratoma, sarcoma, carcinoma, neurinoma and ganglioblastoma were found. Only the groups of astrocytomas and ependymomas were analyzed with respect to the clinical state of the patients and early and late results considering them as sufficiently large.

[A case of Recklinghausen's disease with bilateral tumors of the cerebellopontile angle]. / Przypadek choroby Recklinghausena z obustronnym guzem kata.

A case of bilateral cerebellopontine angle neuroma in a patient with von Recklinghausen's disease was treated successfully surgically.

[Cases of malignant neoplasms of soft tissues of the scalp]. / Z kazuistyki nowotworów zlosliwych tkanek miekkich owlosionej czesci glowy.

Two cases of sarcomas of the scalp are reported. Attention is called to the importance of early diagnosis and radical surgical treatment despite the high malignancy and tendency for recurrences.

[Clinical-radiological-anatomopathological correlations in cases of inoperable tumors]. / Korelacje kliniczno-radiologiczno-anatomopatologiczne w przypadkach uznanych za nieoperacyjne.

The analysis concerned 27 patients disqualified for radical surgical treatment and qualified for palliative procedures or conservative treatment in the Department of Neurosurgery, Medical Academy in Lódz in the years 1960-1976. The decisions of disqualification were based on the assessment of the clinical state, angiography of the cerebral vessels, pneumoencephalography or both these methods. Computer tomography was not available then, similarly as it is not available presently in most neurosurgical centres in Poland. The accuracy of the diagnosis of the nature of the pathological process and particularly its location based on these methods was compared with the results of postmortem examinations. The material was divided into two groups depending on the presence or absence of hydrocephalus. This division was based on the experiences showing that in cases with coexistent hydrocephalus paliative treatment is as a rule easier and more successful than similar treatment in cases without hydrocephalus. The analysis showed that two types of errors are possible when the possibilities of diagnostic investigations are at the level present in average neurosurgical centres in Poland. These errors may have a significant influence on the fates of the patients. The first type is due to erroneous estimation of the nature of the pathological process, with erroneous diagnosis of malignant process in cases without malignancy, and, conversely, diagnosis of non-malignant process in cases of malignant changes. Four such cases were found in this material. The second type of errors is due to false diagnosis of neoplasm location. Such errors lead to unsuccessful trials of radical treatment in cases with neoplasms situated in inaccessible sites or to unnecessary abandoning of surgical or palliative treatment in the presence of operable tumours. Both these types of errors are illustrated in the discussion.

[False signs in intraspinal tumors. Evaluation of tumor's position in relation to meninges and spinal cord]. / W sprawie objawów "mylacych" w guzach sródkanalowych ocena umiejscowienia guza w stosunku do opon i rdzenia.

The author discusses in detail the value of different diagnostic elements (history data, isolated neurological symptoms and signs, cerebrospinal fluid changes and dynamic CSF tests, plain films of the spine and contrast myelography) in a material of 204 patients operated upon for intraspinal tumours in the years 1948-1973. Certain signs of intraspinal tumours are discussed which had been the cause of erroneous conclusions in some cases regarding the situation of the tumour in relation to the meninges and spinal cord.

[Etiopathogenesis of mycotic aneurysms]. / W sprawie etiopatogenezy tetniaków mykotycznych.

In a patient after operation for metastatic bronchogenic brain abscess presence of aneurysm was demonstrated during control carotid angiography. In previous angiography the aneurysm had not been seen. During further observation the size of the aneurysm decreased. The patient died 5 weeks after the operation due to rupture of lung abscess into the pleural cavity. Microscopic examination showed that the lesion was in fact pseudoaneurysm. The authors discuss the mechanism of development of mycotic aneurysms and their possible role in the pathogenensis of metastatic brain abscesses.