National Repository of Grey Literature 5 records found  Search took 0.00 seconds. 
Early Diagnosis of the Failure of Endoscopic Third Ventriculostomy
Krejčí, Tomáš ; Řehák, Svatopluk (advisor) ; Krahulík, David (referee) ; Brichtová, Eva (referee)
Early diagnosis of the failure of endoscopic third ventricolostomy Aim of the study: The aim of the study is to determine the risk of ETV failure based on the presence or absence of radiological indications of third chamber deformation (bowing of the third chamber) on preoperative MR brain scans in patients with obstructive hydrocephalus. Additionally evaluating extend of the bowing, patients age, regression of bowing following successful ETV, etiology, degree of prematurity of newborns, persistence and character of clinical symptoms and other factors. Type of the study: Prospective clinical study. The data set and methodology: Data set comprised 157 patients with obstructive hydrocephalus operated on Neurosurgical clinic of University Hospital Ostrava between January 2008 and December 2016. The follow up duration was at least 3 months. From this cohort we were able to determine effect of bowing on ETV outcome in 135 patients. Of these patients, 70 were adults, 27 were children between 7 months and 16 years of age and 38 were infants under 6 months. From 38 infants under 6 months were 22 severe premature newborns, 9 moderately premature newborns and 7 mildly premature newborns. The extend of the bowing was determine in the range 3 - 14 mm. Results: ETV was noted as successful in 84 cases (62%). Statistical...
The case study of physiotherapeutical treatment of a patient with diagnosis edema and shock of cervical spinal cord
Brichtová, Eva ; Říha, Michal (advisor) ; Hankovcová, Eva (referee)
Title: The case study of physiotherapeutical treatment of a patient with diagnosis edema and shock of cervical spinal cord. Summary: The topic of the bachelor thesis is a case interpretation of the patient with edema and shock of cervical spinal cord which happened after a car accident. The aim of this thesis is a comprehensive treatment of the theoretical and practilal knowledge in a patient with the above mentioned diagnosis. The general theoretic part processes anatomy of a spine and a spinal cord. This anatomy is followed by description of the spine and spinal cord injury. Further I deal a clinical picture, pathophysiology of spinal cord injury and subsequent rehabilitation in the theoretical part. The special part includes a case interpretation of the patient with edema and shock of cervical spinal cord and a therapy of this demage. The chosen physiotherapy effect is evaluated in a conclusion. Key words: spinal cord, spinal cord injury, rehabilitation, case study
Prognostic significance of levels of brain specific biochemical markers in head injury patients
Homolková, Helena ; Choc, Milan (advisor) ; Náhlovský, Jiří (referee) ; Netuka, David (referee) ; Brichtová, Eva (referee)
OBJECTIVES: The S100B protein subgroup is a thermolabile acidic calcium-binding protein. S100B protein was first described in the central nervous system. Destruction of the nerve tissue results in S100B protein release from astrocytic glial cells and elevation of its levels in the cerebrospinal fluid. If the blood-brain barrier is also damaged, S100B gets into the systemic circulation and elevated blood levels of S100B are detected. Higher S100B serum levels in patients with head injury are predictive of possible development of secondary brain injury and the extent of permanent injury to the CNS. MATHERIAL AND METHODS: The authors present their results obtained in the group of 39 children aged 0 (newborns) to 17 years with isolated craniocerebral injury. RESULTS: Our group included 39 children aged 0-17 years. Excellent results (GOS - Glasgow outcome scale 4-5) were observed in 33 patients already at the time of transfer from our ICU to the neurological department. There was no death and the poor outcome group included only 6 children. Second GOS evaluation was performed 6 months later, when 36 children were in the GOS 4-5 group and only 3 children in the GOS 2-3 group. CONCLUSIONS: Due to high variability in S100B protein serum levels in children depending on age and gender, no correlation between...

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