[A syndrome of neurologic complications due to hypoglycemia--two case reports]. / Obraz zaburzen neurologicznych powstalych wskutek stanów hipoglikemii--opis dwóch przypadków.

Two cases of antidiabetic drug poisoning are presented. They resulted from a suicidal attempt. Transient hypoglycaemic coma, abnormalities of the cognition functions, pyramidal and extrapyramidal symptoms were due to a prolonged hypoglycaemia.

[Subcortical dementia and the frontal lobe syndrome]. / Demencja podkorowa a zespól czolowy.

Subcortical dementia is a clinical syndrome incorporating disorders of cognitive and affective sphere, which is caused by organic damage to subcortical structures. The syndrome is usually connected with Progressive Supranuclear Palsy, Huntington Disease, Parkinson's Disease. Subcortical dementia is mainly characterized by: slowing down of psychic functions and impairment of their precision, disorders in the ability to use achieved knowledge and personality changes. Most authors stress the fact that similar cognitive and emotional personality defects are observed in cases of frontal cortex damage. Recent research points to the existence of functional subcortical-prefrontal circuits which regulate human behaviour. There is a link between subcortical dementia and functional or structural break of one or more cortical-subcortical connections. Attention is also called to disorders in certain neurotransmitting systems (dopaminergic, acetylcholinergic) as well as to brain hypometabolism in basal ganglia, thalamus and prefrontal cortex.

[Neuroborreliosis: diagnostic difficulties]. / Neuroborelioza--trudnosci diagnostyczne.

Borreliosis is a condition caused by spirochaete-Borrelia burgdorferi, characterised by multiorgan changes and prolonged course with three consecutive stages. The number of diagnosed cases in Poland tends to increase. This is due to the availability of diagnosis tests. Owing to the analysis of blood and CSF by the fluorimetric method 3M IgG/IgM Fastlyme, neuroborreliosis was confirmed in 5 patients (hospitalised in Neurological Clinic of Medical Academy in Bialystok). Three of the cases were characterised by a bilateral palsy of facial nerve and abnormal CSF, as evidenced by pleocytosis (100% lymphocytes) and elevated protein. Patient 4 diagnosed by dermatologists as having Acrodermatitis atrophicans, should be classified, however, as the third stage of the disease, while according to neurological changes--namely a lesion of shoulder plexus--as the second stage. Evaluation of patient 5 presented most difficulties. Considering long-term disease and the time from the onset to the admission to the neurological clinic, she was likely to develop the third stage of the disease, and therefore, our treatment failed to be so effective as in aforementioned cases.

[Electromyographic studies in a rare case of periodic muscular rigidity with spontaneous rest activity]. / Badania elektromiograficzne w razdkim przypadku okresowej sztywnosci miesniowej z samoistna czynnoscia spoczynkowa.

The results of EMG investigations with pharmacological and functional tests are reported in a rare case of periodic muscular rigidity with spontaneous activity at rest mainly in shouldergirdle muscle. The aetiology of the syndrome is unknown.

[Analysis of the possibilities of prevention of status epilepticus as well as its complications in children]. / Analiza mozliwosci zapobiegania stanom padaczkowym i powikøaniom po nich u dzieci z padaczka

Sixty-five cases of status epilepticus in 51 children were analysed. In 8 cases permanent damage to the CNS resulted and 4 children died. The analysis indicates that the factors influencing the frequency of status epilepticus and CNS damage include: young age of children, infections and their type, withdrawal of antiepileptic medication and the time of beginning treatment of status epilepticus as well as the type of drugs used. In prevention of repeated seizures the authors suggest early administration of anticonvulsants with dehydrating drugs, antipyretics and anti-inflammatory agents. The authors suggest also increasing of the dosage of anticonvulsants in cases of enen common infections beginning in epileptic children.