[Postraumatic klüver-Bucy syndrome--description and comparison of two clinical cases]. / Pourazowy zespól klüvera-Bucy'ego--opis i porównanie dwóch przypadków klinicznych.

AIM: Klüver-Bucy syndrome was described in the fifties of the 20th century as a group of neuropsychological symptoms, such as visual agnosia, "oral" tendency, hypermetamorphosis, changes in behaviour, hyper-sexuality (homo-, hetero-, autosexuality) and changes in dietary habits (anorexia, bulimia) that may develop in humans after bilateral damage or dysfunction of the medial temporal lobes. The cause of Klüver-Bucy syndrome may be an injury, central nervous system infection, especially herpetic, Pick disease, temporal epilepsy and paraneoplastic encephalopathy. The condition is very rare in children; its occurrence in childhood was described in a few cases only. Symptom intensity and their manifestation depend on numerous diversified factors. METHODS: A comparative presentation of two clinical cases of Klüver-Bucy syndrome following severe head injuries accompanied by description of computed tomography scans. RESULTS: The diagnosis of the syndrome does not require the presence of all the axial symptoms. Both patients were treated with carbamazepine. Regression of neuropsychological symptoms took a different course in each child, despite their similar brain damage. CONCLUSIONS: Fully symptomatic Klüver-Bucy syndrome is very rare. The psychological status of patients with this disorder depends not only on the extent of the lesion, but also on pre-injury emotional and intellectual development and post-injury social stimulation.

[Magnetic resonance spectroscopy (HMRS) in migraine]. / Badanie spektroskopii rezonansu magnetycznego (HMRS) w migrenie.

INTRODUCTION: There are 4 million people suffering from migraine in Poland, which account; for 10% of national population. Pathomechanism of migraine is not fully understood. In the recent years multiple studies in migraine patients revealed occurrence of metabolic disorders in nervous system tissue. MATERIAL AND METHODS: In 30 subjects with migraine diagnosis magnetic resonance spectroscopy examination was performed. Relative concentration ratio (WSS) of metabolites level to creatinine (Cr) level was measured. The obtained values were compared to findings in control groups. RESULTS: Linear correlation between increase in both WSS Lac/Cr value in left temporal lobe and WSS ml/Cr value in right frontal lobe and a number of migraine attacks per year in migraine patients was observed. It also turned out that WSS ml/Cr vox3 value depends on a total number of migraine attacks in life. A lactic acid level in left temporal lobe normalizes along with the elongation of interattack interval. There is a statistically significant difference of WSS ml/Cr value measured in left temporal lobe and right frontal lobe between migraine patients and control group. There is a statistically significant difference of WSS Cho/Cr value measured in left temporal lobe and right frontal lobe between migraine subjects and control groups.