Secretory meningioma of the brain. Report of two cases.

Two cases of cerebral secretory meningioma, occurring in 57 and 33-year-old females are reported. The tumors were located in the tentorial and frontotemporal region, respectively. The general histologic appearance of the tumors was of meningothelial meningioma (case 1) and meningioma with microcystic and angiomatous features (case 2). The most striking histological finding in both tumors were numerous pseudopsammoma bodies, localized chiefly around blood vessels. The inclusions were slightly eosinophilic, stained strongly with PAS method and were differing in size from 3 to 30 microns. Tumor cells containing or surrounding pseudopsammomas were immunopositive for cytokeratin and epithelial membrane antigen. In the first case, individual pseudopsammomas were strongly positive for carcinoembryonic antigen. Some diagnostic aspects of this antigen and problems regarding differential diagnosis in secretory meningioma are briefly discussed.

[Fate of patients after surgical treatment of premature closure of cranial sutures]. / Losy chorych po przebytym leczeniu operacyjnym z powodu przedwczesnego zarosniecia szwów czaszki.

From 1954 to 1971, 69 operations in patients with crs, resulting in relieving the intracranial hypertension symptoms, were performed. The patients were aged 1-34 years. In 1989, i.e. 20-29 years after the operation (mean 22.8 years), 14 patients were submitted again for a neurological, neuropsychological, EEG and brain CT check-up. The patients were divided into 3 groups: I gr. (3 patients)--with negligible disorders of attention and memory, without neurological changes in the EEG and CT--in a good social and occupational status. II gr. (4 patients)--with slight headaches, with discrete neurological and neuropsychological symptoms, slight generalized changes with the moderate burst activity in EEG, signs of hydrocephalus in CT scan. III. gr (7 patients)--with seizures, deficit symptoms, some with symptoms of mental impairment, generalized epileptic changes in EEG, signs of cortical and subcortical atrophy in CT scan. In this group some patients did not work and had no families. We have found that the frequency of epileptic seizures in the crs patients is higher, and their social and occupational status is worse.

[Our experience with using nimodipine in the treatment of ischemic complications after subarachnoid hemorrhage]. / Wlasne doswiadczenia z zastosowaniem nimodipiny w leczeniu powiklan ischemicznych po krwotoku podpajeczynówkowym.

On the basis of 50 patients treated for subarachnoid haemorrhage the authors report own experiences with the use of Nimotop for control of vasospasm caused by cerebral ischemia. All these patients were in grades III and IV of the Hunt-Hess scale. The studied patients with vasospasm and cerebral ischaemia were compared with patients similarly in grades III IV of this scale who were not given Nimotop. The analysis showed that patients treated with Nimotop were operated on earlier and had less evident neurological defect on discharge from the hospital.

[Multiple intracranial meningiomas in a patient with asymptomatic syringomyelia]. / Mnogie oponiaki sródczaszkowe u chorej z bezobjawowa jamistoscia rdzenia kregowego.

A rare coexistence of multiple intracranial neoplasms of mesodermal origin with asymptomatic syringomyelia is reported. The clinical findings were documented by NMR and CT results. The histological examination of the tumours removed surgically is included.

[Autotransfusion in neurotraumatology and neurosurgery]. / Autotransfuzje w neurotraumatologii i neurochirurgii.

In the years 1991-1993, 145 patients suffering from central nervous system diseases were operated on using autotransfusion in the Institute of Neurology in Cracow. In 141 cases patients were given blood taken formerly. There were no side effects following blood treatment. In the authors opinion autotransfusion deserves wider use for medical and economic reasons.

[Immediate and late results of surgical treatment of hydrocephalus after subarachnoid hemorrhage]. / Bezposrednie i odlegle wyniki leczenia operacyjnego wodoglowia po krwotoku podpajeczynówkowym.

During the period from January 1st 1983 up to the end of April 1989 in the Neurology Department and the Neurosurgery Department 1417 patients were treated due to subarachnoidal hemorrhage. Among these patients in 275 cases the inner hydrocephalus was diagnosed using computer tomography (19.4%). In 17 cases (6.2%) hydrocephalus was treated surgically. In all patients the ventricle-atrial Pudenz valve was implanted; in 15 patients the valve was implanted for low pressure and in 2 for moderate pressure. The diagnostics was based on the computed tomography and angiography of cerebral vessels. In all cases large hydrocephalus was diagnosed (the anterior horn index in the computed tomography was below 3.0). The most frequent clinical symptoms were: urine incontinence (15 cases), disturbances of orientation (8 cases), akinetic mutism (8 cases) and paresis of extremities (7 cases). Above symptoms together with radiologic image presented indication for the valve implantation. Very good and good results were obtained in 13 patients, bad results in 2 cases, 2 patients died. Longer observation showed that 6 patients remain in satisfactory state, 3 patients are in bad state and 3 others died.