European Journal of Clinical and Experimental Medicine T.17, z. 4 (2019)


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  • Pozycja
    Granular cell tumor of the neurohypophysis – a case report
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Dziedzic, Rafał; Leksa, Natalia; Aebisher, David; Bartusik-Aebisher, Dorota
    Introduction. The granulomatous tumor (GCT) is formed from the posterior pituitary (neurohypophysis) or its pedicle. The location of such a tumor in the region of the Turkish or supra saddle is a very rare matter. Aim. To present a case report. Description of the case. This article describes the case of a 39-year-old man admitted to the Department of Neurosurgery with a MR-diagnosed head tumor in the suprasellar area growing out of the pituitary funnel. The tumor appeared to be an epileptic fit. Conclusion. Herein we described a clinical case of granulomatous tumor. GCTs in the pituitary nerves are benign tumors, which makes treatment dependent on the individual case. After the operation, the H-P study showed a granulomatous tumor (GCT) of the posterior pituitary gland.
  • Pozycja
    Osmotic demyelination syndrome in a patient with slowly equalized severe hyponatremia – a case report
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Rudnicka-Czerwiec, Julia; Bartosik-Psujek, Halina
    Introduction. Osmotic demyelination syndrome (ODS), or central pontine myelinolysis (CPM), is a complication of severe and prolonged hyponatremia, particularly when hyponatremia is corrected too rapidly. However, even slow correction of hyponatremia can result in ODS. Aim. In this paper, we describe a patient who developed ODS following slow correction of hyponatremia. Description of the case. This article describes a case of chronic hyponatremia occurring in the course of alcoholism. The patient was admitted in severe condition with extremely low sodium level. Electrolyte supplementation was carried out according to the European Renal Best Practice (ERBP) guidelines; however, there was a rapid increase in sodium level leading to the development of symptomatic osmotic demyelinating syndrome. Following several weeks of rehabilitation and supplementation of B vitamins, the patient’s condition gradually improved. Conclusion. Sodium deficiency should be equilibrated very carefully, especially in patients with chronic hyponatremia in the course of alcoholism. Even small doses of sodium administered in accordance with the guidelines in chronic hyponatremia can cause a rapid increase in serum sodium level resulting in osmotic demyelination syndrome.
  • Pozycja
    Difficulties in diagnosis of carcinoma of the tongue
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Panda, Dwijesh Kumar
    Introduction. Oral cancer is the second most common malignancy and there is an epidemic alert by WHO for oral cancers projected for 2030. The tongue remains the most common intraoral site for oral cancer worldwide. Aim. To present a case report. Description of the case. A 56-year-old patient was suffering from carcinoma of the tongue. He developed metastases in the lungs and upper part of the vertebral column. The PET scan report revealed the presence of hypermetabolic cells in the metastatic tissue. The biopsy of the lesion on the upper part of the back did not show neoplastic cells, epithelioid cells and giant cells. Radiotherapy was given for 25 cycles. Both the lungs were affected by metastases. Lastly the patient expired due to cardio- respiratory failure. Conclusion. Tobacco is the most important known risk factor for the development of tongue cancer. The tumors in their early stage with complete excisional treatment have good prognosis. There is usually a history of long standing leukoplakia or erythroplakia. Ideally, imaging should take place prior to biopsy. Surgical procedures such as hemiglossectomy can cause functional defects in speech and swallowing. Difficulty in diagnosis results in inappropriate treatment.
  • Pozycja
    Laparoscopic partial cystectomy for bladder endometriosis – case report
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Godlewski, Dominik; Pszczółkowski, Patryk; Góra, Tomasz; Futyma, Łukasz; Fedus, Tadeusz; Aebisher, David
    Introduction. Endometriosis is defined as a presence of endometrial glands and stroma outside the uterus. Urinary track endometriosis is a rare occurrence (1-2%) usually associated with bladder involvement (85%). Aim. The diagnostic evaluation is not complicated but can be delay because of the lack of specific symptoms. Description of the case. We present a case of 20-years old female with bladder endometriosis localized on the posterior wall. The patient was effective treated with laparoscopic partial cystectomy Conclusion. The patient was effective treated with laparoscopic partial cystectomy.
  • Pozycja
    Current recommendations for treatment and diagnosing of xerostomia in Sjögren’s syndrome
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Zablotskyy, Oleh; Tomczyk, Martyna; Błochowiak, Katarzyna
    Introduction. Xerostomia is one of the most common and disturbing adverse effects of systemic diseases and their therapies. This complication markedly increases the risk for dental caries, difficulties with chewing, swallowing and sleep disorders with a significant impact on the patient’s quality of life. Sjögren’s syndrome (SS) is a systemic autoimmune disease that primarily affects the exocrine glands, resulting in dryness of the mouth due to lymphocytic infiltration of the salivary glands. Aim. The aim of this paper is to present the current recommendations in diagnosing and treating SS-related xerostomia. Material and methods. Analysis of literature Results. For the assessment of SS-related xerostomia, only an unstimulated salivary flow with rates of 0.1 mL/min is included in the current SS classification criteria. Saxon test, sialography, ultrasonography of salivary glands play supporting function. Treatment of SS -related xerostomia includes an application of secretagogues and the implementation of specific dental prophylaxis measures. Adjuvant therapies include herbal remedies, photobiomodulation, and acupuncture. Conclusion. Treatment of SS requires multidisciplinary care. There is no fully effective treatment of xerostomia that provides immediate and long-lasting results.