[Surgical treatment of discogenic compression of the spinal cord in the thoracic region].

The objective of the submitted work was to draw attention to some problems associated with the diagnosis and treatment of prolapse of sequestra of thoracic intervertebral discs. The investigated group comprised 9 subjects (4 women, 5 men) aged 33 to 67 years operated upon at the Neurosurgical Clinic in Kosice between Jan. 1 1982 and June 30 2001 on account of compression of nervous structures in the thoracic portion of the spine by sequestra of intervertebral discs.

[Results of surgery for hypertensive cerebral hemorrhage].

The authors subdued 82 patients to an analysis, the aim of which was to determine the most optimum indication criterias for operations due to hypertonic brain hemorrhage. The survival rate, its qualities and other parameters in the group under observation did not significantly differ from characteristics of groups of patients given by literature. Therefore, they recommend the following factors to be taken into consideration of surgical indication: age, general status of the patient, localization of the hematoma, associated internal diseases.

[Impairment of the saphenous nerve by a tourniquet.].

The authors describe a case report where the application of a tourniquet in the area of the Hunter's canal resulted in the impairment of the saphenous nerve with typical symptoms which could be treated only by neurotomy. Examinaton by available clinical methods has not proved other potential causes of the impairment of the nerve. The authors emphasize the significance of acroparesthesiae as the primary symptom of the impairment of the sensitive nerve, they point out the factors of tourniquet tollerance and stress the importance of a proper placement of a tourniquet.

[Prolonged epidural hemorrhage].

The authors give an account of four male patients aged 4, 26, 34 and 51 years where they removed on the 4th to 20th day following head injury an epidural haematoma. In the youngest patient the haematoma was in the area of the posterior cranial fossa on the left in another patient on the left in the occipital area, in the third patient concurrent epidural and subdural haemorrhage in the left temporal region was involved as well as contusion of the brain on the same side, in the last patient a large epidural parieto-occipital haematoma on the right side was involved. In the four-year-old boy the haemorrhage developed without fracture of the skull, in the remainder there was fracture of the skull, its course was, however, so inconspicuous that with the exception of one it was found only on operation.

[Problems of recurrence and reoperation in discogenic lumboischiadic syndromes. 2].

In a group of 79 patients (29 women and 50 men) reoperated at the Neurosurgical Clinic of the Faculty Hospital with Policlinic in Kosice between Feb. 1 1982 and Dec. 31, 1989 for substantiated suspicion of a true relapse of discogenic lumboischiadic syndrome it was revealed that neither perimyelography nor CT examination of the spine disclosed reliably the conditions in the spinal canal.