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Pri prijetí mel dysartrickou, tichou a srozumitelnou rec, izokorii, bez poruchy okulomotoriky, snízené korneální reflexy, plossí mimiku vlevo, krátce nadzvedl hlavu nad podlozku, jen velmi omezene zvedl patrové oblouky bilaterálne, nesvedl elevaci horních koncetin (HK) nad podlozku, stisk jen naznacen, u DK pouze náznak pohybu v kycelních kloubech, RR C5-8, L2-S2 vyhaslé, s difuzní poruchou cití HK i DK. První zemrel po 6 tydnech a druhy po 3 tydnech po období umelé ventilace s vysazením sedace, kdy kontakt byl mozny pomocí funkcní MR. Byla provedena MR hlavy s následujícími sekvencemi: v axiální rovine T2 vázené obrazy, fluid attenuated inversion recovery (FLAIR), suscetibilne vázené obrazy (susceptibility weighted images; SWI) a difuzí vázené obrazy (diffusion weighted images; DWI); v sagitální rovine T1 vázené obrazy; v koronární rovine FLAIR obrazy. [Extracted from the article]

The article informs about heart problems in individuals with Emery- -Dreifuss muscular dystrophy are caused by a number of related complications. Topics include Cardiac complications manifest as arrhythmias, atrio-ventricular conduction blockages, congestive heart failure; and Cardiac involvement develops independently of changes in the neuromuscular system as patients should be examined in detail using electrocardiography (ECG), and invasive electrophysiological examination.

Radical surgery of renal cell carcinoma spinal metastases carries a high risk due to potentially life-threatening extreme blood loss. Radical preoperative embolization of renal cell carcinoma metastases alone is not necessarily a guarantee of extreme blood loss not occurring during operation. A retrospective analysis of 15 patients following radical surgery for a spinal metastases of a renal cell carcinoma was performed. Eight patients were embolized preoperatively and 7 were not. We analysed features influencing peroperative blood loss: size and extent of tumour, complexity of surgical approaches and radicality of embolization. The embolized and non embolized groups were not comparable before treatment. They differed markedly in size of tumour as well as the complexity of approach. In the embolized group the size of the tumour was, on average, twice as large as that in non embolized patients and more complex approaches were used twice as frequently. Despite findings suggesting that embolization was effective, blood loss was greater in the embolized group of 8 patients (4750 ml), compared to the non-embolized group of 7 patients (1786 ml). Metastasis size, extent of tumour, technical complexity of surgery and the completeness of preoperative embolization had an important effect on the amount of peroperative blood loss. The evaluation of the benefits of preoperative embolization only on the basis of blood loss is not an adequate method. [ABSTRACT FROM AUTHOR]

Rapidly progressive movement disorder of the eye bulb associated with pain is a rare clinical presentation, which requires prompt diagnostics and therapy. Painful ophtalmoplegia appears in case of the lesion of cavernous sinus, extraocular muscles or retrobulbar tissue, but could be caused also by the damage of the brainstem. Although modern imaging modalities such as CT, MRI and neurophysiological examination are available, the diagnostic process is not simple. Moreover the prognosis is not often favourable. Both patients admitted at our department, suffering from painful ophtalmoplegia, required complicated diagnostic process, but had favourable outcome, which was a proposal for our publication. [ABSTRACT FROM AUTHOR]