Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, Feb 1, 2023
Aim To describe results of spinal cord stimulation technique when the conventional multidisciplin... more Aim To describe results of spinal cord stimulation technique when the conventional multidisciplinary treatment of neuropathic or mixed pain failed. Methods The research was conducted at the Institute for Physical Medicine and Rehabilitation "Dr. Miroslav Zotović", Banjaluka. Ten patients, who had chronic pain resistant to other therapeutic options and a failed back surgery, were sent for an evaluation. Each patient underwent a 4-week evaluation by a team of medical specialists, phychologist and social workers. Additional diagnostic methods (MRI of the lumbosacral spine, electromyoneurography of lower extermities, congnitive assessment tests) were also performed to establish a proper indication for implantation of the system for spinal cord stimulation. Leads of a system for spinal cord stimulation were implanted percutaneously or surgically at the epidural space. Functional outcome measures (visual analogue scale, Oswestry index, anxiety and depression scales) were taken before the implantation of the system and on several followups. Results Four patients did not meet critea for the inclusion in the study (two were not ready, two showed psychopathological symptoms). One patient had a percutaneous lead implant, but it was removed after six months due to paresthesia. The remaining five had surgicaly implanted epidural leads and showed significant improvement in pain control, Oswestry index had lower values, and all except one patient had improvement registered by anxiety and depression scales. Conclusion. Short-term and long-term follow up showed a long lasting pain reduction and improvement of functionality in all patients.
Introduction. Nuclei of oculogyric nerves (principal oculomotor nucleus, trochlear nucleus and ab... more Introduction. Nuclei of oculogyric nerves (principal oculomotor nucleus, trochlear nucleus and abducens nucleus) are densely vascularized brain?stem structures. The aim of this study was to determine quantitative characteristics of the vascular network of these nuclei. Material and methods. The study was done on 30 adult brainstems, both male and female, without diagnosed neurological disturbances. Three-millimetrethick stratums were taken in transversal plane and cut in 0.3 micrometer semi-serial sections stained with Mallory method. The images of studied nuclei were taken with ?Leica? DM 1000 microscope and ?Leica? EC3 digital camera under 400x magnification, and analyzed by ImageJ software with A 100 grid. The statistical analysis was performed by Statistical Package for the Social Sciences software with 5% level of significance. Results. A statistically significant difference was found in the volume and surface density between principal oculomotor nucleus and trochlear nucleus, ...
Blood vessels which supply pons are the branches of the basilar artery, anterior inferior cerebel... more Blood vessels which supply pons are the branches of the basilar artery, anterior inferior cerebellar artery and superior cerebellar artery (1, 2). These branches for pons can be divided into anterior (ventral), lateral and posterior (dorsal) branches. The anterior group ...
Introduction. Subcortical auditory centers have several sources of blood supply. Cochlear nuclei ... more Introduction. Subcortical auditory centers have several sources of blood supply. Cochlear nuclei are vascularized by the anterior inferior cerebellar artery. Superior cerebellar and posterior cerebral arteries supply the inferior colliculus nucleus, while the medial geniculate body nucleus is supplied by several posterior cerebral artery branches. The aim of the research was to quantify the vascular network of subcortical auditory centers. Methods. Twelve adult brains, both sexes, aged 21 to 78 years, without signs of neurological diseases were analyzed in this study. Samples for histological sections, stained by the Mallory method, were obtained from strata cut at levels: the junction of the middle and rostral thirds of the oliva, the inferior colliculi, and the thalamic pulvinar. Volume, surface, and length density of the vascular network of subcortical auditory centers were analyzed stereological parameters. Results. All parameters had the highest values in the medial geniculate ...
Uvod. Grupa znakova i simptoma koji se javljaju kao rezultat oštećenja nervnihkorjenova caudae eq... more Uvod. Grupa znakova i simptoma koji se javljaju kao rezultat oštećenja nervnihkorjenova caudae equinae smještenih u kičmenom kanalu nosi naziv sindromkaude ekvine (cauda equina syndrome). Najčešće je uzrokovana lumbalnomhernijacijom intervertebralnog diska. Klinička slika se karakteriše bolom ukrsnom, glutealnom i perinealnom regionu, bolom duž zadnje strane donjegekstremiteta, utrnulošću i motornim i senzornim deficitima na donjim ekstremitetima.Može se javiti i disfunkcija mokraćne bešike i potencije.Prikaz bolesnika. Pacijent dolazi na pregled kod fizijatra zbog jakog bola uslabinskom segmentu, koji se propagirao duž oba donja ekstremiteta praćenosjećajem slabosti, više lijevo, te nemogućnosti pražnjenja mokraćne bešike.Snimak dobijen nuklearnom magnetnom rezonancom (NMR) pokazujeprotruziju intravertebralnog diska na dva nivoa. Pacijent je podvrgnut operativnomzahvatu: Hemilaminectomia L4 l. sin et foraminotomia L5-S1 l. sin,extirpatio disci. Mjesec dana nakon operativnog zahvata...
The analysis was done on 10 samples of general somatomotor nuclei (GSN) of cranial nerves located... more The analysis was done on 10 samples of general somatomotor nuclei (GSN) of cranial nerves located in the brain stem, which were colored by the Mallory method. The research was conducted by standard testing system A 100 with the use of the light microscope and 40 x zoom objective. We determined the volume density of vascular net and nerve cells of investigated structures. The obtained values were mutually compared. GSN located in mesencephalon were more significantly vascularized. A part of the oculomotorius nuclei, made of nerve cells, is significantly larger compared with other GSN. The oculomotorius nuclei have equal number of nerve cells and blood vessels, while the number of blood vessels in the other GSN is a significantly larger.
Uvod. Kompresija nerava od strane krvnih sudova u pontocerebelarnom uglumože uzrokovati funkciona... more Uvod. Kompresija nerava od strane krvnih sudova u pontocerebelarnom uglumože uzrokovati funkcionalne promjene ovih nerava. Radikularni, cisternalnidio vestibulokohlearnog nerva (n.VIII) ishranjuju grančice a. cerebelli anteriorinferior (AICA).Metode. Istraživanja su vršena na 40 mozgova odraslih lica, oba pola, dobiod 21 do 78 godina. Po završetku fiksiranja vršeno je fino preparisanje strukturapontocerebelarnog ugla, a zatim evidentiranje varijacija i odnosa krvnihsudova i nerava.Rezultati. AICA je u 17% desno i 6% lijevo bila dvostruka. Hipoplastična AICAje češće viđena na lijevoj strani (30 %). Odnos sa n. abducens-om (n.VI) je ostvarivalačešće sa lijeve strane, a sa n. facialis-om (n.VII) i n.VIII češće desno.AICA je u 22% desno i u 30% lijevo pravila omču oko n.VIII. Kada je riječ oodnosu bočnih grana AICA i n.VIII, najčešće su druga desna (45 % slučajeva) idruga lijeva (35 % slučajeva) grana imale blizak odnos sa pomenutim nervomZaključak. Iako postoji čest nalaz bliskog odnos...
Uvod. Kompresija nerava od strane krvnih sudova u pontocerebelarnom uglumože uzrokovati funkciona... more Uvod. Kompresija nerava od strane krvnih sudova u pontocerebelarnom uglumože uzrokovati funkcionalne promjene ovih nerava. Radikularni, cisternalnidio vestibulokohlearnog nerva (n.VIII) ishranjuju grančice a. cerebelli anteriorinferior (AICA).Metode. Istraživanja su vršena na 40 mozgova odraslih lica, oba pola, dobiod 21 do 78 godina. Po završetku fiksiranja vršeno je fino preparisanje strukturapontocerebelarnog ugla, a zatim evidentiranje varijacija i odnosa krvnihsudova i nerava.Rezultati. AICA je u 17% desno i 6% lijevo bila dvostruka. Hipoplastična AICAje češće viđena na lijevoj strani (30 %). Odnos sa n. abducens-om (n.VI) je ostvarivalačešće sa lijeve strane, a sa n. facialis-om (n.VII) i n.VIII češće desno.AICA je u 22% desno i u 30% lijevo pravila omču oko n.VIII. Kada je riječ oodnosu bočnih grana AICA i n.VIII, najčešće su druga desna (45 % slučajeva) idruga lijeva (35 % slučajeva) grana imale blizak odnos sa pomenutim nervomZaključak. Iako postoji čest nalaz bliskog odnos...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, Feb 1, 2023
Aim To describe results of spinal cord stimulation technique when the conventional multidisciplin... more Aim To describe results of spinal cord stimulation technique when the conventional multidisciplinary treatment of neuropathic or mixed pain failed. Methods The research was conducted at the Institute for Physical Medicine and Rehabilitation "Dr. Miroslav Zotović", Banjaluka. Ten patients, who had chronic pain resistant to other therapeutic options and a failed back surgery, were sent for an evaluation. Each patient underwent a 4-week evaluation by a team of medical specialists, phychologist and social workers. Additional diagnostic methods (MRI of the lumbosacral spine, electromyoneurography of lower extermities, congnitive assessment tests) were also performed to establish a proper indication for implantation of the system for spinal cord stimulation. Leads of a system for spinal cord stimulation were implanted percutaneously or surgically at the epidural space. Functional outcome measures (visual analogue scale, Oswestry index, anxiety and depression scales) were taken before the implantation of the system and on several followups. Results Four patients did not meet critea for the inclusion in the study (two were not ready, two showed psychopathological symptoms). One patient had a percutaneous lead implant, but it was removed after six months due to paresthesia. The remaining five had surgicaly implanted epidural leads and showed significant improvement in pain control, Oswestry index had lower values, and all except one patient had improvement registered by anxiety and depression scales. Conclusion. Short-term and long-term follow up showed a long lasting pain reduction and improvement of functionality in all patients.
Introduction. Nuclei of oculogyric nerves (principal oculomotor nucleus, trochlear nucleus and ab... more Introduction. Nuclei of oculogyric nerves (principal oculomotor nucleus, trochlear nucleus and abducens nucleus) are densely vascularized brain?stem structures. The aim of this study was to determine quantitative characteristics of the vascular network of these nuclei. Material and methods. The study was done on 30 adult brainstems, both male and female, without diagnosed neurological disturbances. Three-millimetrethick stratums were taken in transversal plane and cut in 0.3 micrometer semi-serial sections stained with Mallory method. The images of studied nuclei were taken with ?Leica? DM 1000 microscope and ?Leica? EC3 digital camera under 400x magnification, and analyzed by ImageJ software with A 100 grid. The statistical analysis was performed by Statistical Package for the Social Sciences software with 5% level of significance. Results. A statistically significant difference was found in the volume and surface density between principal oculomotor nucleus and trochlear nucleus, ...
Blood vessels which supply pons are the branches of the basilar artery, anterior inferior cerebel... more Blood vessels which supply pons are the branches of the basilar artery, anterior inferior cerebellar artery and superior cerebellar artery (1, 2). These branches for pons can be divided into anterior (ventral), lateral and posterior (dorsal) branches. The anterior group ...
Introduction. Subcortical auditory centers have several sources of blood supply. Cochlear nuclei ... more Introduction. Subcortical auditory centers have several sources of blood supply. Cochlear nuclei are vascularized by the anterior inferior cerebellar artery. Superior cerebellar and posterior cerebral arteries supply the inferior colliculus nucleus, while the medial geniculate body nucleus is supplied by several posterior cerebral artery branches. The aim of the research was to quantify the vascular network of subcortical auditory centers. Methods. Twelve adult brains, both sexes, aged 21 to 78 years, without signs of neurological diseases were analyzed in this study. Samples for histological sections, stained by the Mallory method, were obtained from strata cut at levels: the junction of the middle and rostral thirds of the oliva, the inferior colliculi, and the thalamic pulvinar. Volume, surface, and length density of the vascular network of subcortical auditory centers were analyzed stereological parameters. Results. All parameters had the highest values in the medial geniculate ...
Uvod. Grupa znakova i simptoma koji se javljaju kao rezultat oštećenja nervnihkorjenova caudae eq... more Uvod. Grupa znakova i simptoma koji se javljaju kao rezultat oštećenja nervnihkorjenova caudae equinae smještenih u kičmenom kanalu nosi naziv sindromkaude ekvine (cauda equina syndrome). Najčešće je uzrokovana lumbalnomhernijacijom intervertebralnog diska. Klinička slika se karakteriše bolom ukrsnom, glutealnom i perinealnom regionu, bolom duž zadnje strane donjegekstremiteta, utrnulošću i motornim i senzornim deficitima na donjim ekstremitetima.Može se javiti i disfunkcija mokraćne bešike i potencije.Prikaz bolesnika. Pacijent dolazi na pregled kod fizijatra zbog jakog bola uslabinskom segmentu, koji se propagirao duž oba donja ekstremiteta praćenosjećajem slabosti, više lijevo, te nemogućnosti pražnjenja mokraćne bešike.Snimak dobijen nuklearnom magnetnom rezonancom (NMR) pokazujeprotruziju intravertebralnog diska na dva nivoa. Pacijent je podvrgnut operativnomzahvatu: Hemilaminectomia L4 l. sin et foraminotomia L5-S1 l. sin,extirpatio disci. Mjesec dana nakon operativnog zahvata...
The analysis was done on 10 samples of general somatomotor nuclei (GSN) of cranial nerves located... more The analysis was done on 10 samples of general somatomotor nuclei (GSN) of cranial nerves located in the brain stem, which were colored by the Mallory method. The research was conducted by standard testing system A 100 with the use of the light microscope and 40 x zoom objective. We determined the volume density of vascular net and nerve cells of investigated structures. The obtained values were mutually compared. GSN located in mesencephalon were more significantly vascularized. A part of the oculomotorius nuclei, made of nerve cells, is significantly larger compared with other GSN. The oculomotorius nuclei have equal number of nerve cells and blood vessels, while the number of blood vessels in the other GSN is a significantly larger.
Uvod. Kompresija nerava od strane krvnih sudova u pontocerebelarnom uglumože uzrokovati funkciona... more Uvod. Kompresija nerava od strane krvnih sudova u pontocerebelarnom uglumože uzrokovati funkcionalne promjene ovih nerava. Radikularni, cisternalnidio vestibulokohlearnog nerva (n.VIII) ishranjuju grančice a. cerebelli anteriorinferior (AICA).Metode. Istraživanja su vršena na 40 mozgova odraslih lica, oba pola, dobiod 21 do 78 godina. Po završetku fiksiranja vršeno je fino preparisanje strukturapontocerebelarnog ugla, a zatim evidentiranje varijacija i odnosa krvnihsudova i nerava.Rezultati. AICA je u 17% desno i 6% lijevo bila dvostruka. Hipoplastična AICAje češće viđena na lijevoj strani (30 %). Odnos sa n. abducens-om (n.VI) je ostvarivalačešće sa lijeve strane, a sa n. facialis-om (n.VII) i n.VIII češće desno.AICA je u 22% desno i u 30% lijevo pravila omču oko n.VIII. Kada je riječ oodnosu bočnih grana AICA i n.VIII, najčešće su druga desna (45 % slučajeva) idruga lijeva (35 % slučajeva) grana imale blizak odnos sa pomenutim nervomZaključak. Iako postoji čest nalaz bliskog odnos...
Uvod. Kompresija nerava od strane krvnih sudova u pontocerebelarnom uglumože uzrokovati funkciona... more Uvod. Kompresija nerava od strane krvnih sudova u pontocerebelarnom uglumože uzrokovati funkcionalne promjene ovih nerava. Radikularni, cisternalnidio vestibulokohlearnog nerva (n.VIII) ishranjuju grančice a. cerebelli anteriorinferior (AICA).Metode. Istraživanja su vršena na 40 mozgova odraslih lica, oba pola, dobiod 21 do 78 godina. Po završetku fiksiranja vršeno je fino preparisanje strukturapontocerebelarnog ugla, a zatim evidentiranje varijacija i odnosa krvnihsudova i nerava.Rezultati. AICA je u 17% desno i 6% lijevo bila dvostruka. Hipoplastična AICAje češće viđena na lijevoj strani (30 %). Odnos sa n. abducens-om (n.VI) je ostvarivalačešće sa lijeve strane, a sa n. facialis-om (n.VII) i n.VIII češće desno.AICA je u 22% desno i u 30% lijevo pravila omču oko n.VIII. Kada je riječ oodnosu bočnih grana AICA i n.VIII, najčešće su druga desna (45 % slučajeva) idruga lijeva (35 % slučajeva) grana imale blizak odnos sa pomenutim nervomZaključak. Iako postoji čest nalaz bliskog odnos...
Uploads
Papers by Tatjana Bucma