Papers by Elżbieta Ormezowska
Aktualności Neurologiczne, 2007
Aktualności Neurologiczne, 2012
Koncepcja dynamicznej lokalizacji funkcji w rehabilitacji afatycznych zaburzeń mowy Concept of dy... more Koncepcja dynamicznej lokalizacji funkcji w rehabilitacji afatycznych zaburzeń mowy Concept of dynamic localization of function in rehabilitation of aphatic speech disorders
This paper discusses in detail the procedure of neuropsychological assessment before, during and ... more This paper discusses in detail the procedure of neuropsychological assessment before, during and after awaked craniotomies carried out for the excision of neoplasms located in the eloquent areas of the brain. In the years 2000-2015 we performed awake craniotomies in 123 patients. The authors present their personal experience in the applicability of the diagnostic tools used for the intra-operative monitoring of selected cognitive and executive functions. The tests assess various aspects of speech, verbal memory, precise movements and streognosis. The inclusion and exclusion criteria for the awake craniotomy were listed along with the tricks of the trade – the possibilities of maintaining the number of intra-operative tests and the practical ways of assessing patients’ cognitive processes. It was found that in 85 (69%) of the patients through the use of direct electrical stimulation (DES), we identified the eloquent areas (both verbal and motor) and subsequently monitored the patient...
International journal of occupational medicine and environmental health, Jan 29, 2017
The number of craniectomies and the consequent reconstructive procedures has grown during the pas... more The number of craniectomies and the consequent reconstructive procedures has grown during the past decades. Cranial defects and methods of their repair could have some influence on work capability of the patients and their employability. The authors analyzed a group of 112 patients with cranial defects treated in the Department of Neurosurgery at the Medical University of Lodz, Poland, in the course of the katamnestic period longer than 6 months after reconstructive operation, and observed them between February 2008 and February 2015. Their work capability and employment were compared, all the patients were interviewed concerning the reasons for not working according to the Social Insurance Institution predication procedure. Before the cranioplasty, all the patients were capable of working without limitations according to biological criteria and 89 of them were employed. Twenty-three not working people consisted of 6 pupils, 7 retired and 10 not working for other reasons. During the...
European Archives of Oto-Rhino-Laryngology, 2012
The study was carried out to determine the impact of some co-morbid otological symptoms and demog... more The study was carried out to determine the impact of some co-morbid otological symptoms and demographic factors on the emotional distress and cognitive functioning in patients with tinnitus. One hundred consecutive patients, complaining of constant idiopathic tinnitus, were enrolled into the study. Four tests were administered: Beck Depression Inventory, Hospital Anxiety Depression Scale (HADS, A-anxiety, D-depression), Mini-Mental State Examination (MMSE) and Trail Making Test (TMT). A multivariate stepwise linear regression analysis was performed to estimate the relationship between the results of each of the tests and following co-morbid factors: age, sex, tinnitus duration, tinnitus laterality, hearing status (normal hearing, unilateral hearing loss and bilateral hearing loss) and vertigo/dizziness. It was found that the scores of MMSE and TMT were negatively correlated with age and with hearing status and the scores of HADS-A were slightly correlated with sex. In regression analysis, in HADS-A, sex and to a lesser extent tinnitus duration, in MMSE and TMT age and to a lesser extent tinnitus laterality were the variables that were comprised in the final model. Demographic factors had contributed more than overlapping otological symptoms to the psychological outcome in tinnitus patients.
Clinical Neurology and Neurosurgery, 2013
Well-developed compensatory mechanisms, based on the phenomenon of brain plasticity, exist in pat... more Well-developed compensatory mechanisms, based on the phenomenon of brain plasticity, exist in patients with neuroepithelial tumors, especially with highly differentiated gliomas (WHO grade II). We studied phenomenon of rearrangement of sensorimotor cortex using functional magnetic resonance imaging (fMRI), and verified relationship between observed changes and results of neurological and neuropsychological assessment. Study group included 20 patients with WHO grade II gliomas located within motor or sensory cortex. fMRI examination, as well as clinical, neurological (Karnofsky performance score [KPS] and Lovett's scale [Lo]), and neuropsychological assessment (Digit Coding Symbol Test and Digit Span Test) were performed pre-operatively and 3 months post-surgery. There were no significant differences in pre- and postoperative performance status of patients. Although statistically insignificant, an increase in frequency of activation of primary and secondary cortical motor centers was observed postoperatively (p>0.05). Prior to surgery, motor centers were characterized by lower values of t-statistics than in postoperative period (p>0.05). In contrast, values of parameters describing the size of examined centers, i.e. mean number of clusters, were lower, but not statistically significant on postoperative examination (p>0.05). Compared to individuals without motor deficit, patients with preoperative Lo3/Lo4 paralysis showed significantly higher mean values of t-statistics in the accessory motor area on postoperative examination (p<0.05). The processes of motor cortex rearrangement seemed to be associated with the pre- and postoperative neurological and neuropsychological status of patients. After contralateral primary motor cortex, accessory motor area was the second most frequently activated center, both pre- and postoperatively.
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Papers by Elżbieta Ormezowska