Hungarian Radiology

[Dr. László Csípő]

MONOKI Erzsébet

APRIL 20, 2002

Hungarian Radiology - 2002;76(02)

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Hungarian Radiology

[Fals diagnosis of a pancreas tumor]

BAGI Róbert, SZABÓ Tünde, DIBUZ Margit, MONOKI Erzsébet

[INTRODUCTION - Stromal tumors of the gastrointestinal tract are rare and the diagnosis is often not straitforward. CASE REPORT - A case of a 75-year-old male patient with a duodenal stromal tumor is presented. The differential diagnosis was difficult, since the mass mimicked a tumor of the pancreatic head. Authors briefly review of the characteristics of gastrointestinal stromal tumors. CONCLUSION - The role of diagnostic imaging in the diagnosis of stromal duodenal tumors is secondary. Correct diagnosis can be established using immunhistological and electromicroscopis studies, only.]

Hungarian Radiology

[Conference of the Young Radiologists]

BÁGYI Péter

Hungarian Radiology

[Scientific presentations of pediatric radiology sections of ECR 2002]

KIS Éva

Hungarian Radiology

[Serious lesion of the skull]

Hungarian Radiology

[Atypical diaphragmatic herniation causing bowel obstruction]

ERDŐSI Éva, MÉSZÁROS Anikó, GREXA Erzsébet

[INTRODUCTION - A 21-year-old woman presented with iatrogenic diaphragmatic hernia causing bowel obstruction. CASE REPORT - Plain abdominal X-ray and barium swallow examinations showed a diaphragmatic hernia causing partial gastric obstruction. Surgery confirmed the radiological diagnosis. The hernia was located atypically at the centre of the diaphragm. CONCLUSION - The cause of the hernia was probably related to a pyogenic necrosis due to subphrenic abscess after cholecystectomy performed 2 years earlier, treated by drainage and repeated surgical interventions.]

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Clinical Neuroscience

[Pneumococcal meningitis in children - 9 1/2-year-experience at Szent László hospital, Budapest, Hungary ]

IVÁDY Balázs, LIPTAI Zoltán, ÚJHELYI Enikő, BALÁZS György

[Background and objective - No recent publications are available about pneumococcal meningitis in Hungarian children. The aim of this study was to collect data of epidemiological, clinical and prognostic features of pneumococcal meningitis in children treated at Szent László Hospital, Budapest, Hungary. Methods - We conducted a retrospective review of medical charts and follow-up records of patients aged 1 to 18 years admitted to our Pediatric and Pediatric Intensive Care Units due to pneumococcal meningitis between 1st Jan 1998 and 30th Jun 2007. Results - 31 children with 34 cases of pneumococcal meningitis were admitted to our hospital in the study period. Two children developed recurrent illness. The mean age was 6 years, 26% were under 1 year of age. The mean duration of hospital stay was 21 days, 97% required intensive care. Frequent clinical symptoms were fever (100%), nuchal rigidity and vomiting (78%), altered mental status (71%), Kernig's and Brudzinski's signs (58%) and seizures (41%). Otitis media, sinusitis, mastoiditis were present in 44%, 58%, 41%, respectively. Subdural effusion, parenchymal cerebral lesion and sinus thrombosis were documented in 5, 3 and 2 cases, respectively. One third of the patients recieved ceftriaxon, two thirds were administered ceftriaxon and vancomycin. Adjunctive therapy with dexamethason was given to 91% of the children. 70% of patients required mechanical ventillation. 9 patients (25%) required endoscopic sinus surgery. In 13 cases (38%) mastoidectomy, in 5 children (15%) neurosurgery was performed. The case fatality rate was 23.5%. 8 (23.5%) patients had mild or moderate, 1 child (3%) developed severe neurological sequelae. Conclusion - Pneumococcal meningitis in children remains a source of substantial morbidity and mortality in childhood. The long hospital stay, the frequent need for intensive care and severe neurologic sequelae emphasize the importance of early diagnosis, early treatment and prevention with pneumococcal conjugate vaccines.]

Lege Artis Medicinae

[Saint László, protector against the plague]

KERNY Terézia

[The Hungarian cult of the plague, or in the vernacular the cult of the saints (Sebestyén, Rozália, Rókus) who protect against the black death, glandular death, and death by pestilence (1), has been most thoroughly described by Sándor Bálint. His research was continued by Zoltán Szilárdfy, who compiled an iconography of the anti-plague images of the Virgin Mary, embedded in a broad historical and ethnographic context (2).]

Clinical Neuroscience

Neurocognitive functions in patients with hepatitis C infection

HORVÁTH Gergely, KELETI Teodóra, MAKARA Mihály, UNGVARI S Gabor, GAZDAG Gábor

Background - With improving treatment options, more attention is being paid to the neurocognitive symptoms related to hepatitis C infection (HCI). While HCI-related neurocognitive impairments are frequently subclinical, they can influence patients’ quality of life and fitness to work. Objective - The aim of this study was to assess HCI patients’ neurocognitive functions and explore the correlations between disease variables and neurocognitive symptoms. Method - The study was conducted between January 1, 2013 and December 31, 2015. All patients with HCI were included in the study who were registered at the Hepatology Outpatient Clinic of Szent István and Szent László Hospitals, met inclusion criteria and volunteered to participate. Patients’ sociodemographic data and medical history were recorded in a questionnaire designed for the study. The 21-item Beck Depression Inventory was used to detect depressive symptoms. Six computerized tests were used to evaluate patients’ neuropsychological functions. Results - Sixty patients participated in the study. In comparison with general population standards, patients demonstrated poorer performance in several neurocognitive tests. Neuropsychological performance was correlated with age, sex, length of time since HCI diagnosis, Fibroscan score and the number of previous antiviral treatments. Conclusions - The study’s main finding is that compared to general population standards, patients with hepatitis C virus-related disease exhibit impaired neuropsychological functioning in visuomotor and visuospatial functions, working memory, executive functions, and reaction time. Executive functions and reaction time were the most sensitive indicators for the length and severity of disease. Deterioration in these functions has a major negative effect on work performance particularly in certain occupations.

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[Recommendation for Counselors László Török: The Diagnostic Significance of Skin Symptoms]

NEBENFÜHRER László

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[Premises and standards in medical ethics]

LŐRINCZ Jenő

[The definition of medical ethics seems simple: 'the right conduct of medical life' (in more modern terms: the rules of medical behaviour in professional situations). It follows József Imre's Medical Ethics, published in 1925; a problematic that pervades the principles and practice of medicine as a whole, an expanding repertoire, in the sense of 'humanistic medicine', as advocated by László Levendel (also), in which the focus is on patient-centredness rather than disease-centredness.]