Lege Artis Medicinae - 2001;11(01)

Lege Artis Medicinae

JANUARY 20, 2001

[The role of MRI in the diagnosis of tumours]

GŐDÉNY Mária

[Imaging is important in the evaluation of tumour detection, staging to determine the response to therapy, to follow the patient to find an early recurrent tumour. The ability to assess cancer spread has been revolutionized by advances of digital imaging modalities, such as digital ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). MRI is the method of choice for detecting and evaluating brain, spine, head and neck and musculoskeletal tumours, but it is complementary in the investigation of the thorax. US and CT remains the primary test for imaging the abdomen, while MRI plays a subsidiary role as a problem solving technique. In the evaluation of focal liver disease numerous prior reports have documented a superior performance of MRI compared to CT and US in the detection of primary and metastatic liver tumours. MRI is gaining more and more importance in imaging of the pelvis. Breast MRI is increasingly used as an adjunct to conventional imaging modalities. Several recent developments in MRI have altered the role of this imaging, and it is often the preferred choice among diagnostic tools for the detection and characterization of tumour cases.]

Lege Artis Medicinae

JANUARY 20, 2001

[A modern approach to the surgical treatment of osteoarthritis of the hip]

SZENDRŐI Miklós, SÓLYOM László

[The authors review the development of surgical treatment of osteoarthritis of the hip, including the joint preserving interventions for biomechanical reconstruction in prearthroses, and the joint deceasing, or joint replacing procedures in advanced osteoarthritis. Demonstrating the indications, contraindications and possible complications they point to the responsibility of the surgeon, and to the changes of the recent strategy comparing to the previous one. They give a „state of the art” description regarding the surgical treatment of osteoarthritis of the hip supported by references from the literature and their own experience.]

Lege Artis Medicinae

JANUARY 20, 2001

[Hip joint involvement in rheumatoid arthritis: pathological features and orthopaedic treatment]

LAKATOS Tamás, KORÁNYI Ágnes, GUNTHER Tibor, RÁCZ Dénes, UDVARHELYI Iván

[The authors review the orthopaedic surgical treatment possibilities of the hip joint affected by rheumatoid arthritis. In the first part, they draw the attention to the characteristic features of the disease. They describe a possible pathological interpretation of rheumatoid arthritis and emphasize the specific features of the rheumatoid hip joint. Different surgical interventions and treatment possibilities are analyzed. Because of the multiple joint involvement in these patients, the possibility of sequential operations has to be considered. The importance of close cooperation between rheumatologists and orthopaedic surgeons is emphasized. According to the authors, one of the most effective long term treatment possibility of the rheumatoid hip is the total hip arthroplasty.]

Lege Artis Medicinae

JANUARY 20, 2001

[Clinical importance of the initial symptoms of epileptic seizures]

RAJNA Péter, VERES Judit, CSIBRI Éva

[The evaluation of initial symptoms of epileptic seizures (ISE) and the development of methods of epilepsy therapy through counteracting the seizure spread both support the view that the joint use of localisation and holistic approach is successful. ISE, which were found to occur often, take a prominent place in the organization of seizure, therefore it is considered to have therapeutical potential. An important area of its applications consist of methods based on the interruption of ISE. Beside clinical experience, its efficiency is established neurophisiologically by the experimental model of epileptic neuron network and the possible selfregulation of cortical activity. The psychological effect of these active methods is beneficial, so coping and conservation of social functions are more successful. There is empirical evidence that in a significant portion of epileptic patients the initial symptoms may supplement therapy by the development of behavioral strategies avoiding seizure or counteracting its spread.]

Lege Artis Medicinae

JANUARY 20, 2001

[Pathomechanism, symptoms, differential diagnosis and therapy of fibromyalgia]

KELEMEN Judit

[Fibromyalgia is a chronic, non-inflammatory pain syndrome characterised by diffuse muscle pain and increased tenderness of specific tender points. The exact cause or pathomechanism of the disease is unknown. In the background, nociception and the pain processing pathways of the central nervous system are suspected as dysfunctional. The disease occurs primarily in middle-aged women. Occurence of fibromyalgia is between 1-4%, increasing up to 20% in a rheumatology clinic. In Canada, the cost of treatment of fibromyalgia was 350 million $ in 1993. Unfortunately, in Hungary no similar data is available. It is frequently joined by different vegetative and functional symptoms. One characteristic feature is insomnia, causing typical morning fatigue in patients. Effective therapy has yet to be found, although successful treatment may be achieved with drug therapy (amitryptilin), psychotherapy and aerobics with supplemental electro- and hydrotherapy. Patient education and involvement is also important for good therapeutic results and for the ability to return to work as soon as possible.]

Lege Artis Medicinae

JANUARY 20, 2001

[Salicylates and aspirin]

BÁLINT Péter, WALTER F. Kean, BÁLINT Géza, SZEBENYI Béla, KEMENDY Gábor, BUCHANAN W. Watson