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Article: Selective demyelination of a sciatic nerve allograft after SARS-CoV-2 infection - Case report.

Koszewicz, Magdalena / Kaminska, Dorota / Martynkiewicz, Jacek / Domanasiewicz, Adam / Gosk, Jerzy

2023 Volume 9, Issue 10, Page(s) e20624

Abstract: Peripheral neurological complications are seen after SARS-CoV-2 infections. These are mostly immune-mediated such as Guillaine-Barré syndrome or chronic inflammatory demyelinating polyneuropathy. We present a 39-year-old man treated with a right sciatic ... ...

Abstract	Peripheral neurological complications are seen after SARS-CoV-2 infections. These are mostly immune-mediated such as Guillaine-Barré syndrome or chronic inflammatory demyelinating polyneuropathy. We present a 39-year-old man treated with a right sciatic nerve allotransplantation with subsequent clinical and electrophysiological improvement within 30 months of observation. After SARS-CoV-2 infection, he developed clinical deterioration with selective sciatic nerve demyelination in a nerve conduction study. Nerve conduction velocity returned to previous values within six months of treatment. Intravenous immunoglobulins were used at standard dosage. The inflammatory immune process seemed to be a cause of peripheral demyelination isolated to a nerve allograft with good reaction for intravenous immunoglobulin treatment.
Language	English
Publishing date	2023-10-04
Publishing country	England
Document type	Case Reports
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e20624
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Article ; Online: Selective demyelination of a sciatic nerve allograft after SARS-CoV-2 infection – Case report

Magdalena Koszewicz / Dorota Kaminska / Jacek Martynkiewicz / Adam Domanasiewicz / Jerzy Gosk

Heliyon, Vol 9, Iss 10, Pp e20624- (2023)

2023

Abstract: Peripheral neurological complications are seen after SARS-CoV-2 infections. These are mostly immune-mediated such as Guillaine–Barré syndrome or chronic inflammatory demyelinating polyneuropathy. We present a 39-year-old man treated with a right sciatic ... ...

Abstract	Peripheral neurological complications are seen after SARS-CoV-2 infections. These are mostly immune-mediated such as Guillaine–Barré syndrome or chronic inflammatory demyelinating polyneuropathy. We present a 39-year-old man treated with a right sciatic nerve allotransplantation with subsequent clinical and electrophysiological improvement within 30 months of observation. After SARS-CoV-2 infection, he developed clinical deterioration with selective sciatic nerve demyelination in a nerve conduction study. Nerve conduction velocity returned to previous values within six months of treatment. Intravenous immunoglobulins were used at standard dosage. The inflammatory immune process seemed to be a cause of peripheral demyelination isolated to a nerve allograft with good reaction for intravenous immunoglobulin treatment.
Keywords	Nerve injury ; Nerve allograft ; SARS-CoV-2 ; Demyelination ; Intravenous immunoglobulins ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
Language	English
Publishing date	2023-10-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
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Article: Materiały zastepcze skóry--teraźniejszość i przyszłość.

Gosk, Jerzy

Polimery w medycynie

2012 Volume 42, Issue 2, Page(s) 109–114

Abstract: Full-thickness skin deficits are indications to autologic skin graft. In extensive skin injuries an employment of skin substitutes is sometimes necessary. In this study we presented the classification of skin substitutes (permanent, temporary, biological, ...

Title translation	Skin substitutes--the present and the future.
Abstract	Full-thickness skin deficits are indications to autologic skin graft. In extensive skin injuries an employment of skin substitutes is sometimes necessary. In this study we presented the classification of skin substitutes (permanent, temporary, biological, synthetic). The different kinds of skin substitutes approved to commercial production were described (epidermal substitutes, dermal substitutes, composite dermo-epidermal substitutes). The possibilities of clinical applications of skin equivalents and results obtained by many authors after employment of artificial skin were also presented. Still existing limitations in possibilities of recovery of all skin functions were emphasized and the directions of future development of the studies were presented.
MeSH term(s)	Forecasting ; Humans ; Skin Transplantation/trends ; Skin, Artificial/trends
Language	Polish
Publishing date	2012
Publishing country	Poland
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	193157-x
ISSN	0370-0747
ISSN	0370-0747
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Zs.A 920: Show issues

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Article: The Relevance of Collision Tests and Quantitative Sensory Testing in Diagnostics and Postoperative Outcome Prediction in Carpal Tunnel Syndrome.

Koszewicz, Magdalena / Szydlo, Mariusz / Gosk, Jerzy / Wieczorek, Malgorzata / Slotwinski, Krzysztof / Budrewicz, Slawomir

Frontiers in neurology

2022 Volume 13, Page(s) 900562

Abstract: Background: The gold standards for the diagnosis and treatment of carpal tunnel syndrome (CTS) and its outcome are undecided. Using clinical and electrophysiological methods, we tried to establish which fibers achieved full postoperative recovery, and ... ...

Abstract	Background: The gold standards for the diagnosis and treatment of carpal tunnel syndrome (CTS) and its outcome are undecided. Using clinical and electrophysiological methods, we tried to establish which fibers achieved full postoperative recovery, and the possibility of using non-standard electrophysiological tests as outcome predictors. Methods: The study group consisted of 35 patients and controls. The Historical-Objective Scale, standard neurography, conduction velocity distribution tests (CVD), and quantitative sensory testing (QST) were performed before and after CTS surgery. Results: Clinical improvement was observed on average in 54.3% of the patients, higher in less advanced CTS. All parameters improved significantly after surgery, except for CVD; most remained worse than in the controls. Only QST parameters fully returned to normal limits. Patient age and CTS severity were important in the estimation of the risk of no improvement. Conclusions: The efficiency of minimally invasive CTS surgery is higher in younger patients with less advanced CTS. Complete recovery was present only in small fibers; larger fibers could most likely be responsible for residual signs. We did not notice any benefits in CTS diagnosis using methods of small fiber assessment. QST seemed to be useful in the diagnosis of residual signs, and in deciding upon possible reoperation.
Language	English
Publishing date	2022-06-13
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564214-5
ISSN	1664-2295
ISSN	1664-2295
DOI	10.3389/fneur.2022.900562
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Article: Volar retinacular ganglions (flexor tendon sheath ganglions) The results of surgical treatment.

Kuliński, Sebastian / Gutkowska, Olga / Urban, Maciej / Gosk, Jerzy

Acta orthopaedica Belgica

2019 Volume 84, Issue 4, Page(s) 526–530

Abstract: Volar retinacular ganglions are the third most common group of all ganglions located in the hand and wrist region. The purpose of this work is to present our experience in management and the results of operative treatment of volar retinacular ganglions. ... ...

Abstract	Volar retinacular ganglions are the third most common group of all ganglions located in the hand and wrist region. The purpose of this work is to present our experience in management and the results of operative treatment of volar retinacular ganglions. One-hundred-and-seven patients were operated-on for volar retinacular ganglions between 2000 and 2014. One-hundred-and-eight ganglions were resected. Complications which were observed in five patients postoperatively (digital nerve irritation, restricted range of motion of digital joints) resolved within several weeks. At final follow-up, no ganglion recurrence, impairment of finger mobility, innervation or blood supply were observed in any of the patients.
MeSH term(s)	Ganglion Cysts/physiopathology ; Ganglion Cysts/surgery ; Humans ; Orthopedic Procedures ; Range of Motion, Articular/physiology ; Treatment Outcome ; Wrist Joint/physiopathology ; Wrist Joint/surgery
Language	English
Publishing date	2019-03-16
Publishing country	Belgium
Document type	Journal Article
ZDB-ID	210367-9
ISSN	0001-6462 ; 1784-407X
ISSN	0001-6462 ; 1784-407X
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Zs.A 37: Show issues

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Article: The Use of Quantitative Sensation Testing to Identify the Physiological Differences Between the Median and Ulnar Nerves.

Koszewicz, Magdalena / Szydlo, Mariusz / Gosk, Jerzy / Wieczorek, Malgorzata / Slotwinski, Krzysztof / Budrewicz, Slawomir

Frontiers in human neuroscience

2021 Volume 15, Page(s) 601322

Abstract: Introduction: Similarities in morphology, physiological function, and neurophysiological findings between median and ulnar nerves are not unequivocal. Our previous study confirmed differences in motor fiber parameters between these nerves in healthy ... ...

Abstract	Introduction: Similarities in morphology, physiological function, and neurophysiological findings between median and ulnar nerves are not unequivocal. Our previous study confirmed differences in motor fiber parameters between these nerves in healthy persons. We made an attempt to assess and compare the physiological parameters of different sensation modalities (temperature, pain, and vibration) in median and ulnar nerves. Methods: The study was performed in 31 healthy, right-handed volunteers: 17 women, 14 men, mean age 44.8 ± 15.5 years. Standard sensory conduction tests in the median and ulnar nerves were performed together with the estimation of vibratory, temperature, and warm- and cold-induced pain thresholds in the C7 and C8 dermatomes on the palm, using quantitative sensory testing. Results: There were no statistically significant differences in the standard sensory conduction test in the median and ulnar nerves across the whole group: between right and left hands, and between women and men. We revealed differences in the temperature and pain thresholds between these nerves, mainly in low temperature perception. There were no differences in estimated thresholds between sides or in female and male groups. The vibratory limits did not differ significantly between nerves, and subgroups. Conclusion: The study confirmed the differences in the physiological sensory perception between the median and ulnar nerves. The median nerve is more sensitive to temperature stimulation than the ulnar nerve, but simultaneously less sensitive to pain-inducing temperature stimuli. These findings should be considered during the examination of hand nerve pathology.
Language	English
Publishing date	2021-05-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2425477-0
ISSN	1662-5161
ISSN	1662-5161
DOI	10.3389/fnhum.2021.601322
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Article ; Online: Analysis of Patient-Dependent and Trauma-Dependent Risk Factors for Persistent Brachial Plexus Injury after Shoulder Dislocation.

Gutkowska, Olga / Martynkiewicz, Jacek / Stępniewski, Marek / Gosk, Jerzy

BioMed research international

2018 Volume 2018, Page(s) 4512137

Abstract: Brachial plexus injuries (BPIs) caused by shoulder dislocation usually have a transient character and tend to resolve spontaneously. However, in some patients the symptoms can persist and require operative intervention. This work aims to determine the ... ...

Abstract	Brachial plexus injuries (BPIs) caused by shoulder dislocation usually have a transient character and tend to resolve spontaneously. However, in some patients the symptoms can persist and require operative intervention. This work aims to determine the risk factors for persistent BPIs resulting from shoulder dislocation. The study comprised 73 patients (58 men, 15 women; mean age: 50 years) treated operatively between the years 2000 and 2016 for persistent BPIs resulting from shoulder dislocation. Patient age, gender, type of initial trauma, number of affected nerves, presence of accompanying injuries, and time interval from dislocation to its reduction were analysed. Elderly patients more often sustained multiple-nerve injuries, while single nerve injuries were more often observed in younger patients. Injury to a single nerve was diagnosed in 30% of the patients. Axillary nerve was most commonly affected. Fracture of the greater tuberosity of humerus coincided with total BPI in 50% of the cases. Longer unreduced period caused injury to multiple nerves. Analysis of our patient group against relevant literature revealed that persistent BPI after shoulder dislocation is more common in older patients. Injuries to ulnar and median nerves more often require operative intervention due to low potential for spontaneous recovery of these nerves.
MeSH term(s)	Adult ; Aged ; Brachial Plexus/physiopathology ; Brachial Plexus/surgery ; Brachial Plexus Neuropathies/epidemiology ; Brachial Plexus Neuropathies/etiology ; Brachial Plexus Neuropathies/physiopathology ; Brachial Plexus Neuropathies/surgery ; Female ; Humans ; Male ; Median Nerve/injuries ; Median Nerve/physiopathology ; Middle Aged ; Risk Factors ; Shoulder Dislocation/complications ; Shoulder Dislocation/epidemiology ; Shoulder Dislocation/physiopathology ; Shoulder Dislocation/surgery ; Ulnar Nerve/injuries ; Ulnar Nerve/physiopathology
Language	English
Publishing date	2018-01-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2698540-8
ISSN	2314-6141 ; 2314-6133
ISSN (online)	2314-6141
ISSN	2314-6133
DOI	10.1155/2018/4512137
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Article ; Online: Brachial plexus injury after shoulder dislocation: a literature review.

Gutkowska, Olga / Martynkiewicz, Jacek / Urban, Maciej / Gosk, Jerzy

Neurosurgical review

2018 Volume 43, Issue 2, Page(s) 407–423

Abstract: Brachial plexus injuries are among the rarest but at the same time the most severe complications of shoulder dislocation. The symptoms range from transient weakening or tingling sensation of the upper limb to total permanent paralysis of the limb ... ...

Abstract	Brachial plexus injuries are among the rarest but at the same time the most severe complications of shoulder dislocation. The symptoms range from transient weakening or tingling sensation of the upper limb to total permanent paralysis of the limb associated with chronic pain and disability. Conflicting opinions exist as to whether these injuries should be treated operatively and if so when surgery should be performed. In this review, available literature dedicated to neurological complications of shoulder dislocation has been analysed and management algorithm has been proposed. Neurological complications were found in 5.4-55% of all dislocations, with the two most commonly affected patient groups being elderly women sustaining dislocation as a result of a simple fall and young men after high-energy injuries, often multitrauma victims. Infraclavicular part of the brachial plexus was most often affected. Neurapraxia or axonotmesis predominated, and complete nerve disruption was observed in less than 3% of the patients. Shoulder dislocation caused injury to multiple nerves more often than mononeuropathies. The axillary nerve was most commonly affected, both as a single nerve and in combination with other nerves. Older patient age, higher energy of the initial trauma and longer period from dislocation to its reduction have been postulated as risk factors. Brachial plexus injury resolved spontaneously in the majority of the patients. Operative treatment was required in 13-18% of the patients in different studies. Patients with suspected neurological complications require systematic control. Surgery should be performed within 3-6 months from the injury when no signs of recovery are present.
MeSH term(s)	Brachial Plexus/injuries ; Brachial Plexus/surgery ; Brachial Plexus Neuropathies/etiology ; Brachial Plexus Neuropathies/surgery ; Humans ; Neurosurgical Procedures/methods ; Shoulder Dislocation/complications ; Shoulder Dislocation/epidemiology ; Shoulder Dislocation/surgery ; Treatment Outcome
Language	English
Publishing date	2018-06-30
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	6907-3
ISSN	1437-2320 ; 0344-5607
ISSN (online)	1437-2320
ISSN	0344-5607
DOI	10.1007/s10143-018-1001-x
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Zs.A 1445: Show issues

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Article ; Online: Use of collision tests to identify physiological differences between the median and ulnar nerves.

Koszewicz, Magdalena / Szydlo, Mariusz / Gosk, Jerzy / Wieczorek, Malgorzata / Budrewicz, Slawomir

Muscle & nerve

2019 Volume 59, Issue 4, Page(s) 470–474

Abstract: Introduction: Median and ulnar nerves are used in comparative electrophysiological studies. We analyzed the conduction values in these hand nerves in healthy volunteers to find any physiological differences between them.: Methods: We performed ... ...

Abstract	Introduction: Median and ulnar nerves are used in comparative electrophysiological studies. We analyzed the conduction values in these hand nerves in healthy volunteers to find any physiological differences between them. Methods: We performed standard conduction studies and conduction velocity distribution (CVD) tests with estimation of 3 quartiles in 31 healthy right-handed volunteers (17 women, 14 men) with a mean age of 44.8 ± 15.5 years. Results: The conduction velocities in all quartiles of CVD tests were statistically faster in the ulnar nerve (P < 0.00001), with no differences in the spread of conduction values and no differences between sides. In the ulnar nerve, CVD velocities in all quartiles were faster in the female group (P < 0.05). Discussion: The ulnar nerve has more fibers conducting with high velocities than does the median nerve. Electrophysiological comparisons between hand nerves must be performed carefully. Muscle Nerve 59:470-474, 2019.
MeSH term(s)	Adolescent ; Adult ; Electric Stimulation ; Electrophysiological Phenomena ; Female ; Healthy Volunteers ; Humans ; Male ; Median Nerve/physiology ; Middle Aged ; Nerve Compression Syndromes/diagnosis ; Neural Conduction ; Sex Characteristics ; Ulnar Nerve/physiology ; Young Adult
Language	English
Publishing date	2019-02-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	438353-9
ISSN	1097-4598 ; 0148-639X
ISSN (online)	1097-4598
ISSN	0148-639X
DOI	10.1002/mus.26428
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Zs.A 1449: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: The giant cell tumour of the proximal phalanx of the thumb treated by a 2-stage operation.

Reichert, Paweł / Kowalski, Przemysław / Gosk, Jerzy

Acta orthopaedica et traumatologica turcica

2017 Volume 51, Issue 5, Page(s) 425–428

Abstract: We present a 29-year-old woman who was treated for a giant-cell tumour of her thumb. Surgical treatment was performed in two stages. In the first stage, the tumour was removed and the first metacarpal and distal phalanges were fixed by an external ... ...

Abstract	We present a 29-year-old woman who was treated for a giant-cell tumour of her thumb. Surgical treatment was performed in two stages. In the first stage, the tumour was removed and the first metacarpal and distal phalanges were fixed by an external fixator. In the second stage of reconstruction of the thumb, a cortico-cancellous bone graft from the iliac crest, an external fixator and double arthrodesis were used. This two-stage procedure provides the possibility for confirming the diagnosis and appropriate treatment choice and minimizes the risk of recurrence.
MeSH term(s)	Adult ; Arthrodesis/methods ; Bone Neoplasms/pathology ; Bone Neoplasms/surgery ; Bone Transplantation/methods ; External Fixators ; Female ; Finger Phalanges/diagnostic imaging ; Finger Phalanges/pathology ; Finger Phalanges/surgery ; Giant Cell Tumors/pathology ; Giant Cell Tumors/surgery ; Humans ; Ilium/transplantation ; Osteotomy/methods ; Thumb/diagnostic imaging ; Thumb/pathology ; Thumb/surgery ; Treatment Outcome
Language	English
Publishing date	2017-04-24
Publishing country	Turkey
Document type	Case Reports ; Journal Article
ISSN	2589-1294
ISSN (online)	2589-1294
DOI	10.1016/j.aott.2017.03.015
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