[en] Severe brain injuries are characterized with high morbidity and mortality. Only 40 % of the patients end the therapy with favourable outcome. The bad outcome is caused by the severity of primary brain insult. However, the therapy should be focused on an elimination of secondary – ischemic damage, resulting from the high ICP. The use of multimodal monitoring is an important part of the therapy. ICP monitoring remains the fundamental method, on the other hand, there are several promising methods, like tissue oximetry and microdialysis, which can improve the treatment result. These methods are more focused on a brain metabolism. More detailed and complex information from brain tissue facilitate right time adequate therapy which is believed to avoid ischemic brain damage. (author)

[en] The control of internal quality of welded joints of pressure vessels is designed using the X-ray/TV imaging method. The application is assumed of X-ray instrument Isovolt by Seifert, X-ray/TV imaging system RBV 17 (Seifert) or the developed Czechoslovak equipment, and complementary recording instrument (Seifert). Testing was carried out on standards with artificial defects, with butt welds and wire gauges. The possibilities of the method were tested, and Czechoslovak and peak foreign equipment compared. (E.S.)

[en] Aim: to evaluate the changes of cerebral perfusion in patients after craniocerebral injury with clinical temporal conus syndrome. Material and methods: We present a group of 14 head injured patients admitted to neurosurgery with the syndrome of temporal herniation (Glasgow coma scale 3 - 5, homorateral dilated pupil and disturbed vital functions). There were 7 epidural, 6 subdural and one intracerebral hematomas. Mean age was 42, 7. All patients had urgent surgery and then continuous monitoring of vital functions. Results: Two postoperative CT and SPECT examinations were performed in each patient. Only 2 patients had visible ischemia on the first postoperative CT scan, both diet. 11 patients had ischemia in both the first post-operative and the follow up SPECT. 7 patients had improvement on the follow up SPECT compared to the first one, 6 of them were good results, one died. Conclusions: SPECT is very sensitive to impaired cerebral perfusion and may be helpful as a serial study. This is very mainly in the patients with reversible ischemia which may be influenced therapeutically with good results

[en] Winter GLIO TRACK Meeting 2009. On January 23 - 24 2009, 40 experts from Czech and Slovak Republic dealt with diagnostics and therapy of patients with high-grade glioma, HGG (glioblastoma multiforme, astrocytoma G3-4) and discussed the problems of recurrent primary cancers and preudoprogress