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Volume 52, Issue 1, 2023

Online ISSN: 2560-3310

ISSN: 0350-8773

Volume 52 , Issue 1, (2023)

Published: 01.11.2024.

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01.12.2021.

Professional paper

Differential diagnosis distinction of nummular headache and Lichen planopilaris

Introduction: Nummular headache is a type of primary headache of chronic character, with a large number of described varieties in the clinical picture, and therefore the differential diagnostic consideration must include a large number of disorders related to changes in epicranial structures. Certain dermatological disorders can also include pain in a limited area of the scalp with itching, burning or burning sensation, such as Lichen Planopilaris. Case report: This is a report of a patient who was initially diagnosed with Lichen planopilaris, but after determining the parameters of the distinction and the necessary additional diagnostic procedures, a diagnosis of Nummular headache was made. Conclusion: In this presentation, we have presented another important differential diagnostic item and we believe that the work is a small contribution to everyday practice, but also to further research.

Snežana Filipović-Danić, Vekoslav Mitrović, Nenad Milošević, Aleksandar Stevanović

01.12.2020.

Professional paper

A new scoring system for Covid-19 in patients on hemodialysis: Modified Early Warning score

Introduction. At the very beginning of the Corona virus epidemic there was not enough data on whether hemodialysis patients have a higher risk for Corona virus infection and which factors may affect the severity of clinical picture. Objective. The aim of the study was to determine the significance of the Modified Early Warning Assessment (MEWS) score for the assessment of coronavirus disease exacerbation. Methods. The research was conducted in COVID dialysis, as a retrospective, descriptive-analytical study, at the University Clinical Center Kragujevac, Serbia, which was organized ad-hoc for treatment of SARS-Cov-2 infection positive patients, which are transfered from Center for Hemodialysis "Ćuprija". They were evaluated routine laboratory findings, demographic and gender structure, arterial blood pressure, presence of comorbidities and residual diuresis, duration of dialysis, radiological evaluation of lungs, determination of MEWS score were the parameters that were monitored. The results were monitored on admission and and in the end of treatment. Results. A statistically significant difference was registered in serum lactate dehydrogenase concentration (486 ± 107.62 vs. 423.7 ± 92.4 U/L); p = 0.022 and absolute monocyte count (0.46 ± 0.15 vs. 0.67 ± 0.34 x 103; p = 0.008). The significant increase in MEWS score was also found (b = 0.017; p = 0.030). There was a positive correlation between increase of MEWS score and age (b = 0.027; p = 0.002) and arterial hypertension as a concomitant comorbidity (b = 0.700; p = 0.033). Conclusion. In the observed period, there was a significant increase in the degree of MEWS score of dialysis patients who had SARS-Cov-2 infection.

Radojica Stolić, Dragica Bukumirić, Milena Jovanović, Tomislav Nikolić, Tatjana Labudović, Vekoslav Mitrović, Kristina Bulatović, Saša Sovtić, Dušica Miljković, Aleksandra Balović, Roksanda Krivcević, Sanja Jovanović

01.12.2019.

Professional paper

Oral health in patients with chronic kidney disease

Objective: In the available literature data, there is not much information about problems of patients with end stage kidney disease in relation to oral health. Our objective was to show the importance of oral diseases for patients on hemodialysis. Data sources: In this review article, the sources of data are review articles and scientific articles in the English language published in MEDLINE database. The choice of studies was based on keywords: Chronic kidney disease, Hemodialysis, Oral health, Periodontal diseases. Results: It is assumed that almost 90% patients with chronic kidney disease manifest some symptoms of oral disease. Therefore, it is important to determine the impact of periodontal disease on the progression of kidney failure in these individuals, to evaluate inflammatory parameters in this patient population, to assess the degree of bone loss and periodontal disease index, to determine the presence of bacterial strains, paradontopathy of gingival fluid and antibody titers, to examine correlations of proinflammatory cytokines in the gingival sulcus and serum, as well as to determine the relationship between periodontal tissue and inflammatory mediators. Periodontal diseases can increase the possibility of developing chronic kidney disease by 1.5 to 2 times. These oral diseases include gingival hyperplasia, periodontitis, xerostomia, unpleasant breath, changes in the oral mucosa, malignancies, oral infections, dental abnormalities and bone lesions. Conclusion: This requires serious cooperation between nephrologists and dentists to make proper communication possible, in order to provide quality dental care for this growing patient population in accordance with new treatment strategies.

Radojica Stolić, Vekoslav Mitrović, Naja Suljković, Dušica Miljković-Jakšić, Aleksandra Balović, Roksanda Krivčević, Sanja Jovanović

01.12.2018.

Professional paper

Extracranial carotid atherosclerosis in genesis infarction brain in the border zones supratentorial localization

Vekoslav Mitrović, Ramil Marić, Snežana Filipović-Danić, Novica Petrović

01.12.2018.

Professional paper

Vestibular nerve schwannoma, treated with gamma knife and diagnosed after transitory ischemic attack in posterior cerebral vascularisation

Snežana Filipović-Danić, Vekoslav Mitrović, Boban Biševac, Nenad Milošević, Jelena Dančetović

01.12.2018.

Professional paper

Craniocerebral injury complicadet by bening cyst of the middle cranial fossa

Vekoslav Mitrović, Radmil Marić, Sanja Marić, Miroslav Obrenović, Vjeran Saratlić, Ivo Berisavac

01.01.2019.

Original scientific paper

EXTRACRANIAL CAROTID ATHEROSCLEROSIS IN GENESIS INFARCTION BRAIN IN THE BORDER ZONES SUPRATENTORIAL LOCALIZATION

The emergence of brain infarction depends to a great extent on the status of collateral blood circulation and is associated with hemodynamic instability. This kind of brain infarction is usually found in border vascular zones. Infarction of borderline fields arises between vascular territories ACA and ACM or between ACM and ACP, deep paraventricular infarcts in internal border zones, wound or triangular cortical infarcts, as well as major infarctions involving the entire irrigated territory of ACM.

Vekoslav Mitrović, Ramil Marić, Snežana Filipović-Danić, Novica Petrović

01.12.2019.

Case Reports

VESTIBULAR NERVE SCHWANNOMA, TREATED WITH GAMMA KNIFE AND DIAGNOSED AFTER TRANSITORY ISCHEMIC ATTACK IN POSTERIOR CEREBRAL VASCULARISATION

A case of a patient is shown, who was admitted for neurological exploration, with clinical manifestations of the cerebrovascular accident in the posterior circulation (TIA V-B vascularisation). In accordance with diagnostic protocol, an endocranial CT was performed. The results of the brain CT indicated an existence of an alteration in the right pontocerebellar angle area, which was subsequently diagnosed as a n. vestibularis schwannoma in an NMR examination. After a neurosurgical deliberation, the patient was treated with a gamma knife. After this surgery, which was done in a local anesthesia, the patient's condition was well and he was discharged. Control examinations have shown minor difficulties during the stimulation of the left ear auditive structures. Control examinations involving NMR showed no signs of recidivate focal findings.

Snežana Filipović Danić, Vekoslav Mitrović, Boban Biševac, Nenad Milošević, Jelena Dančetović

01.12.2019.

Science Reports

CRANIOCEREBRAL INJURY COMPLICADET BY BENING CYST OF THE MIDDLE CRANIAL FOSSA

Arachnoid cysts are cavities filled with liquor, usually localized on the floor of the middle cranial fossa. Clinically, they are usually asymptomaticand can sometimes be presented with increased intracranial pressure syndrome and epileptic seizures. We present a patient who, after a slight head injury in a accident develops an increased intracranial pressure syndrome followed by an epileptic seizure. Based on the clinical course and diagnostic processing, we want to draw attention doctors who are in a position to inspect these patients that apparently slight head injuries can be complicated and dangerous for the lives of the premorbid intracranial condition of the injured.

Vekoslav Mitrović, Radmil Marić, Sanja Marić, Miroslav Obrenović, Vjeran Saratlić, Ivo Berisavac

01.12.2017.

Professional paper

Border zone stroke within the cerebral medial artery vascular territories and cardiovascular risk factors

Vekoslav Mitrović, Snežana Lazić, Radmil Marić, Jelena Ćosović-Ivanović, Verica Prodanović

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