Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Jul 2005
Case Reports Clinical Trial[Experience in using a molecular resonance coagulator in neurooncology].
The paper analyzes the experience gained in using a molecular resonance coagulator in 145 patients with tumors of the base of the skull and brain. The Vesalius NEUROsurgery N1 molecular resonance apparatus is an innovational bipolar device that is specially designed for neurosurgical application,(operations on the brain). Due to the fact that the temperature at the site of a cut does not exceed 45-50 degrees C, the apparatus has the minimum effect on tissues, nerves, nerve ending, and blood vessels, permitting a surgeon to make interventions into sophisticated anatomic formations. ⋯ The clinical case given in this paper demonstrates the universality of the Vesalius NEUROsurgery N1 molecular resonance apparatus used in an infiltrative tumor of the bases of the skull. One forceps operated in different modes may provide sparing coagulation of minor cortical arteries, reduce the volume of a tumor through its bloodless dissection, arrest bleeding from the hyperostosis (wax sticking effect), prepare nerves in the upper lid slit and cavernous sinus. The Vesalius NEUROsurgery N1 molecular resonance surgical apparatus is recommended for neurosurgical care to perform brain operations requiring great caution in handling the tissues being operated on.
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Zh Vopr Neirokhir Im N N Burdenko · Jul 2005
Comparative Study[Clinical and computed tomographic comparisons of analysis of the condition in children with brain injury of 13-15 scores by the Glasgow Coma Scale on admission to hospital].
Clinical and computed tomographic comparisons were made in 590 children with mild brain injury (BI). The children admitted for BI of 13-15 scores assessed by the Glasgow coma scale (GCS) in the first hour after injury were examined. They all underwent brain computed tomography (CT), skull X-ray study, and neurological studies. ⋯ X-ray skull fracture increases the likelihood of CT pathology up to 62%. Consciousness disturbance of as high as 13-14 GCS score concurrent with noticeable neurological symptoms and skull fracture increases the probability of the positive CT pattern up to 93%. X-ray and CT studies did not reveal acute traumatic injuries when there were traces of skull injury in the presence of clear consciousness and in the absence of vomiting.
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Zh Vopr Neirokhir Im N N Burdenko · Jul 2005
[Recommendations on the diagnosis and treatment of brain injury in the context of evidence-based medicine. Part I. Technology of the evidence-based medicine].
The paper considers the technological aspects of evidence-based medicine: organization of highly reliable studies; systematized analysis of published data; analysis of the sensitivity and specificity of diagnostic methods, and development of therapeutic and diagnostic recommendations and reliable predictive criteria. It also presents a databank on brain injury available at the Academician N. N. Burdenko Research Institute of Neurosurgery, Russian Academy of Medical Sciences.