Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
-
Zh Vopr Neirokhir Im N N Burdenko · Jan 2011
Review[Practical problems of contemporary neuroanesthesiology].
The paper written in the format of lecture, focuses on practical problems of neuroanesthesiology, current tendencies in technologies and medicaments, prevention and management of complications.
-
Zh Vopr Neirokhir Im N N Burdenko · Jan 2011
Clinical Trial[Management of facet pain syndrome in patients treated by microdiscectomy].
Aim of this study was to assess effectiveness of high-frequency denervation of facet joints in facet pain syndrome in patients who underwent microdiscectomy. The analyzed series included 42 patients treated by microdiscectomy 2 to 56 months before minimally invasive manipulation. ⋯ VAS score after 6-12 months changed from 7.6 to 3.2 and from 7.9 to 2.2 in control and mail groups, respectively. Conclusions are made about effectiveness of high-frequency denervation of facet joints in patients with failed back surgery syndrome in conditions of their careful selection for this procedure.
-
Zh Vopr Neirokhir Im N N Burdenko · Jan 2011
Review[Proton "radiosurgery" of cerebral arteriovenous malformations].
Arteriovenous malformations (AVM) are vascular lesions arising from impaired angiogenesis at the stage of transformation of primary embryonic arteriovenous anastomoses into capillaries. Commonly AVMs manifest with spontaneous hemorrhage. ⋯ In addition, stereotactic radiosurgery is used either as a component of complex management of large AVMs or pre-planned procedure combined with endovascular intervention, or as a second line therapeutic option in residual AVM after subtotal surgical resection. Comparing with photons protons due to their unique physical properties have advantages in spatial spread of dose thus allowing to significantly decrease integral dose to the surrounding brain tissue when treating large AVMs with complex shape proximal to critical structures.
-
Zh Vopr Neirokhir Im N N Burdenko · Jan 2011
[Five-component visual analogue scale for assessement of pain status retrospective analysis of outcomes after surgical treatment of degenerative spine disease].
The study was performed for development of more precise criteria for assessment of pain using five-component visual analogue scale. Pain status was studied in 493 patients who underwent lumbar spinal nerve root decompression. Pain scale included the following parameters: pain at the moment, usual pain, maximal pain, minimal pain and overall pain score which was calculated as an average quantity of the previous four parameters. Overall pain score is a more precise criterion for evaluation of postoperative pain status in patients with degenerative lumbar spine disease.