Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Apr 2008
Case Reports[Intramedullary abscess of spinal cord as a complication of existing dermal sinus].
The paper describes a rare case of intramedullary spinal cord abscess in an infant after dermal sinus. In discussion with literature review the contemporary approach to patients with this pathology is highlighted.
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Zh Vopr Neirokhir Im N N Burdenko · Apr 2008
Case Reports[Neuromodulation--controlled analgesia. Criteria for long efficiency].
In the past three decades, there have been cardinal changes in the surgical treatment of chronic pain syndromes. The early used destructive methods have been mostly substituted for surgical neuromodulation techniques. These include: (1) neurostimulation--the electric stimulation (ES) of peripheral nerves, the spinal cord, and brain; (2) intrathecal drug delivery by means of programmed pumps. ⋯ Positive results of chronic ES are observed in the vast majority of patients having good results in the postoperative testing period. Contrary to the current opinion as to worse follow-up results of chronic ES, we have seen positive changes in 5 patients followed up for about 3 years. Thus, by taking into account the high efficiency and minimal invasiveness of neurostimulation, no serious complications, as well as a possibility of improving the effectiveness of ES in a follow-up, this technique may be used as one of the first stages of surgical treatment of patients with neurogenic pain syndrome.
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Zh Vopr Neirokhir Im N N Burdenko · Apr 2008
[Microsurgical anterior cervical foraminotomy in spondylogenous cervical radiculopathy].
The authors present the results of microsurgical anterior cervical foraminotomy used in unilateral cervical radiculopathy caused by lateral disc herniation or foraminal stenosis. In 2000 to 2006, anterior cervical foraminotomy was performed at one or two adjacent levels in 44 patients (27 males and 17 females aged 18 to 64 years (mean age 43 years)) with cervical radiculopathy and myelopathy. All the patients underwent pre- and postoperative computed tomography, magnetic resonance imaging, and functional X-ray study. ⋯ The immediate postoperative period was marked by excellent results with regression of radicular syndrome in 84% of the patients and by good results in 16%. A late (6-month-to-6-year) follow-up showed excellent (78%) and good (22%) results without additional surgery. The findings indicate that anterior cervical foraminotomy is an effective technique of nerve root decompression in patients with lateral disc herniation or foraminal stenosis.
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Zh Vopr Neirokhir Im N N Burdenko · Jan 2008
Comparative Study[Use of regional anesthetic methods in neurosurgery].
The paper analyzes the advantages and disadvantages of using locoregional anesthesia (LRA) modes (a combination of local anesthesia and regional blockade) in neurosurgical patients with intracranial, spine, and spinal cord occlusive cerebrovascular disease and lesions during transnasosphenoidal interventions. LRA is now an effective and frequently indispensable component of anesthetic management during neurosurgical interventions.