Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
-
Zh Vopr Neirokhir Im N N Burdenko · Oct 2007
[Intraoperative rupture of cerebral aneurysm--incidence and risk factors].
To reveal and assess risk factors for intraoperative rupture (IOA) of aneurysms, which will reduce the incidence of this complication and improve the outcome of treatment. ⋯ The low rate of IOA in the treatment of asymptomatic aneurysms is another argument in favor of the development of surgery for unruptured asymptomatic aneurysms. Timely temporary clipping of the nutrient artery at surgery substantially reduces the risk of IOR in all cases.
-
Zh Vopr Neirokhir Im N N Burdenko · Jan 2007
Review[Neurostimulation in patients with chronic neuropathic pain in the so-called failed back surgery syndrome (world and the author's experience)].
The failed back surgery syndrome (FBSS) is defined as protracted or recurrent pain, mainly in the lower back and/or legs, even after previous anatomically successful spinal surgery. Treatment of such patients commonly involves difficulties since neither medical therapy nor repeated back surgery does not result in adequate pain relief. Spinal cord stimulation (SCS) is a minimally invasive procedure that allows physicians and patients to define the effect of therapy just before permanent implantation. ⋯ Many patients told about fair therapeutic effects and the occurrence of mild side effects. Thus, SCS is an accessible alternative to traditional therapy. It is the treatment of choice in drug-resistant FBSS patients where recurrent neuropathic pin persists after surgery and analgesics are no longer effective.