Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Jan 2007
Historical Article[History of surgery for parasagittal meningiomas].
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Zh Vopr Neirokhir Im N N Burdenko · Jul 2006
[Electrostimulation of a subthalamic nuclear area in Parkinson's disease].
The paper presents the results of application of chronic electrostimulation of the subthalamic nucleus in 15 patients with the akinetic-rigid form of Parkinson's disease. Standard UPDRS, Schwab and England, Hoehn and Yahr, and PDQ-39 rating scales were used for the clinical evaluation of motor disorders. The patients were examined before and 6 months after surgery with ON-stimulation in OFF and ON-medication. Positive results as better life quality, ameliorated motor disorders, and fewer complication of drug therapy with a two-fold reduction in the daily dose of L-dopa were obtained in the vast majority of patients (n = 14).
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Zh Vopr Neirokhir Im N N Burdenko · Apr 2006
Controlled Clinical Trial[Intensive care using hypervolemic hypertensive hemodilution in the acute period of subarachnoidal hemorrhages in patients with arterial aneurysms].
Cerebral vasospasm and its associated ischemia are one of the main causes of death in 23% of patients with prior aneurysmal subarachnoidal hemorrhage (SAH). At present, a diversity of approaches to treating vasospasm has been developed, among them hypertensive hypervolemic hemodilution (deriving its abbreviated name 3H-therapy) offers certain advantages. At the same time a number of aspects of application of this approach remain unclear. ⋯ Hypervolemic hypertensive hemodilution (3H-therapy) applied to patients operated on in the acute period of aneurysmal SAH was effective in increasing cardiac output, central venous pressure, systemic arterial pressure and hence cerebral perfusion with the minimum number of complications unassociated with the use of this technique. This permitted a reduction in mortality rates in patients with baseline Hunt-Hess grade I-III SAH. At the same time, it should be emphasized that 3H-therapy may be used in neurosurgical patients, by thoroughly monitoring the parameters of central hemodynamics, blood coagulation system, cerebral circulation and, desirably, intracranial pressure.
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Zh Vopr Neirokhir Im N N Burdenko · Oct 2005
[Chronic spinal cord electrostimulation in the management of neurogenic pain].
According to the data of epidemiological surveys made in Russia, the prevalence of chronic pain (without cancer diseases being kept in mind) accounts for less than 40% of the adult population and these figures tend to grow steadily. Despite a continuous increase in the potentialities of pharmacotherapy, physiotherapy, and psychotherapy, the efficiency of treatment in patients suffering from various pains has remained ineffective so far. Surgical treatments for pain include anatomic, destructive (neuroablation), and non-destructive (electrical stimulation and neuromodulation) operations. ⋯ Two patients were observed to have complications as displacement of an epidural electrode, which required surgical correction of its position. Resurgery restored the antipain effect of stimulation. Chronic epidural stimulation can be the method of choice in treating neurogenic pain since it is minimally invasive and more effective than other surgical treatments.