Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Oct 1999
Case Reports[Endoscopic fenestration of median supratentorial cerebrospinal fluid cysts].
Mid-supratentorial liquor cysts are a relatively rare and generally congenital abnormality of the cerebral ventricles and subdural spaces. The data and views available in the literature on rational surgical policy is contradictory. The authors' experience in treating 16 patients was used to consider whether endoscopic techniques can be employed for invasive fenestration of the cysts. ⋯ It is concluded that endoscopic internal bypass surgery in patients wit median cystic liquor malformations is the treatment of choice. When equipment is adjusted, fenestration of the membranous walls of these cysts by using an endoscope is reliable and safe. Such patients may be recommended endoscopic technology used as the method of choice.
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Zh Vopr Neirokhir Im N N Burdenko · Oct 1999
Comparative Study[The permeability of the hemato-encephalic barrier and the proteolytic potential of the cerebrospinal fluid in severe craniocerebral trauma].
To study blood-brain barrier permeability and proteolytic changes in in patients with severe brain injury and to evaluate their impact on its course and outcome, the concentrations of albumin, plasminogen (plasmin), alpha 2-macroglobulin, alpha 2-antiplasmin, and alpha 1-antitrypsin were examined in 58 victims by enzyme immunoassay. The control group comprised 20 patients examined for lumbar discal hernia. The studies indicate that early severe brain injury showed blood-brain barrier dysfunction whose severity can be detected by the spinal fluid levels of albumin, plasminogen, and alpha 2-macroglobulin. Proteolytic changes in spinal fluid are determined by its albumin, plasminogen (plasmin), alpha 2-macroglobulin, alpha 2-antiplasmin, and alpha 1-antitrypsin concentrations and affect the development of secondary brain lesion and they are of practical value.
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Zh Vopr Neirokhir Im N N Burdenko · Oct 1999
Comparative Study[The surgical treatment results in intracranial meningiomas over 40 years].
A comparative study was made of the results of surgical treatment of 292, 290 and 349 patients with intracranial meningioma operated, respectively, in 1946-1966, 1970-1980, 1986-1996. The results were compared by radicality and postoperative lethality. The picture by these two parameters was the following in the above three periods: radicality--69.9%, postoperative lethality--17.8%; radicality--81%, lethality--15.5%, radicality 72.5%, lethality--5.2%. It is evident that, with time, the results of the surgery were constantly improving.
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Zh Vopr Neirokhir Im N N Burdenko · Jul 1999
Case Reports[New possibilities in the surgical treatment of lower thoracic and lumbar spinal injuries].
The paper presents new current approaches to surgically treating the lower thoracic and lumbar spinal injuries. By using new procedures for spinal stabilization, the authors propose algorithms for surgical treatment of spinal injuries in relation to the neurological symptomatology and the severity of fracture and its pattern. ⋯ The outcomes of their surgical treatment are analyzed. Indications for nerve structural decompression, for approaches to vertebral bodies are defined.
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Zh Vopr Neirokhir Im N N Burdenko · Oct 1998
Review Case Reports[The cerebral hyperperfusion syndrome after a carotid endarterectomy operation (a case report and review of the literature)].
The paper describes a clinical case of the cerebral hyperperfusion syndrome, a rare complication of carotid endarterectomy. The syndrome appeared as the generalized convulsive syndrome in the patient in the early postoperative period. In the context of clinical observation, the results of analysis of the literature are presented and the pathogenesis, diagnosis, therapy, and prevention of the cerebral hyperperfusion syndrome considered.