Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Jul 1997
Comparative Study[Blood ultrafiltration in postoperative brain edema-swelling in neuro-oncology patients].
A hundred and sixteen postoperative patients after removal of various brain tumors in whom brain edema developed were treated with 1-3 courses of blood ultrafiltration (BUF). 0.5-9.0 liters of ultrafiltrate was removed. BUF does not lead to blood concentration due to the movement of the fluid from intracellular to intravascular space. BUF allows to decrease the amount of toxic medium-sized peptides and osmolarity discriminant. ⋯ When the capillary dialyzers were used, no complications were noted. BUF may be recommended in patients with brain tumors in early postoperative period when traditional medical management does not seem to be effective enough. The technique helps to reduce the duration of brain edema in treated patients by 8-10 days vs. controls treated traditionally.
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Zh Vopr Neirokhir Im N N Burdenko · Apr 1997
Case Reports[Transcutaneous radiofrequency destruction of the articular nerves in treating low back pains].
Lumbar pain is a most common suffering which frequently becomes chronic. In the mechanical low back syndrome caused by an abnormality in the intervertebral joints, lumbar pain may be rather easily differentiated from pain induced by to spinal root compression due to discal hernia or intervertebral foramen stenosis. The absence of benefits from conservative treatment of lumbar pain caused by intervertebral joint abnormalities is an indication for the highly effective and low-traumatic surgical technique transcutaneous radiofrequency destruction of intervertebral facette nerves. The technique yields good results in small displacements of the lumbar vertebra which cannot undergo orthopedic interventions, as well as in severe vertebral deformities which cause a higher load on the intervertebral joints.