Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Jan 1992
Comparative Study[The differentiated treatment of traumatic intracranial hematomas].
The article deals with the analysis of the clinical and computed tomography data, treatment, and outcomes in 94 patients with traumatic intracerebral hematomas (TICH). The indications for nonoperative treatment of TICH are a level of consciousness of the patient of no lower than 10 marks of the Glasgow coma scale, hematoma diameter of less than 4 cm, and the absence of clinical and computed tomography signs of brain stem compression. ⋯ Puncture evacuation of the TICH may be resorted to if more than three fourths of its volume can be aspirated. The stereotaxic method is recommended for removal of TICH situated in the region of the basal ganglia.
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Zh Vopr Neirokhir Im N N Burdenko · Sep 1991
[The microsurgical treatment of arteriovenous malformations of the thalamus].
The article analyzes the clinical data of 48 patients with arteriovenous malformations of the thalamus, who were examined at the Burdenko Institute of Neurosurgery, AMS USSR, from 1970 to 1989. The experience in surgical treatment is based on 25 cases. The authors describe in detail the indications for surgical treatment, adequate surgical approaches, and the method for removal of the malformations. Neuropsychological and electrophysiological methods of examination of patients in dynamics were applied to evaluate the results of surgery.
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Zh Vopr Neirokhir Im N N Burdenko · Jul 1991
Comparative Study[The characteristics of closed craniocerebral trauma in older persons].
It is shown that in the recent 2 decades the incidence of craniocerebral trauma increased from 4.8 to 7.2% among old-aged individuals and from 53 to 72% in the group of patients over 60. The dynamics of changes in the clinical course of mild craniocerebral trauma in 21% of old-aged patients were marked by secondary acute cerebral circulatory disorders which often led to a fatal outcome. Mortality rate in craniocerebral trauma at old age was 52.3%.