Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Nov 1985
[External drainage of the ventricular system of the brain in a complex of intensive therapy of severe craniocerebral injuries].
Indications for draining the ventricular system of the brain in patients with severe craniocerebral injury are given, based on analysis of the clinical neurological signs and the quantitative estimations. The most frequent situations in which drainage is necessary are described. Ventricular drainage should be the final stage of the principal operative intervention, namely, trephination of the skull and removal of intracranial hematomas and foci of brain crushing.
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Zh Vopr Neirokhir Im N N Burdenko · Nov 1984
Comparative Study[Effect of osmotic diuretics and saluretics on intracranial pressure in posttraumatic brain edema].
The effect of osmotic diuretics (mannite and glimarite, 29 studies), colloid-osmotic diuretic (algurin, 22 studies), and saluretic (lasix, 58 studies) on intracranial pressure (ICP) was studied in 30 patients in the acute period of severe craniocerebral injury. It was found that the hypotensive effect of the diuretics depended on the state of the water-electrolyte homeostasis, the time of medication with the agents, the severity of the patient's condition, and the initial ICP. ⋯ Medication with osmotic diuretics and algurin in the first 2-3 days after the injury as usually attended by the "yield phenomenon"; the hypotensive effect of algurin in this period was less manifest. The effect of lasix was higher in hyperosmia caused by hypernatriemia but lower in patients who were in a terminal and extremely severe state.
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Zh Vopr Neirokhir Im N N Burdenko · Sep 1984
[Relation between criteria for the outcome of craniocerebral trauma and the severity of consciousness disorders in the acute phase].
Prognostic criteria of outcomes after severe craniocerebral traumas observed in 66 patients have been presented with the account of the degree of consciousness disorders in the acute phase. Favourable outcomes were confirmed in subjects whose level of consciousness impairments was not below 20 points according to coma quantity classification accepted at the N. N. Burdenko Institute of Neurosurgery.
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Zh Vopr Neirokhir Im N N Burdenko · Jul 1984
[Early results of microsurgical suture of the median and ulnar nerves in the forearm].
The author discusses the early results of primary and delayed microsurgical sutures of the median (31) and ulnar (32) nerves in injuries (incised wounds) to the forearm in the middle and lower third. The results of the operation were appraised in follow-up periods of 2 to 4 years in 19 patients (23 nerves). ⋯ Skin sensitivity in the autonomous nerve zones was estimated as 4 marks and more in all cases. Two-point discrimination at a distance of less than 15 mm was restored after suture application in 13 of 23 nerves.
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Zh Vopr Neirokhir Im N N Burdenko · Mar 1984
[Epineural suture of the median and ulnar nerves in children].
Clinical examination of 19 children, aged from 6 to 16 years, 3-10 years after applications of epineural suture to the median and ulnar nerves showed that the type of the suture is not always a factor determining the degree of regeneration of the nerve. The epineural suture is the method of choice in children in the absence of unfavourable conditions for regeneration, i.e. a large defect in the nerve and long-term postponement of the operation. In such situations it leads to good restoration of muscle strength and sensitivity. The outcome of an epineural suture is also good in moderately unfavourable conditions for regeneration.