Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Mar 1979
Comparative Study[Spinal cord hypothermia in neurosurgical practice].
Spinal cord hypothermia was conducted in 113 patients. It led to a decrease of bleeding from the tissues during the operation, reduced edema of the spinal cord, diminished spasticity of muscles, improved motor function of the affected limbs, and alleviation of the pain syndrome. Hypothermia of the spinal cord also caused changes in motoneuron excitability and circulation, both local and general, and shifts in body thermoregulation.
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Zh Vopr Neirokhir Im N N Burdenko · Jan 1979
Comparative Study[Effect of dehydration therapy on intracranial pressure and local cerebral blood flow in hemorrhagic stroke and cranio-cerebral injuries].
The degree and duration of the effect of dehydration therapy on intracerebral pressure and local cerebral blood flow were studied. The record was taken by means of an original combined sensor implanted into the brain tissue during neurosurgical operations in patients with acute disorder of cerebral circulation of the hemorrhagic type and severe craniocerebral trauma. Urea, mannitol, and glucose were applied as the dehydration agents. They were infused intravenously with due account for the initial values of intracerebral and arterial pressure.
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Zh Vopr Neirokhir Im N N Burdenko · Sep 1978
[Effect of protective helmets and head guards on localization of injuries to the skull and brain in cranio-cerebral injuries].
The results of post-mortem examination of 140 cadavers of persons who had died of craniocerebral injuries are appraised. It was established that in injury inflicted through a protective head-piece, the proportion of damage to the bones of the base of the skull, basally located structures of the large hemispheres and stem of the brain in the total number of injuries increases. The study is supplemented with mathematical calculations which explain the dependence observed.
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Operations on the brain require an optimum coagulation effect to be produced by forceps for bipolar coagulation. New forceps models are described in which the elimination of heat from the operating ends is considerably improved by making the whole forceps of copper and providing intermittent supply of high-frequency current to it. As a result the coagulation effect is distinguished by slight necrosis of the tissues adjoining the ends of the forceps and no sticking of these tissues to these ends.