Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Jan 2015
Case Reports[Cardiac arrest after induction of anesthesia in neurosurgical patients].
The paper reports two clinical cases observed with a time lag of four years. In both cases, there were severe clinical symptoms of intracranial hypertension before the surgery. ⋯ In one case, cardiac activity was successfully recovered by complex resuscitation with the emergency drainage of the cerebral ventricles. The possible causes of complications and preventive measures were discussed.
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Zh Vopr Neirokhir Im N N Burdenko · Jan 2015
[The outcomes of arthroplasty in degenerative lesions in the lumbar spine].
A retrospective study. ⋯ Total lumbar disc replacement with a Maverick prosthesis has proved to be an effective and safe technique. The clinical and radiological methods showed the significant improvement of the patients' status.
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Zh Vopr Neirokhir Im N N Burdenko · Jan 2015
[A correlation between diffusion kurtosis imaging and the proliferative activity of brain glioma].
The aim of the study was to assess the capabilities of diffusion kurtosis imaging (DKI) in diagnosis of the glioma proliferative activity and to evaluate a relationship between the glioma proliferative activity index and diffusion parameters of the contralateral normal appearing white matter (CNAWM). ⋯ DKI has good capabilities to detect immunohistochemical changes in gliomas. DKI demonstrated a high sensitivity in detection of microstructural changes in the contralateral normal appearing white matter in patients with brain gliomas.
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Zh Vopr Neirokhir Im N N Burdenko · Jan 2014
Historical Article[Trepanations in the population of the Altai Mountains in the Vth - IIIrd centuries B.C].
The history of trepanations beginning with the Mesolithic (1 0-12 thousand years ago) is known by means of findings in various parts of the world. The article describes three cases of intravital trepanation of skulls from the Pazyryk Culture graves in the Altai Mountains that had existed from the end of the Vl'h to the beginning of the ll"d century B. C. ⋯ The article establishes causes of surgeries performed, reconstructs the technique of surgical manipulations, and evaluates them in terms of modern medicine. A comparative analysis of ancient trepanations performed by healers of different archeological cultures is provided. It is concluded that prehistoric cranial surgeries in the Altai Mountains had been performed for curative purposes.
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Zh Vopr Neirokhir Im N N Burdenko · Jan 2014
Comparative Study[A comparative analysis of the effectiveness and potential of endoscopic and microsurgical resection of disc herniations in the lumbosacral spine].
The issue of advantage of endoscopic treatment of spinal disc herniations is debatable. Throughout the development, endoscopic technologies have been compared to microsurgical methods. The two-year experience of applying endoscopic methods was analyzed. ⋯ It was noted that there were no significant instrumental limitations for using endoscopic techniques, while angled optics and excellent color rendition enable better visualization of the surgical wound structures and more efficient use of the approach space. Given that the technical characteristics and capabilities of this method are not inferior to those of the microsurgical technique, the former technology can be used instead of the standard technique for removing intervertebral disc herniations. Furthermore, the technical capabilities of the method allow performing wide decompression of the neural structures during surgery, which can be used to treat spinal stenoses.