Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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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
[Cerebrovascular resistance in patients with severe combined traumatic brain injury].
Cerebrovascular resistance is an important parameter of the microcirculation. The main objective of cerebrovascular resistance is to maintain the constancy of cerebral blood flow and protect downstream vessels when changing perfusion pressure. The purpose of the study was to assess cerebrovascular resistance (CVR) in patients with severe combined traumatic brain injury (CTBI) with and without intracranial hematomas (IHs). ⋯ Cerebrovascular resistance in patients with combined traumatic brain injury is significantly increased compared to the normal value. Cerebrovascular resistance in the perifocal zone after evacuation of hematoma in patients with multiple injury remains significantly increased compared to the symmetrical zone in the contralateral hemisphere.
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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
Clinical Trial[Complex skull defects reconstruction with САD/САМ titanium and polyetheretherketone (PEEK) implants].
Predictable and stable functional and aesthetic result is the aim of priority for the neurosurgeon dealing with the reconstruction of large cranial bone defects and complex-formed skull defects involving cranio-orbital region. ⋯ САD/САМ titanium and PEEK implants application should allow for optimal reconstruction in the challenging patients with complex-formed and large skull bone defects providing predictable good functional and aesthetic result together with surgery morbidity and duration reduction. Computer-assisted preoperative planning should be undertaken for САD/САМ implants creation in the cases of posttraumatic defects combined with adjacent bone structures deformities and benign bone tumors of cranio-orbital region, thus enabling one-step reconstructive surgery resulted in essential symmetry attained.
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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.