Craniocerebral trauma is a significant medical and social problem affecting all demographic groups of the population, leading to persistent or temporary disability and even mortality. Fractures in mild TBI can lead to severe damage to the structures of the brain, which is manifested by the corresponding symptoms. Prognostic analyses of fractures of the skull in head injury of mild severity is needed to identify patients with an increased risk of residual impacts and to use resources more risk averse subgroup. A large-scale retrospective study of 2228 patients of both sexes and different age groups was conducted. Risk stratification of prognostic clinical signs determining the probability of intracranial lesions in patients with mild and moderate TBI was performed. When detecting fractures and their combination, prognostic criteria are: headache, loss of consciousness, alcohol intoxication, GCS, skull deformity, bleeding from the nose or ear, liquorrhea, dangerous injury mechanisms such as an accident, a dangerous fall as a fall on the back of the head or a fall above one’s height, work injury, fracture of the bones of the cranial vault (by CT), fracture of the skull base (by CT), epidural hematoma, foci of brain contusion, foci of SAC and depressed fracture.
{"title":"Prognostic risk stratification of intracranial injuries fractures of the skull after a traumatic brain injury of mild severity","authors":"Matkari Ihsan, Z. Semenova, Ibrahim Said Galeb","doi":"10.33920/med-01-2302-04","DOIUrl":"https://doi.org/10.33920/med-01-2302-04","url":null,"abstract":"Craniocerebral trauma is a significant medical and social problem affecting all demographic groups of the population, leading to persistent or temporary disability and even mortality. Fractures in mild TBI can lead to severe damage to the structures of the brain, which is manifested by the corresponding symptoms. Prognostic analyses of fractures of the skull in head injury of mild severity is needed to identify patients with an increased risk of residual impacts and to use resources more risk averse subgroup. A large-scale retrospective study of 2228 patients of both sexes and different age groups was conducted. Risk stratification of prognostic clinical signs determining the probability of intracranial lesions in patients with mild and moderate TBI was performed. When detecting fractures and their combination, prognostic criteria are: headache, loss of consciousness, alcohol intoxication, GCS, skull deformity, bleeding from the nose or ear, liquorrhea, dangerous injury mechanisms such as an accident, a dangerous fall as a fall on the back of the head or a fall above one’s height, work injury, fracture of the bones of the cranial vault (by CT), fracture of the skull base (by CT), epidural hematoma, foci of brain contusion, foci of SAC and depressed fracture.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116787777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. V. Manikhin, D. F. Hritinin, V. Tian, M. S. Petrova, S. N. Tupikov, S. V. Katenko, A. G. Karakozov, A. I. Molodova, I. Telyatnikov
The article is devoted to the use of xenon therapy in patients with mental disorders on the background of post-COVID syndrome.
这篇文章致力于在后covid综合征的背景下使用氙气治疗精神障碍患者。
{"title":"Experience of using xenon therapy for the treatment of mental disorders in patients with post-COVID syndrome","authors":"V. V. Manikhin, D. F. Hritinin, V. Tian, M. S. Petrova, S. N. Tupikov, S. V. Katenko, A. G. Karakozov, A. I. Molodova, I. Telyatnikov","doi":"10.33920/med-01-2302-03","DOIUrl":"https://doi.org/10.33920/med-01-2302-03","url":null,"abstract":"The article is devoted to the use of xenon therapy in patients with mental disorders on the background of post-COVID syndrome.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130497514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The task of any neurosurgery for a tumor removal is the safest possible resection with minimal complications. For its implementation, it is of great importance to carry out preoperative planning using modern neuroimaging methods (MRI, MSCT, PET). It includes imaging of topographic and anatomical features of the area of interest, which may vary depending on the direction of tumor growth. Neuroimaging data allows assessing the properties of the tumor (size, spread, density, degree of vascularization) in a particular patient at the preoperative stage. For the procedure of neuro-radiosurgery treatment, a dosimetric plan is additionally created, which should be as selective and conformal as possible, taking into account the critical structures located nearby. Aim of the study. Based on our own research and literature data, to analyze and demonstrate the most informative neuroimaging methods when planning neurosurgery and neuro-radiosurgery interventions that will ensure safe and, if possible, radical treatment of pituitary adenomas. Materials and methods. The analysis included 29 foreign and 9 Russian scientific sources devoted to the study of the possibilities of MRI, CT, and PET in the diagnosis of pituitary adenomas, from the perspective of modern neuroimaging capabilities. The work is illustrated with images of the studied area obtained during the planning of neurosurgery or neuro-radiosurgery treatment. The analysis of our own observations based on neuroimaging data in 280 patients was carried out. Results. Based on the analysis of literary sources, the modern possibilities of neuroimaging in the planning of neurosurgeries and neuro-radiosurgeries are demonstrated. Optimal neuroimaging techniques have been determined to assess the anatomical features of the sellar region and the properties of the tumor, allowing to increase the effectiveness of preoperative planning in each specific case.
{"title":"Preoperative planning of patients with pituitary tumors (adenomas) according to neuroimaging data","authors":"A.E. Shcherban, V. Cherebillo, A. V. Smirnova","doi":"10.33920/med-01-2302-08","DOIUrl":"https://doi.org/10.33920/med-01-2302-08","url":null,"abstract":"The task of any neurosurgery for a tumor removal is the safest possible resection with minimal complications. For its implementation, it is of great importance to carry out preoperative planning using modern neuroimaging methods (MRI, MSCT, PET). It includes imaging of topographic and anatomical features of the area of interest, which may vary depending on the direction of tumor growth. Neuroimaging data allows assessing the properties of the tumor (size, spread, density, degree of vascularization) in a particular patient at the preoperative stage. For the procedure of neuro-radiosurgery treatment, a dosimetric plan is additionally created, which should be as selective and conformal as possible, taking into account the critical structures located nearby. Aim of the study. Based on our own research and literature data, to analyze and demonstrate the most informative neuroimaging methods when planning neurosurgery and neuro-radiosurgery interventions that will ensure safe and, if possible, radical treatment of pituitary adenomas. Materials and methods. The analysis included 29 foreign and 9 Russian scientific sources devoted to the study of the possibilities of MRI, CT, and PET in the diagnosis of pituitary adenomas, from the perspective of modern neuroimaging capabilities. The work is illustrated with images of the studied area obtained during the planning of neurosurgery or neuro-radiosurgery treatment. The analysis of our own observations based on neuroimaging data in 280 patients was carried out. Results. Based on the analysis of literary sources, the modern possibilities of neuroimaging in the planning of neurosurgeries and neuro-radiosurgeries are demonstrated. Optimal neuroimaging techniques have been determined to assess the anatomical features of the sellar region and the properties of the tumor, allowing to increase the effectiveness of preoperative planning in each specific case.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121661577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Shnyakin, P. G. Rudenko, A. Botov, A. S. Loseva
Among all adverse perioperative events, medical error is one of the most serious, associated with possible complications for the patient, severe psychological trauma for the surgeon, and often with the involvement of the Investigative Committee in assessing the results of treatment. At the same time, among the researchers of this issue there is still no consensus on what exactly is meant by «medical error». In modern legal scientific publications, they often call for abandoning this term and using the concept of «negligence» for lawyers. It is all the more important in the professional community to define the concept of «medical error» and distinguish it from other undesirable events associated with the treatment of the patient. This review presents different approaches to the definition of the concepts of «medical error» and «surgical error», what is their main difference from iatrogenic, medical negligence, complications of surgery. Some classifications of errors in surgery are presented. The most common factors of surgical errors are identified, such as lack of competence and experience of the doctor, impaired interaction and communication of staff, excessive workload and fatigue, emergency operations, unusual patient anatomy, lack of necessary equipment and instruments. Using the example of neurosurgical practice, such errors as performing a craniotomy on the wrong side, surgery on the spine at the wrong level, leaving foreign bodies in the wound, and others are considered. In conclusion, the main measures for the prevention of errors in surgery in general and in neurosurgery in particular are described.
{"title":"To the discussion of the problem of errors in neurosurgery. Literature review","authors":"P. Shnyakin, P. G. Rudenko, A. Botov, A. S. Loseva","doi":"10.33920/med-01-2302-02","DOIUrl":"https://doi.org/10.33920/med-01-2302-02","url":null,"abstract":"Among all adverse perioperative events, medical error is one of the most serious, associated with possible complications for the patient, severe psychological trauma for the surgeon, and often with the involvement of the Investigative Committee in assessing the results of treatment. At the same time, among the researchers of this issue there is still no consensus on what exactly is meant by «medical error». In modern legal scientific publications, they often call for abandoning this term and using the concept of «negligence» for lawyers. It is all the more important in the professional community to define the concept of «medical error» and distinguish it from other undesirable events associated with the treatment of the patient. This review presents different approaches to the definition of the concepts of «medical error» and «surgical error», what is their main difference from iatrogenic, medical negligence, complications of surgery. Some classifications of errors in surgery are presented. The most common factors of surgical errors are identified, such as lack of competence and experience of the doctor, impaired interaction and communication of staff, excessive workload and fatigue, emergency operations, unusual patient anatomy, lack of necessary equipment and instruments. Using the example of neurosurgical practice, such errors as performing a craniotomy on the wrong side, surgery on the spine at the wrong level, leaving foreign bodies in the wound, and others are considered. In conclusion, the main measures for the prevention of errors in surgery in general and in neurosurgery in particular are described.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129248773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Despite sufficient provision and active use of modern neuroimaging technologies, it is often too late to diagnose glioma. Clinical symptoms in anaplastic glioma appear within a period of 1-2 years and in glioblastoma - within less than a year. The use of new diagnostic equipment (multi-slice CT, high-angle MRI, and their varieties - MR spectroscopy, fMRI, diffusion tensor MRI, stereotactic diagnostics) allows identifying diseases that were previously detected only after autopsy. Despite the modern method of diagnosing a malignant brain tumor, its early diagnosis remains an urgent problem. At the same time, total removal of brain tumors is a difficult task for neurosurgeons. Thus, according to control CT and MRI of the brain, the radicality of resection reaches 40-50%. Practical application of modern neuroimaging technologies is being actively studied, but their use in HGG is still limited.
{"title":"Anaplastic glioma diagnosis and its therapeutic significance","authors":"S. Badu","doi":"10.33920/med-01-2302-07","DOIUrl":"https://doi.org/10.33920/med-01-2302-07","url":null,"abstract":"Despite sufficient provision and active use of modern neuroimaging technologies, it is often too late to diagnose glioma. Clinical symptoms in anaplastic glioma appear within a period of 1-2 years and in glioblastoma - within less than a year. The use of new diagnostic equipment (multi-slice CT, high-angle MRI, and their varieties - MR spectroscopy, fMRI, diffusion tensor MRI, stereotactic diagnostics) allows identifying diseases that were previously detected only after autopsy. Despite the modern method of diagnosing a malignant brain tumor, its early diagnosis remains an urgent problem. At the same time, total removal of brain tumors is a difficult task for neurosurgeons. Thus, according to control CT and MRI of the brain, the radicality of resection reaches 40-50%. Practical application of modern neuroimaging technologies is being actively studied, but their use in HGG is still limited.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128853866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article presents morphometric MRI-analysis of the lumbar intervertebral foramen for anatomical study of the size of Kambin safety triangle and the vulnerability of the exiting spinal nerve during transforaminal interventions. 200 discs were studied in 50 patients after transforaminal endoscopic intervention. Standard DICOM image viewing program for MRI in T1 WI and T2 WI modes was used for the measurement. The most distant location of the exiting spinal nerve from the intervertebral disc was observed at the level of L5S1 vertebrae (9.82 mm, 0.95CI (9,53 10,10), p<0.05). The narrowest safety triangle turned out to be at the level of L2‑L5 vertebrae, where the distance did not differ statistically (1.97–2.28 mm, p> 0.05). A similar pattern was revealed for the distance between the exiting root and the intervertebral joint. The greatest angle between the exiting spinal nerve and the disc plane was found at the level of L5S1 (134.68 °, 0.95CI (132.39 136.97), p<0.001). The angle was close to a straight one at the other levels. The exiting root located dorsal to the disc plane at the cranial levels (L2L3, L3L4) in all cases, in contrast to L5S1 level, where it always located ventrally. Thus, the greatest narrowness of the Kambin safety triangle was revealed in the intervertebral foramen of the cranial lumbar segments (L2L3, L3L4). Transforaminal interventions require special attention to the exiting spinal nerve at these levels, and possibly additional bone resection to widen the foramen.
本文介绍了腰椎椎间孔的形态测量mri分析，以解剖研究Kambin安全三角的大小和经椎间孔干预过程中退出脊神经的脆弱性。对50例经椎间孔内镜干预后的200个椎间盘进行了研究。采用MRI T1 WI和T2 WI模式的标准DICOM图像观看程序进行测量。脊神经离椎间盘最远的位置为L5S1椎体水平(9.82 mm, 0.95CI (9,53,10,10)， p 0.05)。出根与椎间关节之间的距离也显示出类似的模式。出脊神经与椎间盘平面的最大夹角出现在L5S1水平(134.68°，0.95CI (132.39 136.97)， p<0.001)。在其他层面上，这个角度接近于直线。所有病例的出根均位于颅骨水平(L2L3, L3L4)的椎间盘平面背侧，而L5S1水平则总是位于腹侧。因此，在颅腰椎节段(L2L3, L3L4)的椎间孔中发现了最大的Kambin安全三角狭窄。经椎间孔干预需要特别注意这些椎间孔处的出椎神经，并可能额外切除骨以扩大椎间孔。
{"title":"Morphometric MRI analysis of lumbar spine intervertebral foramen","authors":"I. Borshchenko, A. A. Baskov","doi":"10.33920/med-01-2302-06","DOIUrl":"https://doi.org/10.33920/med-01-2302-06","url":null,"abstract":"The article presents morphometric MRI-analysis of the lumbar intervertebral foramen for anatomical study of the size of Kambin safety triangle and the vulnerability of the exiting spinal nerve during transforaminal interventions. 200 discs were studied in 50 patients after transforaminal endoscopic intervention. Standard DICOM image viewing program for MRI in T1 WI and T2 WI modes was used for the measurement. The most distant location of the exiting spinal nerve from the intervertebral disc was observed at the level of L5S1 vertebrae (9.82 mm, 0.95CI (9,53 10,10), p<0.05). The narrowest safety triangle turned out to be at the level of L2‑L5 vertebrae, where the distance did not differ statistically (1.97–2.28 mm, p> 0.05). A similar pattern was revealed for the distance between the exiting root and the intervertebral joint. The greatest angle between the exiting spinal nerve and the disc plane was found at the level of L5S1 (134.68 °, 0.95CI (132.39 136.97), p<0.001). The angle was close to a straight one at the other levels. The exiting root located dorsal to the disc plane at the cranial levels (L2L3, L3L4) in all cases, in contrast to L5S1 level, where it always located ventrally. Thus, the greatest narrowness of the Kambin safety triangle was revealed in the intervertebral foramen of the cranial lumbar segments (L2L3, L3L4). Transforaminal interventions require special attention to the exiting spinal nerve at these levels, and possibly additional bone resection to widen the foramen.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133916028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The impact of pulsed currents on the human brain for therapeutic purposes has been used for a long time, and during this time the views on the parameters of the current and the position of the electrodes on the patient's scalp have changed significantly. This concerns understanding the mechanisms of action, goals, and, accordingly, the parameters of the current used. Material and methods. The relief of alcohol withdrawal syndrome during inpatient treatment of patients with alcohol dependence was carried out with six devices generating a pulsed current, which differ in the characteristics of the current during transcerebral exposure. Results. It was found that it is preferable to use the device, in which the effective component has low voltage and high frequency, taking into account the hemispheric lateralization of mental functions. Such characteristics of the current provide high efficiency of treatment and the absence of side effects.
{"title":"Therapeutic effect of pulsed currents on the brain in a substance abuse clinic","authors":"I. Darenskiy","doi":"10.33920/med-01-2302-01","DOIUrl":"https://doi.org/10.33920/med-01-2302-01","url":null,"abstract":"The impact of pulsed currents on the human brain for therapeutic purposes has been used for a long time, and during this time the views on the parameters of the current and the position of the electrodes on the patient's scalp have changed significantly. This concerns understanding the mechanisms of action, goals, and, accordingly, the parameters of the current used. Material and methods. The relief of alcohol withdrawal syndrome during inpatient treatment of patients with alcohol dependence was carried out with six devices generating a pulsed current, which differ in the characteristics of the current during transcerebral exposure. Results. It was found that it is preferable to use the device, in which the effective component has low voltage and high frequency, taking into account the hemispheric lateralization of mental functions. Such characteristics of the current provide high efficiency of treatment and the absence of side effects.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132401344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Kumakhov, M. R. Bekuzarova, M. A. Khasaeva, Z. M. Shakova
Parkinson's disease is a chronic progressive neurodegenerative disease characterized by early pronounced death of dopaminergic neurons in the compact substantia nigra with accumulation of intracellular pathological protein alpha-synuclein. It is often necessary to carry out differential diagnosis of this disease with atypical types of parkinsonism, such as multiple system atrophy, progressive supranuclear palsy, corticobasal degeneration, and diffuse Lewy body disease. Given the fact that the diagnosis of all types of Parkinsonism basically consists in conducting a clinical examination, specialists often find it difficult to make the correct diagnosis. This article describes the differential diagnosis of Parkinson's disease and multiple system atrophy on the example of a clinical case. The purpose of studying this case is to help practitioners in making diagnoses of Parkinsonism. A patient with symptoms of Parkinsonism was examined, followed by differential diagnosis based on the obtained clinical and instrumental data. The verification of the diagnosis caused particular difficulty due to the presence of various combined symptoms of Parkinsonism. Ultimately, based on clinical and instrumental studies, the decision was made in favor of Parkinson's disease, which was confirmed by the fact of a positive response to Levodopa therapy. Undoubtedly, every practicing neurologist needs to know the clinical features of various types of parkinsonism in order to make a correct diagnosis, and, accordingly, prescribe the correct treatment in the future.
{"title":"A case of the development of early mental and autonomic disorders in a patient with Parkinson's disease. differential diagnosis with atypical parkinsonism","authors":"A. Kumakhov, M. R. Bekuzarova, M. A. Khasaeva, Z. M. Shakova","doi":"10.33920/med-01-2301-04","DOIUrl":"https://doi.org/10.33920/med-01-2301-04","url":null,"abstract":"Parkinson's disease is a chronic progressive neurodegenerative disease characterized by early pronounced death of dopaminergic neurons in the compact substantia nigra with accumulation of intracellular pathological protein alpha-synuclein. It is often necessary to carry out differential diagnosis of this disease with atypical types of parkinsonism, such as multiple system atrophy, progressive supranuclear palsy, corticobasal degeneration, and diffuse Lewy body disease. Given the fact that the diagnosis of all types of Parkinsonism basically consists in conducting a clinical examination, specialists often find it difficult to make the correct diagnosis. This article describes the differential diagnosis of Parkinson's disease and multiple system atrophy on the example of a clinical case. The purpose of studying this case is to help practitioners in making diagnoses of Parkinsonism. A patient with symptoms of Parkinsonism was examined, followed by differential diagnosis based on the obtained clinical and instrumental data. The verification of the diagnosis caused particular difficulty due to the presence of various combined symptoms of Parkinsonism. Ultimately, based on clinical and instrumental studies, the decision was made in favor of Parkinson's disease, which was confirmed by the fact of a positive response to Levodopa therapy. Undoubtedly, every practicing neurologist needs to know the clinical features of various types of parkinsonism in order to make a correct diagnosis, and, accordingly, prescribe the correct treatment in the future.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124728371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. A. Izvekov, O. Kapto, D. F. Khritinin, V. N. Tyan, S. V. Katenko, A. L. Chaplyuk, Yu. N. Nagorskaya, V. Y. Slastnikov, A. G. Karakozov, A. I. Molodova, V. V. Slastnikova, V. Khanykin, I. Telyatnikov
This article is devoted to the treatment of neurological and psychopathological disorders of post-COVID syndrome by reflexotherapy techniques.
本文致力于反射疗法治疗新冠肺炎后综合征的神经和精神病理障碍。
{"title":"New approaches to treatment of neurological and psychopathological disorders in post-COVID syndrome","authors":"A. A. Izvekov, O. Kapto, D. F. Khritinin, V. N. Tyan, S. V. Katenko, A. L. Chaplyuk, Yu. N. Nagorskaya, V. Y. Slastnikov, A. G. Karakozov, A. I. Molodova, V. V. Slastnikova, V. Khanykin, I. Telyatnikov","doi":"10.33920/med-01-2301-03","DOIUrl":"https://doi.org/10.33920/med-01-2301-03","url":null,"abstract":"This article is devoted to the treatment of neurological and psychopathological disorders of post-COVID syndrome by reflexotherapy techniques.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130792834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. V. Burmistrova, O. Shmeleva, V. A. Bart, V. Cherebillo, W. Khachatryan
The aim of the research was to study changes in clinical and neuropsychological deficits in children with neoplasms of the chiasmal-sellar region (CSR) operated on via transcranial and endoscopic transsphenoidal approaches. The analysis of clinical and neuropsychological examination and surgical treatment of 24 children with CSR tumors was carried out. Two leading neuropsychological symptom complexes in children with CSR neoplasms were identified. Changes in neuropsychological parameters in children with CSR neoplasms during the studied observation period do not directly depend on the volume of the tumor. In the early postoperative period, timely correction of the identified fluid and electrolyte disorders is necessary for better recovery of the patient’s neuropsychological deficit. The preservation of cognitive functions in children after the removal of a CSR neoplasm is influenced not so much by the volume of the tumor or surgical access, as by the gentle technique of the operation.
{"title":"Changes in clinical and neuropsychological parameters in children with chiasmal-sellar tumors operated on via endoscopic transsphenoidal and transcranial approaches","authors":"A. V. Burmistrova, O. Shmeleva, V. A. Bart, V. Cherebillo, W. Khachatryan","doi":"10.33920/med-01-2301-05","DOIUrl":"https://doi.org/10.33920/med-01-2301-05","url":null,"abstract":"The aim of the research was to study changes in clinical and neuropsychological deficits in children with neoplasms of the chiasmal-sellar region (CSR) operated on via transcranial and endoscopic transsphenoidal approaches. The analysis of clinical and neuropsychological examination and surgical treatment of 24 children with CSR tumors was carried out. Two leading neuropsychological symptom complexes in children with CSR neoplasms were identified. Changes in neuropsychological parameters in children with CSR neoplasms during the studied observation period do not directly depend on the volume of the tumor. In the early postoperative period, timely correction of the identified fluid and electrolyte disorders is necessary for better recovery of the patient’s neuropsychological deficit. The preservation of cognitive functions in children after the removal of a CSR neoplasm is influenced not so much by the volume of the tumor or surgical access, as by the gentle technique of the operation.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132679912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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