Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures
Clinical Neurology and Neuroscience
Volume 3, Issue 4, December 2019, Pages: 84-88
Received: Oct. 2, 2019;
Accepted: Nov. 8, 2019;
Published: Nov. 17, 2019
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Mitalip Mamytov, Department of Neurosurgery, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan
Background: Modern methods of complex diagnostics in neurotraumatology, in particular computed tomography (CT) and magnetic resonance imaging (MRI), enable neurosurgeons to make a differentiated approach to choosing the right method for treating traumatic and other brain injuries. Objective: To elaborate criteria for differentiated treatment of severe focal traumatic brain injuries. Methods: Results of treatment in 126 patients with severe craniocerebral injury have been examined, 74 of them were undergone to surgical methods of treatment, and 52 patients were treated conservatively. To all patients computed tomography and magnetic resonance imaging procedures of the brain were done. The results of treatment were assessed using Glasgow Outcome Scale. Criteria for selection of patients were fact of severe isolated craniocerebral injury, depth and time of loss of consciousness, availability of СТ and МRI of brain in dynamics, and operational findings. Results: It was determined а high degree of possibility of tomographic objectification and consecutive transformation of substrates of injured brain. It is noted, that the most frequent traumatization is observed for frontal (43.4%) and temporal (40.5%) brain lobes. Conclusions: Introduction of differentiated approach to using conservative and surgical methods of treatment for severe traumatic cerebral contusion and hematomas of brain, and preference of conservative treatment led to greater efficiency and adequacy of treatment of these patients.
Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures, Clinical Neurology and Neuroscience.
Vol. 3, No. 4,
2019, pp. 84-88.
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