Neurosurgery and Neurology of Kazakhstan

4-6

Authors: E.А. Abdylkalykov

The influence of aggregate traumatic pathologic volume – the perifocal brain swelling, ischemia and intracranial formations on the outcome of management of patients with severe skull brain trauma was evaluated. Data from 57 patients aged from 15 to 72 years treated in the neurotraumatological clinic were analyzed Computed tomography and magnetic resonance imaging are the basic methods in diagnostic of severe skull brain injuries. Key words: severe skull brain injury, brain swelling, intracranial volume process, brain ischemia.

11-19

Authors: G.G. Shaginyan, D.А. Makarevich, О.О. Nikitina

The article presents the historical information about the basal liquorrhea. The epidemiology and pathogenesis of craniofacial injuries complicated by basal liquorrhea are described. The classification of craniofacial trauma and complications arising from the basal CSF are shown. Statistical data of clinical observations, anatomical features, tracts of liquorrhea, methods of instrumental diagnosis, the principles of surgical and conservative treatment are presented.

25-31

Authors: I.Yu. Sitnikov, Е.М. Кislyakova, Ya.Ye. Аkchurina, S.V. Savinov, Zh.Ye. Utebekov, I.Ph. Chulkova, L.V. Тrubacheva, А.К. Каzakenova, D.А. Sultanbayeva, А. Julanovа, S. Меdukhanova

In the SVS Laboratory of Epilepsy and Convulsive states Study and Family monitoring named after V.M. Savinov treat patients with various forms of epilepsy. During the period from 2004 to 2010 there were conducted more than 14,000 EEGs, both short- (routine) and long-term (one month) studies. As a result, 8,530 patients were diagnosed and were refined diagnosis. The most frequent errors in diagnosis on admission were noted in the formulation of symptomatic epilepsy, especially when combined with cardiovascular disease. More than 75% of the physicians not reasonably tied the presence of epilepsy to the changes in vascular anomalies, when found vascular changes on MRI and CT of the brain. This is especially true for the pathology of the Circle of Willis. The article presents two examples in which patients were diagnosed: Symptomatic Epilepsy associated with abnormalities of Willis circle`s blood vessels. These patients were examined by the ILAE standards applied in the Laboratory of Epilepsy and Convulsive states Study and Family monitoring named after V.M. Savinov. As a result, it was shown that patients had symptomatic forms of Epilepsy that were not related to the Willis circle`s structure. In addition, published data review casts doubts even on the existence of the symptomatic form of Epilepsy in violation of the Willis circle. Structure`s anomalies (such as the bifurcation, refurcation, hypoplasia of vessels, etc.) are formed gradually. Based on the article we can conclude that the approach to each patient should be individual and we need to develop high-tech facilities in Kazakhstan.

37-39

Authors: Sh.B. Battakova, U.А. Аmanbekov, B.S. Shraimanov, О.А. Аbeuova, К.Т. Dyusekova, G.А. Мiyanova, S.S. Seitzhanova

The revealed patterns of change at profound research with application of registration VKSP is connected with involving in pathological process of levels cerebrospinal the center-periphery preganglionic fibers and overlying departments of a segmentary link of vegetative nervous system. Key words: miners, neuromuscular apparatus, vegetative nervous system.

43-44

Authors: А.А. Tuyakov

In the given article the problem of treatment untransmural and transmural myocardial infarction at patients with neurotraumas by various pharmacological preparations is discussed. At studying and the analyzing of 249 clinical charts the preparations with not proved efficiency at ischemic heart disease and an acute myocardial infarction are appointed not less than 73 % of cases that demands the further studying of necessity of their application.