Neurosurgery and Neurology of Kazakhstan

5-6

Authors: B.B.Zhetpisbayev

The pathology branch organized in Republican scientific c centre of neurosurgery with the staff, completely corresponds to the centres fund of berth and is equipped with modern equipment. The Building of the pathol ogy branche is located on two fl oors (the fi rst and socle floors). The set of offi ce accommodations and their arrangement precisely answers volume of work of branch.

11-14

Authors: R.Sh. Tankacheyev

The aim of the present work is transdermic laser nucleotomy (TLN) analysis of treatment results of patients with noncompressive syndrome. Transdermic laser nucleotomy was carried out to 110 patients with cervical osteochondrosis. The patients with the following syndromes were subjected to treatment: local pain syndrome; refl ected pain syndromes; refl ected neurodystrophic syndrome; refl ected muscular-tonetic syndrome of cervical osteochondrosis; refl ected vascular syndromes of cervical osteochondrosis. Majority of patients had several syndromes at the same time. Laser intervention was done with the help of surgical diode laser “Medilas D” of “DornierMedTech” company with laser radiation over the range 940 nm. From 2 to 4 disks of one patient were processed at the same time. The main complaints – aches, were treated (93%) Major complications after vaporize were not observed. On the ground of the received results it is possible to conclude that transdermic laser vaporize is an effective and safe method of treatment cervical osteochondrosis noncompressive syndromes.

24-27

Authors: Ye.S. Nurguzhayev, А.А. Khalimova, А.А. Аitmukhambetova, А.Sh. Mirzabekov

Analyzed clinical signs to instability and arthrosis of the atlant-axial joint beside twenty one patients from 132 explored, outlived cervico-occipital trauma at periods from 8 to 14 months. At examination, aside from clinical method, was used X-ray method which diagnosticses to instability and arthrosis with using the functional tests, were determined evidences and contraindications to study. Discovery posttraumatic defeats of the atlant-axial joint expects undertaking the differentiated treatment, including methods orthopedic and neurological nature. The Well-timed diagnostics and treatment of the defeat of the atlant-axial joint at late period of the cervical-occipital trauma will allow to warn the development serious vascular, muscular-ligamental and other complications

30-31

Authors: Zh.R. Daribayev, S.А. Daribayeva

In article are presented the results of a clinical trial of vascular and neuroprotective drug nimodipine. The study has shown the decrease of cognitive and other neurological impairment, which was both clinically and statistically signifi cant, in 30 patients with hypertension encephalopathia. Probable effi cacy of long-term nimodipine treatment in prevention of stroke.