Neurosurgery and Neurology of Kazakhstan

14-17

Authors: S.К. Аkshulakov, Т.Т. Кеrimbayev, V.G. Аleinikov, Ye.Zh. Маyev, Т.Т. Pazylbekov

In a given article the experience of a surgical treatment of spine intramedullary tumors and the technique of their removal with the use of modern microsurgical techniques are presented. There were 29 patients. In 15 cases diagnosed ependymoma, in 11 cases astrocytoma, in 3 cases other tumors. The surgical approach was a standard laminectomy, but in 8 cases gemylanminectomy. Radical resection was performed in 19 cases (65.5%), subtotal resection was performed in 7 (24,2%), biopsy in three cases (10,3%). Neurological improvement observed in 21 patients (72,4%), no changes 5 (17,2%), deterioration in 3 (10,3%). Key words: intramedullary tumors, myelotomy, ependymoma, astrocytoma

22-24

Authors: G.М. Zhulamanova

Presented work shows the influence of the level of compliance on patients with hypertensive angioencephalopathy to the treatment and rehabilitation activities for achieving target blood pressure level and to reduce risk of stroke. The study included 68 patients with hypertensive angioencephalopathy (HAE). Over a 5 year study period a significantly greater compliance of patients for implemenationt the recommendations for modifying risk factors was observed. Moreover, if the commitment to drug antihypertensive therapy over a 5 year study period significantly increased to 72,4% (p <0,05), the commitment to efforts to modify risk factors increased by only 16.3%, p> 0,05. Key words: compliance, hypertension angioencephalopathy

38-47

Authors: А.Z. Нurpeisov, M.A. Нurdinov, D.K. Аbakov, Ye.Zh. Мayev

In the given article the authors presented literature ovewiew the basic physiological and pathophysiological aspects of ICP measurement. Indications for monitoring ICP and its clinical value are presented and discussed. Monitoring of ICP allows to control and operate cerebral perfusion pressure in patients with complicated postoperative period and to apply the targeted pathogenetic therapy in the various cerebral pathology: hypostasis of a brain, cerebral dishaemia, intracranial and subarachnoid hemorrhages, hydrocephalus and etc. Keywords: intracranial pressure (ICP), history of measurement of ICP, a gradient of pressure, physiology, a pathophysiology