Neurosurgery and Neurology of Kazakhstan

14-17

Authors: V.V. Кryuchkov, I.Т. Кurmayev, К.S. Еsnazarov, S.S. Кamirdinov

Analyzed the results of treatment of 135 patients with the combined spinal cord injury, of whom 115 (85%) required spinal surgery. Priority and emergency surgery was determined taking into account the threat to the life of a trauma. As a result of treatment in 22.2% (30 patients) of cases obtained excellent results (on a scale of assessment of outcomes ASIA), in 37% (50 patients) - good in 22.2% (30 patients) - satisfactory. 25 patients died. The overall mortality rate - 18,5%. Postoperative mortality was 13% (15 out of 115 patients operated on). Differentiated approach taking into account the pathogenesis of the situation and severity of comorbidity, can achieve optimal results of treatment of patients with spinal cord injuries and spinal cord with associated injuries. Key words: combined spinal cord injury, spinal and spinal cords injuries, differential approach

30-33

Authors: I.Ph. Chulkova, L.V. Тrubacheva, А.К. Кazakenova, Yu.S. Aleksandrova

During working period of SVS Laboratory of epilepsy, convulsive diseases research and of family monitoring named after V.M. Savinov 12500 patients was examined with directional diagnosis epilepsy. According to International standards the examination included longitudinal video EEG monitoring, EEG with stress tests, detection anticonvulsant’s level in serum, MRI, CT, PET etc. As a result in 12% cases the diagnosis epilepsy was changed into syncopes, hysterical attacks, sympathoadrenal crisises etc. In article we demonstrate a case of continuous inadequate treatment of anticonvulsant’s without any efficiency due incomplete examination of patient. After detailed examination in SVS Laboratory of epilepsy, convulsive diseases research and of family monitoring named after V.M. Savinov the diagnosis epilepsy was abolished. Macro –adenoma of suprarenal gland was revealed which was the reason of non-epileptic paroxysms significantly impaired quality of life. This article demonstrates a necessity in-depth study patients with latest medical techniques and a necessity of knowledges in allied medical trades. Key words: epilepsy, adrenal macroadenoma, seizures

42-43

Authors: Yu.А. Dikhtyar, Ph.N. Кairzhanova, D.Yu. Dikhtyar, Е.А. Urunbayev, О.Т. Tastanbekov

This article describes the benefits of combined methods of physiotherapy with the use of magnetic fields and medicine which allow less traumatic and more effective impact on the body’s tissues. There is a short description and diagram of the technical performance of the combined method. Using the results of this research in possibility of using a broader spectrum of this method in the treatment of many muscular and musculo-fascial syndrome, as well as exploring other options and combined medical techniques in the treatment of other diseases and pathological manifestations of the human body. Key words: magnetotherapy, blocks, new approach of treatment

47-52

Authors: Е.Т. Маkhambetov, М.S. Berdihojayev, Ph.Kh. Smagulov, А.S. Shpekov

Endovascular coiling of middle cerebral artery (MCA) aneurysms are becoming increasingly an alternative to microsurgical clipping. In the present paper, the authors analyzed the results of endovascular treatment of 15 patients with MCA aneurysms for the period from July 2008 to June 2011. For that period endovascular coiling was done on 118 patients with aneurysms of various locations. The average age of patients with aneurysms of the MCA was 46.6 years. Retrospective analysis of clinical outcomes showed excellent and good clinical outcome on 0-1 Rankin scale score in 11 (73.3%) patients. Intraoperative technical complications occurred in 3 (20%) patients. According to the intra-operative control angiography, complete occlusion of aneurysms achieved in 13 (86.6%) cases. The follow up angiograms after 3 months in 6 (40%) patients showed recanalization of the aneurysm in one case. Endovascular treatment of aneurysms of the MCA is an alternative to microsurgical clipping at an acceptable risk of morbidity and mortality. With a wide-necked aneurysms the use of balloon remodeling and stent assisted coiling can improve outcomes. Key words: aneurysm, middle cerebral artery, endovascular treatment