Neurosurgery and Neurology of Kazakhstan

3-8

Authors: А.S. Мustafayeva

The article highlights the main issues of adaptivecompensatory reactions after severe traumatic brain injury (TBI). Analyzed of the relationship between changes vegetative tonus and dynamics of the recovery of disturbed neurological function in patients in acute period severe TBI. Presents an experience of applying fotohromoterapy by using narrow-band LED emission with a wavelength of 540 ± 20 nanometers in the complex rehabilitative treatment of patients in acute period severe TBI. Analyzed of outcomes of traumatic brain injury patients in the basic treatment and control groups. In the treatment group compared with the control is marked more pronounced dynamic recovery neurovegetative status. Key words: severe head injury, early rehabilitation, photochromotherapy, quality of life, outcomes of head injury.

12-17

Authors: B.S. Mustafayev

Сerebral blood fl ow velocity in basal cerebral arteries (transcranial Doppler) and systemic blood pressure (noninvasive percutaneous photoplethysmography) were analysed in 36 patients in an acute period of head injury. Assessment of cerebral autoregulation was carried out in two ways: with cuff-test (non-pharmacological hypotension) and the phase shift calculation between slow oscillations of cerebral blood fl ow velocity and systemic blood pressure within the range of Mayer waves (cross-spectral analysist). Different degree of cerebral autoregulation disorders have been found in all observed patients in an acute period of head injury, irrespective of trauma severity. Key words: head injury, transcranial Doppler, cerebral autoregulation.

22-27

Authors: Т.Т. Кerimbayev, V.G. Аleinikov, Е.А. Urunbayev, Е.V. Кisayev, B.S. Yerizhepbekov

The results of surgical treatment of patient with L2 vertebra compression fracture by kyphoplasty is given in this paper. The operation performed in a standard manner, after introducing a set of pedicle needles on both sides, the height of the vertebral body was restored with two balloons, and the vertebral body was fulfi lled with the bone cement. This methodology allowed to restore the height of the vertebral body with preservation of anatomical and physiological relations of the spine and give the ability to activate the patient after surgery. Keywords: balloon kyphoplasty, a spinal injury, a compression fracture of the spine.

32-36

Authors: N.А. Ruskeldiyev, А.Е. Мoldabekov

The usage of neuronavigation systems can signifi cantly facilitate the planning of surgery, to increase its radicality, optimize surgical approach (sizes and location trepanation window) to minimize the risk of damage to the main functionally important regions of the brain and cerebral vessels. Keywords: craniotomy, neuronavigation, optimization of surgical approach.