Neurosurgery and Neurology of Kazakhstan

3-6

Authors: A.V. Borzykh, D.Y. Kovalchuk, A.A. Opryshchenko, Y.A. Goncharova.

Objectives. To study diagnostic possibilities of electroneuromyography for the definition and (or) confirmation of fingers tenosynovitis stenosans. Methods. The analysis of neuromyography research results of 56 patients with this pathology which were treated in the Regional Clinical Tuberculosis Hospital, in the hand microsurgery department in Donetsk within the period of 2008-2012. The patients were divided into two groups depending on clinical stage of the disease. The first group included 28 patients with ligamentitis at the 2nd stage, and the second one – 28 patients at the 3rd stage. The groups did not differ statistically in age (Student criteria, р<0,05), gender (criteria χ2, p<0,05) and disease severity (Wilcoxon criteria, p<0,05). To evaluate the functional state of the flexor hallucis longus muscle one fulfilled a needle or interferential surface electromyography Results. The obtained results were statistically processed using standard package of licensed application software «Office Professional 97» of company «Microsoft Corporation». The results were compared according to Student and Mann-Witney- Wilcoxon criteria. Average age norm of motor unit potentials amplitudes value in patients at the age of 45- 65 years old is 800-1000mV, with duration 9,0-9,5ms. In patients with the second clinical stage of the process the average value of motor unit potentials duration was 7,7±0,03ms, and motor unit potentials amplitude was 770,5±3,2мV, and it was 6,3±0,12ms and 541,3±6,1mV in patients with the third stage. Average polyphasy value in patients of both groups was 23,2±0,75 % and 32,3±0,94% correspondingly. By comparison of those values in different groups of patients we got statistically true difference (р<0,001). Conclusion. The motor unit potentials amplitude decrease up to the level 700-800mV is specific for the patients with the second stage of tenosynovitis stenosans, and duration is up to 7,5-8,0msec, for the patients with the third stage the values are 500-600 mV and 5,5-7,4msec correspondingly. Thus, in patients with the seconds and the third stages of tenosynovitis stenosans there is true difference in main neurometric values: motor unit potentials duration and amplitude. Electroneuromyography is an Objectives and true diagnostic method of tenosynovitis stenosans stage. Key words: electroneuromyography, tenosynovitis stenosans, treatment.

12-14

Authors: Y.V.Yesikova

Objectives: to study the stroke risk factors distribution in residents of «Medical and social establishment for elderly people and handicapped of general type in Semey city». Methods: medical records of the patients in medical and rehabilitation department of «Medical and social establishment for elderly people and handicapped of general type in Semey city». To discover stroke development risk factors one studied the results of medical groups observation, screening researches in the work. The body-weight index of residents was defined, social habits were identified. Results. The medical records of 185 residents of care home, medical group observation in medical and rehabilitation department of the establishment. The age is the Main risk factor for ischemic episodes development, neck arterial sclerosis and adiposis. 2/3 of infractions occurred in persons over 60 years old (elderly age: 60-74 years old in men, 55-74 years old in women). 45% is the persons of old age (75-90 years old in men and women), 36% fell within elderly age of 60-74 years old in men, 55-74 years old in women), 16% - persons in middle years, 3% - long-living persons (90 years and over).According to gender disaggregation the share of men and women turned out to be equal – by 50%. Conclusion. The research results showed the combination of several risk factors in most residents of care home which is undoubtedly led to a considerable increase in risk disease. That`s why identification and control of risk factors for stroke development is the best way to decrease. The individual risk of stroke development in patients. Key words: blood stroke risk factor, ishemic stroke, hemorrhagic stroke.

20-24

Authors: N.A.Ryskeldiyev, A.Zh. Zhumadildina, D.K.Teltayev, G.I.Olenbai, Kh.A.Mustafin, R.Zh. Auezova, A.Ye. Moldabekov, M.A.Tleubergenov, A.K.Kuralbayev, A.Zh. Doskaliyev.

The article described the case of brain venous infarction development after convexital meningioma excision. This complication causes big interest due to ambiguity of pathophysiological processes in postoperative brain venous infarction development. Key words: meningioma, venous infarction, venous sinuses, drainage veins, postoperative complication

29-30

Authors: Andras A. Kemeny

Surgical treatment of pathologies deep in the brain has always been hampered by the morbidity and even mortality of having to cut through normal functioning brain before getting to the abnormality. This was particularly important for multiple abnormalities, like metastatic cancer in the brain. Despite the advances over the last 50 years of microsurgery and image guided navigation within the skull, the side-effects of open surgery stubbornly remained sufficiently high for surgeons to seek an alternative. This was finally provided by the advent of radiosurgery.