Case-histories of 1077 victims of cerebro-cranial injuries, 38 per cent of whom were admitted in the state of alcoholic ebriation, were analyzed. Alcoholic ebriation was found to materially change the clinical picture of the cerebro-cranial trauma, simulating, sometimes, a picture of a traumatic brain lesion. Curative measures aimed at the treatment of the traumatic lesion of the brain were applied in a complex set, depending upon the nature and the severity of the cerebro-cranial injury, the phase (stage) and degree of alcoholic ebriation.

Alcoholic Intoxication↗

PubMedDate not supplied

[The characteristics of closed craniocerebral trauma in older persons].

It is shown that in the recent 2 decades the incidence of craniocerebral trauma increased from 4.8 to 7.2% among old-aged individuals and from 53 to 72% in the group of patients over 60. The dynamics of changes in the clinical course of mild craniocerebral trauma in 21% of old-aged patients were marked by secondary acute cerebral circulatory disorders which often led to a fatal outcome. Mortality rate in craniocerebral trauma at old age was 52.3%.

Aged↗

PubMedDate not supplied

[Bilateral traumatic subdural hematomas].

The authors studied 57 verified cases of bilateral traumatic subdural hematomas (BTSH) 36 of which were acute, 4 subacute, and 17 chronic. The patient's ages ranged from 15 to 84 years. The clinical picture of BTSH is made up of general cerebral, primary-focal, and dislocation symptoms. Computerized tomography, serial cerebral angiography, and trephinations formed on both sides help in detection of BTSH. Simultaneous opening of the dura mater on both sides with slow evacuation of the contents of the hematomas is an important stage of surgical intervention in BTSH.

Accidents, Home↗

PubMedDate not supplied

[Craniocerebral trauma and stroke].

It was demonstrated from analysis of 685 cases that craniocerebral injury is attended by the development of secondary acute disorders of cerebral circulation in 8.9% of cases. Cerebral apoplexy is encountered in craniocerebral trauma 4-5 times more frequently (in 25% of cases) among patients with arterial hypertension and 2-2.5 times more frequently (in 12% of cases) among those with diabetes mellitus than in patients with a nonacerbated somatic anamnesis (in 5.4% of cases).

Adolescent↗

PubMedDate not supplied

[Diagnosis and treatment of chronic traumatic subdural hematomas in middle and old age].

The peculiar features of the clinical picture, diagnosis, and surgical treatment of chronic traumatic subdural hematomas were studied in 72 patients of elderly and old age. In 98% of patients they occurred after mild craniocerebral trauma of the type of brain concussion. Local signs prevailed over general cerebral signs in all phases of the disease, productive disorders of consciousness were rare as compared to nonproductive disturbances, marked intellectual-mnemonic disorders were often encountered. Echo-EG, radionuclide scintigraphy, carotid angiography and computed tomography proved to be the most informative paraclinical diagnostic methods. The expediency of performing maximally sparing operative intervention of a short duration in individuals over 60 years of age is pointed out.

Adult↗

PubMedDate not supplied

[Cryosurgery of cerebral arteriovenous aneurysms].

The use of stereotaxic cryothrombosis is sparing and sufficiently safe for the management of arteriovenous aneurysms of the brain. On the basis of experience in performing 21 operations on 15 patients, groups of patients for whom the method is recommended are distinguished (with an aneurysm no larger than 6 cm in diameter and up to 35 cm3 in volume). The method is especially promising in the treatment of small deep lying anteriovenous aneurysms. In large aneurysms the considerable blood flow makes it impossible to produce a sufficient hypothermal effect.

Adult↗