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Biomedical subjects

G A Pedachenko

Publications and source records attributed to G A Pedachenko.

47 records · Page 3Linked to original sources
PubMedDate not supplied

[Surgical treatment of contusion foci in different age groups].

The specific features of surgical treatment of contusion foci in patients of various age groups were studied basing on analysis of 606 cases. Two groups of cases were analysed: those with an isolated brain contusion and cases with contusion and compression of the brain by hematoma and bone fragments. It is shown that removal of the contusion foci in patients of various age groups improves the results of treatment. The patient's age has an essential influence on the choice of surgical tactics in brain contusion.

Adolescent↗
PubMedDate not supplied

[Highway craniocerebral injuries].

The work analyses the specific features of the clinical picture, diagnosis, and treatment of craniocerebral injury because of 7 car accidents (225 patients) and in common accidents of everyday life (210 patients). Craniocerebral injury in car accidents is very severe (high incidence of massive and multiple contusions of the brain, fractures of the skull bones, intracranial hematomas) and is often combined with injury to the viscera and bones. Thorough clinical and neurological examination, x-ray of the skull, echoencephalography, cerebral angiography, and trephination of the skull help to disclose and identify exactly the character of the cerebral damage. The therapeutic complex in craniocerebral injury because of car accidents includes measures of intensive therapy and, if indicated, surgical intervention. Traumatism occurring as the result of car accidents is characterized by coarser cerebral functional defects and graver invalidism of patients in contrast to accidents of everyday life.

Accidents, Traffic↗
PubMedDate not supplied

[Clinical picture and diagnosis of mild craniocerebral injuries during alcoholic intoxication].

The authors analysed 273 cases with brain contusion suffered in a state of acute alcohol intoxication. It was found that alcohol intoxication alters its clinical picture considerably. The dependence of the neurological symptoms on the degree and phase of alcohol intoxication is shown. Statistical processing of the information obtained allowed the most informative neurological symptoms of brain injury to be revealed. The significance of additional examination methods for the diagnosis is discussed. A dependence of the rheographic indices in brain injury on the phase of concomitant alcohol intoxication is demonstrated.

Adult↗
PubMedDate not supplied

[Features of the clinical picture and surgical treatment of traumatic epidural hematomas in different age groups].

The authors made a comparative analysis of the clinical course and surgical tactics in traumatic epidural hematomas in children, in young and middle-aged patients, and in patients over 60. Increase in the incidence and severity of concomitant intracranial injuries was noted with an increase in the age of the injured. It was established that general cerebral and secondary-stem syndromes predominate in the clinical picture in children, whereas in elderly and old patients focal disorders are most clearly pronounced and the affection of the stem is of a primary character as a rule. In operations on older patients the cranial cavity must be examined especially thoroughly. Removal of the contusion foci and the use of the inflow-outflow system improves the results of the treatment considerably.

Adolescent↗
PubMedDate not supplied

[Arterial aneurysms imitating tumors of the sellar area].

In 3.9% of cases arterial aneurysms took the clinical picture of tumors of the sellar region. The data of the dynamics of the disease, the neurological status, and the findings of ophthalmological, craniographic and pneumoencephalographic examination do not help in establishing the character of the pathological process exactly. To avoid complications consequent upon erroneous determination of the character of the process bilateral carotid angiography should be conducted before surgery in patients with a clinical picture of tumor of the sellar area.

Adolescent↗
PubMedDate not supplied

[Secondary craniocerebral trauma in acute disorders of the cerebral circulation].

As many as 69 records were reviewed of those patients predominantly in older age bracket, in whom acute cerebral circulatory disorder (hemorrhage in 26, infarction of the brain in 8, transient cerebral circulatory disturbances in 35) was a cause of their falling and incurring a craniocerebral injury. The studies made suggest that prior history, somatoneurological examination, information provided by various investigational modalities, especially computerized tomographic imaging, all might serve to make the diagnosis of associated brain injury more precise.

Accidental Falls↗
PubMedDate not supplied

[Clinical picture, diagnosis and treatment of metastatic melanoma of the brain].

The morphological and clinical features of the disease were studied in 73 patients with malanoma metastasis to the brain. A morphological examination revealed predominance of the epithelial-like structure of the tumors over fusocellular, infiltrative growth of metastases in the brain, and many newly formed defective vessels in the metastatic tumors which were conducive to frequent hemorrhages. The clinical picture of the disease was marked by the predominance of general cerebral symptoms over focal. With regard to the diagnosis, much importance is attached to medical history and peculiarities of the clinical manifestations of the disease and to the results of an auxiliary examination (radiocontrast, electrophysiological, etc). Treatment of patients with melanoma metastases in the brain should be combined and should include, whenever indicated, surgical intervention, hormonotherapy, radiotherapy, and chemotherapy.

Adolescent↗