[Post-traumatic hydrocephalus].
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Biomedical subjects
Publications and source records attributed to M E Polishchuk.
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The paper is based on the analysis of 235 young and middle-age patients with non-traumatic cerebral hemorrhage. Tactics of treatment is determined for each group depending on bleeding localization in accordance with World Health Organization's classification (1981). Operative treatment is recommended for lateral site of hematomas of 25 cm3 and more signs of media structures dislocation of 5 mm and more. With the development of hypertension-hydrocephal syndrome surgical intervention is directed at its elimination and where possible at hematoma's ablation. The amount of operative interventions is limited in case of medial and mixed variants of hemorrhages especially when bleedings affect mesencephal structures. In conditions of a neurosurgical clinic a pharmacotherapy is used as an independent one, as a preparation for surgical treatment as well as during operation and in postoperative period.
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The paper is based on the analysis of 235 young and middle-aged patients with nontraumatic hemorrhage, with hypertensive disease and atherosclerosis of cerebral vessels having been by far the commonest cause of the trouble (82.9%). In all observations, diagnoses were verified with computerized tomography, magnetic resonance tomography and angiography and during surgery and in autopsy as well. Basically, in the clinical course of nontraumatic intracerebral hemorrhages, there have been identified three syndromes that reflect to a considerable extent the time-related course of dislocation-type changes. Depending on the site of hemorrhage and in accordance with the WHO classification, a comparative description is given for groups of patients presented with blood in the basal ganglia and of those with caudad-capsular, striocapsular hemorrhage, medial, mixed, and intralobar ones, with certain prognostic criteria established.