{"title":"[Cranio-cerebral trauma and circadian rhythms of activity of several functions of the hypothalamo-hypophyseo-adrenal system in patients of different age groups].","authors":"A A Solopaev","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The circadian rhythms of the androgenic and glucocorticoid activity of the adrenal cortex were examined in 7 patients with concussions of the brain, and in 22 -- with contusions. The excretion of 17-ketosteroids and of total 17-oxycorticosteroids was determined dynamically in separate 6-hour portions of the urine. In cases of brain concussions, both in the initial period of the trauma, and 10--12 days therafter, only a tendency towards increased excretion of corticosteroids during the night and decreased excretion in the morning hours was observed. In brain contusions the rhythm of andorgenic activity was altered. The most significant alterations caused by a severe trauma were observed in the rhythm of the glucocorticoid function of the adrenal cortex: its reduction in the morning hours, and increase during the night. Some 10--12 days after the brain contusions the rhythm of the hormonal activity remained altered, especially in young and middle-aged patients. These peculiarities of the rhythms should be taken into account when prescribing replacement corticosteroid therapy.</p>","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 4","pages":"24-6"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12163156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Disruption of thermal balance following removal of brain tumors].","authors":"V N Mil'ner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The mechanisms of thermal disorders in the early postoperative period in neurooncological patients depend on the degree of irritation of the diencephalic sections. Temperature elevations in cases of a non-complicated postoperative course are caused by a mild irritation of the median formations resulting in a moderate reduction of heat emission and an insignificant elevation of heat production, the former playing the dominating role. Hyperthermia in the postoperative period complicated by the development of the diencephalo-catabolic syndrome is a consequence of severe irritation of the median structures resulting in disorders of thermoregulation, and it is predisposed by a sharply increasing heart production against the background of a significant reduction of heat emission at the expence of distinct disorders in central and peripheral haemodynamics.</p>","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 4","pages":"53-9"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12166539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Prevention and treatment of renal insufficiency in patients with severe cranio-cerebral trauma].","authors":"I M Yunovidov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 147 patients with severe craniocerebral injuries the functional state of the kidneys was examined. The incidence and peculiarities of renal function disorders were studied in such patients. A table is presented for the assessment of the degree of renal function disorders by the values of glomerular filtration and the level of nitrous products in blood. On the basis of the author's personal experience measures of prevention and treatment of renal failure in such cases are described.</p>","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 4","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12166534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Dynamics of local cerebral circulation in neurosurgical patients during the postoperative period].","authors":"O A Sigua, S A Chkhenkeli, E Sh Bregvadze","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results of local cerebral blood flow examinations were analysed in 20 patients in the postoperative period. The dynamics of the restoration of the vascular responses to functional tests was observed. A study of the changes of the local cerebral blood flow following the administration of Rheopolyglukin demonstrated its high efficacy. The rationale of a combined employment of dehydration drugs and agents improving the rheological properties of blood is emphasized.</p>","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 4","pages":"31-5"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12163157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Occlusion of carotid-cavernous fistula with reconstruction of the internal carotid artery according to the F. A. Serbinenko method].","authors":"E I Zlotnik, S F Sekach","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 4","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12166540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Healing of meningo-cerebral wounds with a combination of plastic repair and hydrocortisone therapy under clinical and experimental conditions].","authors":"A P Khodzhaev, G L Mednik, L B Sergeev","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An analysis of 192 experiments has demonstrated that layer-wise plastic repair of osteal-meningeal cerebral injuries helps layer-wise reparation of individual tissues, since the implants serve as guiding membranes for the healing of individual layers of the brain and scull. Hydrocortisone therapy diminishes the development of gross collagen fibers, and causes the formation of a loose glial scar from a wide-looped network of processes of fibrill-forming astrocytes; 127 clinical observations of hydrocortisone therapy with layer-wise plastic repair of the brain and scull, followed-up for to 10 years, demonstrated that this method favours the prevention of epilepsy.</p>","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 4","pages":"35-7"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12010512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M L Borshchagovskiĭ, Iu V Dubikaĭtes, A G Zhagrin, A A Kalashnikov, V E Oliushin
{"title":"[Changes in total hemodynamics of central genesis following removal of basal meningiomas].","authors":"M L Borshchagovskiĭ, Iu V Dubikaĭtes, A G Zhagrin, A A Kalashnikov, V E Oliushin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The removal of basal intracranial meningiomas in 54 patients, even under general anesthesia with neuro-autonomous blocking, was accompanied by cardiovascular reactions caused by both reflex effects and direct excitation of brain stem structures. These reactions were always of a pressor nature only. Postoperatively, the vascular reactions were also of a pressor nature and presented themselves as components of either a non-specific stress response or a developing diencephalo-catabolic syndrome. Taking into account that the leading cause of the vascular disorders in stress responses and the diencephalo-catabolic syndrome is the irritative process in the brain stem structures, it is important for the prevention and management of these disorders to suppress by pharmacological means the irritation of the median formations with simultaneous blood replacement and conduction of maintenance cardiac therapy.</p>","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 3","pages":"23-8"},"PeriodicalIF":0.0,"publicationDate":"1976-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12134908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Radioisotope encephaloscintigraphy in the diagnosis of acoustic nerve neurinomas].","authors":"O A Mirgorodskiĭ, V I Shcheglov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results of the employment of radiopharmaceuticals in a group of patients with acoustic neurinomas for diagnostic purposes are described. High diagnostic efficacy of the method of radioisotope encephaloscintigraphy is emphasized, the method permitting to obtain extended diagnostic information. An important advantage of the method consists in its safety and absence of contraindicaions.</p>","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 3","pages":"34-6"},"PeriodicalIF":0.0,"publicationDate":"1976-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12134911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Results of the work of the XXVth Congress of the CPSU and tasks of Soviet neurosurgery].","authors":"B A Samotokin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 3","pages":"3-6"},"PeriodicalIF":0.0,"publicationDate":"1976-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12134910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Dynamics of spinal cord motor neuron excitability in epileptic patients following surgical elimination of seizures].","authors":"B N Beĭn, E M Zdornov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>H-reflex testing in epileptics with frequent seizures reveals both an increase and decrease of the activity of the spinal cord motoneurons. A surgical removal of the epileptogenic focus and the disappearance of seizures is followed by a significant elevation of the H-reflex induction threshold, which may be a reflection of the compensatory process. The dynamics of the stimulation EMG data pertains to the H-reflex alone, and is not true in case of the tendon reflexes. In this connection a dystony of the supraspinal regulation of the alpha- and gamma-motoneurons is suggested in epilepsy with a prevailing involvement of the alpha-cells.</p>","PeriodicalId":76814,"journal":{"name":"Voprosy neirokhirurgii","volume":" 3","pages":"40-4"},"PeriodicalIF":0.0,"publicationDate":"1976-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12134912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}