MODERN TECHNOLOGY IN THE SURGICAL TREATMENT OF HEAD INJURY SEQUELAE

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Abstract

The paper presents main types of surgically relevant posttraumatic lesions in 4136 patients with skull vault as well as skull base defects, craniofacial deformities, recurrent CSF leaks, arterio-venous fistulas, aneurysms and pseudoaneurysms etc. Classification of TBI sequelae and complications as well as its clinical course grading is presented. The use of modern neuroimaging techniques for studying pathophysiologic mechanisms and complications of TBI has been demonstrated. Special emphasis was given to minimally invasive and reconstructive surgery; computer modeling with subsequent full-copy stereolitographic laser implant setup was shown which is of great importance in cases of large and complex skull base and craniofacial deformities. Patient selection for transcranial and endonasal CSF leak closure techniques was justified. Treatment of post-traumatic vascular injuries using Serbinenko balloon-catheters as well as modern techniques such as stents, coils and embolization has been demonstrated.

 

About the authors

A. A. Potapov

Burdenko Neurosurgical Institute, Moscow, Russia

Author for correspondence.
Email: apotapov@nsi.ru
доктор медицинских наук, профессор, академик РАН и РАМН, руководитель отделения черепно-мозговой травмы НИИ нейрохирургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 250-01-00 Россия

V. N. Kornienko

Burdenko Neurosurgical Institute, Moscow, Russia

Email: kornienko@nsi.ru
доктор медицинских наук, профессор, академик РАМН, руководитель отделения рентгенохирургических методов диагностики и лечения НИИ нейрохирургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 972-86-09 Россия

A. D. Kravchuk

Burdenko Neurosurgical Institute, Moscow, Russia

Email: kravtchouk@nsi.ru
доктор медицинских наук, профессор, главный научный сотрудник НИИ нейрохи- рургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 250-14-63 Россия

L. B. Likhterman

Burdenko Neurosurgical Institute, Moscow, Russia

Email: likhterman@nsi.ru
доктор медицинских наук, профессор, главный научный сотрудник НИИ нейро- хирургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 972-85-95 Россия

V. A. Okhlopkov

Burdenko Neurosurgical Institute, Moscow, Russia

Email: ova@nsi.ru
кандидат медицинских наук, доцент, старший научный сотрудник Института нейрохирургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 972-86-65 Россия

S. A. Eolchiyan

Burdenko Neurosurgical Institute, Moscow, Russia

Email: seolch@nsi.ru
кандидат медицинских наук, доцент, старший научный сотрудник НИИ нейрохирургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 972-8682 Россия

A. G. Gavrilov

Burdenko Neurosurgical Institute, Moscow, Russia

Email: gavrilov@nsi.ru
кандидат медицинских наук, НИИ нейрохирургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 972-86-81 Россия

N. E. Zakharova

Burdenko Neurosurgical Institute, Moscow, Russia

Email: nzakharova@nsi.ru
кандидат медицинских наук, старший научный сотрудник НИИ нейрохирургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 972-85-54 Россия

S. B. Yakovlev

Burdenko Neurosurgical Institute, Moscow, Russia

Email: sysb@nsi.ru
доктор медицинских наук, руководитель отделения эндоваскулярной нейрохирургии НИИ нейрохирургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 972-86-31 Россия

V. A. Shurkhai

Burdenko Neurosurgical Institute, Moscow, Russia

Email: vshurhai@nsi.ru
ординатор НИИ нейрохирургии им. Н.Н. Бурденко Адрес: 125047, Москва, ул. 4-я Тверская-Ямская, д. 16 Тел./факс: (499) 972-8681 Россия

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