In 50% of neurosurgical injured persons damage soft tissues the head is revealed, in 28% — penetrating, 17% non-penetrating. Mine-explosive injuries are observed almost 70% victims.In structure traumatic brain injury (TBI) severe accounts for 15-20%, moderate and mild 80-85%. At TBI (8 points or less on Glasgow Coma Scale) 40-60% victims die, 10%; however 50–90% patients different periods after neuropsychiatric disorders revealed.Closed TBI: concussion, mild, contusion, diffuse axonal...

Objective: to analyze the development dynamics of pediatric neurosurgical care in Ukraine 2001-2020. Materials and methods. The number beds, neurosurgeons, hospitalization rates surgical treatment children departments 2001‒2020 were analyzed. Data for years 2014-2020 unavailable located temporarily non-government-controlled territories. Results. In 2020, there 22 neurosurgery Ukraine, with a total 290 representing 26.6% increase compared 2001. Pediatric or units beds operational almost all...

One of the urgent problems state level in Ukraine and other countries faced with consequences hostilities is issue physical, psychological social rehabilitation people disabilities. Thanks to policy on implementation ideas accessibility environment, inclusiveness educational process, barrier-free communication, movement towards equality rights opportunities, possibilities using tools deve­loped by scientists field medicine (rehabilitation), psychology, valeology, etc. for return a person...

В статье представлено обобщение международных практических рекомендаций и зарубежного клинического опыта наблюдения за детьми, рожденными матерями, больными корью, в разные сроки беременности; приведены международные критерии диагноза «врожденная корь». Описан собственный опыт ведения одного из клинических случаев врожденной кори во время вспышки 2017–2018 годов условиях областной детской клинической больницы.

Introduction. Impaired function of the trigeminal nerve is often first and sometimes only symptom cranial base tumors.Materials methods. Analysis dysfunction before after intervention in 38 patients operated on different tumors was performed. Totally 40 were There 21 supratentorial (17 sphenoid wings meningiomas 4 neuromas), 8 subtentorial (2 acoustic schwannomas, 5 CPA meningiomas, 1 chordoma) 9 sub-supratentorial (6 petroclival 3 neuromas) tumors. Tumors removed totally 23 (60,5%),...

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Following criteria are significant for prognosis: consciousness infringement — 8 points and less according to Glasgow Coma Scale, alcoholic intoxication at the moment of trauma, displacement brain median structures more than 1 cm, hematomas volume over 100 cm3, removing after 3 hours later clinical manifestation; most essential (at which lethality was 77.8–100%) ventricular hemorrhage, arterial hypotension, intracranial pressure holding 15 mm Hg higher inspite it’s correction, nosocomial...

The errors in emergency neurosurgery were analyzed, when non-compliance with the protocol of injured person cranio-cerebral trauma inspection and subjective factors (doctor’s decision) led to fatal outcome.

Education. It became one of the first in world which started educate neurosurgeons.The founder department was Professor A.I. Arutyunov. Then it headed by G.A. Pedachenko and N.E. Polishchuk. During its existence, more than 90 % Ukrainian neurosurgeons were trained at department, thousands articles, hundreds monographs published, dozens doctoral master’s theses defended.The Department Neurosurgery is an integral part history development neurosurgery Ukraine. All employees hope that will...

Вступ. Особливості перебігу гострої респіраторної вірусної інфекції (ГРВІ) у дітей із збільшеною загрудинною залозою пов’язані з наявністю хворих більш чи менш значного імунодефіцитного стану та дисгормонозу проявами наднирникової недостатності. Мета — вивчити особливості гострих респіраторних вірусних інфекцій дослідити функцію наднирникових залоз раннього віку тимомегалією. Матеріал методи. У клінічні дослідження було залучено 41 дитину тимомегалією, хвору на ускладнені форми ГРВІ, віком...

There are a lot of neurosurgical beds and neurosurgeons in Ukraine. In many cities service provide medical care for patients mainly with mild to moderate degree TBI. Surgical activity is very low. The number operations per neurosurgeon nearly 50, without TBI — 38 year. This raises o questions concerns about the competence professionals. unreasonably large Kyiv also.We can conclude that at least 50% some offices hospitalized indications. case implementing staff salary based on payment...

Introduction. Secondary posttraumatic changes of the brain often are determining in clinical flow traumatic injury (TBI). Prevention, detection and determination treatment strategy at secondary hemorrhagic progression contusion (SHPC) very actual for neurotraumatology.Materials methods. The results 110 injured persons with TBI were analyzed.Results. It was found that SHPC occurs 50% patients TBI, as areas primary damage remote on other side during 12 h ad also after 3–4 days. is revealed...

Research objective. To analyze aspects of gunshot wounds head soft tissues, their combination to brain injury and on this basis develop tactics the principles assistance at different stages medical care in compliance military doctrine.Materials methods. On analysis 1214 combat injuries neurosurgical profile were 434 (35.6%). Wounds calvaria tissues are diagnosed 241 (55.4%), 193 (44.6%) there nonpenetrating penetrating with brain. From wounded 141 (58.5%) have finished treatment hospital...

The character of gunshot injuries the spine and spinal cord with modern weapons in local fighting was analyzed, sequencing features tactics these patients were determined.Observation surgical treatment performed 16 cord.In all cases identified multiple chest and/or abdomen revealed, 2 — pelvic organs. Bullet wounds dominated places not protected by body armor. Life-saving surgery acute period health facilities close to zone, as well general hospitals that allowed save lives 15 wounded...

Introduction. Chronic pain in the neck, shoulders and upper limbs is often at degenerative changes of cervical spine joints.The purpose. Study efficacy radiofrequency neurotomy medial branch spinal nerve dorsal root patients with limbs, factors that could affect outcome were analyzed.Materials methods. Demographic data, types location, response to double control block, electrical stimulation parameters, number level neurotomy, results surgical treatment studied during 12 months after...

Introduction. It is known that at the age of 70, outstanding surgeon Mykola Pirogov suffered from pain and a wound palate on right had problems with eating. He was consulted by well-known doctors M.V. Sklifosovskyi, E. von Wahl, V.F. Grube, E.I. Bohdanovskyi famous T. Billroth, convincing him ulcer benign.On fourth day after his death, initiative wife Baroness O.A. Bistrom, Pirogov's body embalmed permission church.Case report. In 2018, M.I. re-embalmed in Vinnytsia according to original...

ResumeNeurosurgery training in the countries of European Union, America and Asia lasts from 5 to 7 years involves acquiring knowledge not only clinical, but also scientific activities. Taking into account need use high-tech methods for treatment neurosurgical diseases, duration 3-year internship training, as is customary Ukraine, insufficient. The analysis historical modern approaches teaching neurosurgery by professional communities USA Union allows development a program specialty...

Objective ‒ to sharpen the attention of doctors a rare, little-known pathology damage ventral parts pons, upper medulla oblongata locked-in syndrome. The extremely important value this syndrome can be in determining prognosis disease and solving issues rehabilitation patient care.Locked-in is complex clinical neurological symptom complex, basis which lesion front pons with intact functioning nuclei afferents brain stem cover. occurs when blood circulation disturbed pons. According criteria...

Lumbar spine stenosis is rather widespread disease and a lot of scientific publications are dedicated to it. However inspite undoubted interest medical public this problem, there terminological mess, different understanding the problem by neurosurgeons, orthopaedists-traumatologists roentgenologists.We analyzed our own experience, domestic foreign literature distinguished debatable moment in diagnostics.Different modern methods used for diagnostics disease, but any them reaches MRI or CT...