- Nerve Injury and Rehabilitation
- Peripheral Nerve Disorders
- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Trauma Management and Diagnosis
- Myofascial pain diagnosis and treatment
- Spinal Hematomas and Complications
- Spine and Intervertebral Disc Pathology
- Pain Management and Treatment
- Hernia repair and management
- Traumatic Brain Injury and Neurovascular Disturbances
- Neurological Disorders and Treatments
- Spinal Dysraphism and Malformations
- Cervical and Thoracic Myelopathy
- Neurosurgical Procedures and Complications
- Botulinum Toxin and Related Neurological Disorders
- Spinal Fractures and Fixation Techniques
- Cerebral Palsy and Movement Disorders
- Hip disorders and treatments
Moscow City Clinical Hospital after V.M. Buyanov
2020-2024
Burdenko Neurosurgery Institute
2017
To analyze complications of intrathecal baclofen therapy and identify high-risk groups.We implanted 52 pumps to spastic patients for chronic infusion. Two groups were distinguished: 23 with spinal spasticity (group 1) 29 cerebral 2). The mean patient age was 37.2±14.6 years in group 1 17.3±10.3 2. Surgery performed according a standard procedure. A Medstream (Codman) pump 10 cases, Synchromed II (Medtronic) the remaining 42 cases.Complications developed 12 (23%) patients. We divided into 3...
To improve treatment outcomes in patients with sciatic nerve neuropathy.The first results of endoscopic decompression 6 neuropathy (mean age 47±6.7 years) are presented. The authors developed and described new unique technique for this procedure. All suffered severe neuropathic pain syndrome neurologic disorders. underwent prone position.Mean VAS score preoperative was 7.8±0.37. In 3 months after surgery, value decreased up to 1.5 scores. Complete regression significant reduction symptoms...
Introduction As reported, brachioplexopathy is a relevant polyetiological disease with an annual incidence from 0.17 to 1.6 per 100,000. There are two basic endoscopic methods of brachial plexus decompression: endoscopically-assisted mini-invasive transaxillary approach and fully decompression in association shoulder arthroscopy. Purpose Compare the main decompression. Material Twenty-two patients diagnosed post-traumatic were included study. 8 group 1 14 2. All passed clinical instrumental...
The objective is to describe the case of successful endovascular treatment residual chronic subdural hematoma. Clinical case. Patient A., 77 years old, was admitted hospital with a directional diagnosis stroke. During further examination, left hemispheric hematoma volume 100 cm 3 revealed. patient twice performed closed external drainage And for each subsequent control computed tomography studies, effect on brain determined. Endovascular selective embolization middle meningеal artery...
Relevance The brachial plexus is a complex anatomical structure the passes through three narrow spaces including interscalene space, space between first rib and clavicle (thoracic aperture), anterior chest wall pectoralis minor muscle. Compression of vascular band can occur at sites. Endoscopic approach to promising surgical trend allow neurolysis decompression with minimal trauma blood loss good cosmetic result. purpose was explore topographic anatomy surrounding structures determine...
Background: Еndoscopic neurolysis of the sciatic nerve has proven itself as a low traumatic and effective technique treatment for deep gluteal pain syndrome neuropathy. Until now, there have been no publications dedicated to parietal peritoneum damage after endoscopic decompression. Clinical case description: A 70-year-old female patient with neuropathy on right side failure conservative treatment. According VAS scale, severity was 10 cm. The motor dysfunction, according BMRC 4 points....
IIntroduction Sciatic nerve neuropathy is common pathology. Development of endoscopic method decompression and neurolysis extremely prospective. Objective Analyze the results sciatic at a 1-year follow-up. Material methods 15 patients (11 females – 79 %, 4 males 21 %) were included into study treated in period from 2018 to 2022. Endoscopic performed. Mean age was 47 ± 16 years. The severity pain according VAS 8 1. Motor dysfunction BMRC scale 2.6 1.7 points. Degree sensitive Seddon 2.9 0.9...
INTRODUCTION Posttraumatic axillary nerve neuropathy is a widely spread pathology, more often seen after shoulder joint trauma. It can also occur as complication orthopaedic surgeries, for example, Latarjet procedure stabilization. The technique of open decompression very popular but has number disadvantages: large trauma soft tissue, severe bleeding, high rate complications, poor cosmetic effect. Endoscopic surgical an effective, less traumatic alternative to procedures. AIM To improve the...
The study objective – to present a clinical case of axillary nerve neurolysis performed through arthroscopic transcapsular access. Clinical case. Patient Ch., 38 years old, received fracture the head left humerus as result fall 5 months ago. Immediately after injury, symptoms damage appeared. Conservative therapy was carried out without positive dynamics. According ultrasound and electroneuromyography, signs compression were noted violating its anatomical integrity. pathological substrate...
Background: Thoracic outlet syndrome compression of the brachial plexus in area between clavicle and first rib is a commonly spread important pathology. It occurs, as usual, after trauma or due to an anatomical malformation this area. can be combined with shoulder joint In case conservative treatment's failure, standard surgical procedure decompression thoracic aperture. This usually done via open approach. The development endoscopic technique allows reducing risk complications recurrences,...
Background: Posttraumatic axillary nerve neuropathy is a widely spread pathology, more often seen after shoulder joint trauma. It can also appear as complication orthopedic surgeries, for example, the Latarjet procedure stabilization. The technique of open decompression very popular but has number disadvantages: large trauma soft tissue, severe bleeding, high rate complications, and poor cosmetic effect. endoscopic surgical an effective less traumatic alternative to procedures. Clinical case...