Saratov JOURNAL of Medical and Scientific Research

Chekhonatsky A.A.

Scientific Research Institute of Traumatology Orthopedics and Neurosurgery of Saratov State Medical University n.a. V.I. Razumovsky Neurosurgery Department, Neurosurgeon; Saratov State Medical University n.a. V.I. Razumovsky, Head of Neurosurgery Depatment n.a. E.I. Babichenko, Doctor of Medical Sciences

Chronic non-specific back pain: patho-genetic substantiation of manual therapy

Year: 2018, volume 14 Issue: №3 Pages: 570-574
Heading: Traumatology and Orthopedics Article type: Review
Authors: Medentsov V.A., Komleva N.E., Goncharenko I.M., Danilov A.N., Chekhonatskiy A.A.
Organization: Saratov Scientific Research Institute of Agricultural Hygiene
Summary:

We presented the review of data from MEDLINE, EMBASE, CINAHL on the mechanisms of therapeutic activity of manual therapy, as well as on studied tissue and systemic responses, and the elaborations on the issue of manual treatment choice in chronic non-specific back pain.

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The modern view of the examination and treatment of patients with intracranial cystic formations

Year: 2017, volume 13 Issue: №1 Pages: 147-149
Heading: Neurology Article type: Author's opinion
Authors: Kolesov V.N., Lukina Е.М., Chekhonatsky А.А.
Organization: Saratov State Medical University
Summary:

Objective: to determine the diagnostic and treatment policy (conservative and operative) in patients with intracranial cysts of various origins. We observed 116 patients with different brain cystic formations. Diagnostic tactics and principles of treatment were refined. The evaluation of treatment results was made.

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The use of low intensity laser radiation in the treatment of patients with closed traumatic brain injury consequences

Year: 2016, volume 12 Issue: №2 Pages: 256-259
Heading: Neurology Article type: Original article
Authors: Kolesov V.N., Lukina Е.М., Novikov A.G., Chekhonatsky А.А.
Organization: Saratov State Medical University
Summary:

Objective: to determine the effectiveness of the use of low-intensity helium-neon laser radiation in patients with post-traumatic cerebral arachnoiditis. Material and Methods. We observed 164 patients with the effects of closed craniocerebral injuries of a various severity. Methods of percutaneous laser irradiation of blood in the projection of the common carotid artery at the level of IV cervical vertebra was carried out underthe supervision of the clinical evaluation of hemodynamic data survey methods. Results. Positive results of hemodynamic parameters of examination methods indicate regression of cerebral vasospasm and improving brain vascular reserve, which led to a decrease in cerebral and focal neurological symptoms. Conclusion. The method allows the use of this technique in these patients both in the hospital and at the outpatient stage.

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Paracentetic Access to Sensory Root of Tri-geminus: Anatomic and Topographic Features

Year: 2012, volume 8 Issue: №3 Pages: 785-790
Heading: Narcology Article type: Review
Authors: Chekhonatsky A.A., Skulovitch S.Z., Ushakov D.A., Lotsmanov Yu.F.
Organization: Saratov State Medical University
Summary:

Anatomic and topographic features of middle cranial fossa which should be taken into account during paracentetic access to sensory root of trigeminus are examined in the article. It is substantiated that treatment of trigeminus neuralgia needs bounded influence on sensory root of trigeminus. The authors based the idea of paracentetic access to sensory root of trigeminus through for. ovale. Such possible complexities and specific features as: probable confluence of for. ovale with other holes, calcification of ligamentous apparatus, and presence of holes due to this process should be considered during surgery.

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Social and Epidemiological Aspects of Cranioce-rebral Trauma

Year: 2012, volume 8 Issue: №3 Pages: 777-785
Heading: Neurology Article type: Review
Authors: Ovsyannikov D.M.; Chekhonatsky А.А.; Kolesov V.N.; Bubashvili A.I.
Organization: Saratov State Medical University
Summary:

The review points out that craniocerebral trauma is one of the most current problems in medicine, reasoned for its occurrence, high level of temporary disability, patients' incapacity, and considerable death-rate. Therefore, study of different aspects of craniocerebral trauma has not only medical but also social-economic significance. The authors mark that prevalence frequency of craniocerebral trauma can vary in regions of our state and abroad, it depends on a great number of factors — age, time of a day, trauma's mechanisms. Research of craniocerebral trauma epidemiology is a necessary basis for organization of rational aid for suffered and adequate measures development for primary and second prophylaxis of central nervous system disorders.

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Chronobiological aspects of changes in straight electro stimulation of spinal cord for treatment of neurological complications of cervical vertebrae osteochondro-sis

Year: 2012, volume 8 Issue: №2 Pages: 547-552
Heading: Neurology Article type: Original article
Authors: Chekhonatsky A.A., Korshunova G.A., Ovsyannikov D.M., Chekhonatsky V.A.
Organization: Saratov State Medical University
Summary:

Research Goal was to study infuence of treatment seance time, disease duration, and age on effcacy of straight electrostimulation of spinal cord. Materials. Biorhythmological characteristics of optimal time choice for electrostimula-tion séance were studied based on the sample of 32 patients with cervical osteochondrosis, who were subjected to paracentetic electrodes placement on posterior part of spinal cord. Results. Group of patients used morning séance, demonstrated change of clinical manifestations severity in accordance to JOA scale from 8,4±0,2 to 12,8±0,3 points that formed 46,6 %. Séance during daylight hours helped to decrease clinical manifestations severity by 25,1 %; evening séance promoted reduction by 22,1 %. In patients under 40 the average percentage of decrease of posttreatment neurological symptomatology consisted 83,6±3,6 %, in patients aged 60 and upwards this index was 74,6±3,2 %. Decrease of myelopathy severity was marked in the following way: 1 – 4 years of disease duration — by 73,6±4,8 %, more than 10 years — 63,7±2,1 %; estimation was carried out using JOA scale. Conclusion. Maximum effect of straight elec-trostimulation of spinal cord was observed in the morning hours. Clinical effect of isolated use of straight electrostimula-tion of spinal cord in the complex of treating neurological symptoms of cervical vertebrae osteochondrosis decreases while disease duration extends. Effect of electrostimulation reduces in accordance with patients’ age; maximum positive results of this method can be achieved in 1 – 4 years of disease duration.

Keywords: -
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Features of psychoemotional status of pregnant women with fetoplacental insuffciency

Year: 2012, volume 8 Issue: №2 Pages: 541-547
Heading: Neurology Article type: Original article
Authors: Chekhonatskaya M.L., Chernyshkova E.V., Chekhonatsky A.A., Kipchatova T.Yu.
Organization: Saratov State Medical University
Summary:

Research Goal was to study features of psychoemotional status of pregnant women with chronic fetoplacental insuffciency. Materials. 112 pregnant women with chronic fetoplacental insuffciency; 73 women with physiological course of pregnancy and delivery. Research of personal psychological characteristics was carried out by Minnesota multidimensional personal index (MMPI), adapted by F. B. Berezina and V. P Miroshnikova (1989). Personal and reactive anxiety was defned by method of self-appraisal according to D. Spilberger and Yu. L. Khalin. Results. Psychoveg-etative changes lead to unequal mobilization of various visceral systems, which can promote development of different complications of pregnancy course along with other factors, including fetoplacental insuffciency. Pregnant women with increased level of reactive anxiety more often have isolated decrease of uteroplacental blood fow; at hyperdepression combined disturbance of uteroplacental and fetoplacental blood fow was revealed; at hypochondria disturbance of uteroplacental and fetoplacental blood fow was also marked. Conclusion. Pregnant women with fetoplacental insuf-fciency demonstrated increase of anxiety and psychasthenia. As gestation period extended, patients with fetoplacental insuffciency marked high level of lability and reactivity of vegetative nervous system in combination with increased anxiety and presence of depression. Taking into consideration psychovegetative basis of occurrence of functional disturbances in the system mother-placenta-fetus, determination of personal psychoemotional features and state of vegetative nervous system, with future correction of reveled disturbances, should be obligatory.

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Clinical and neuroimaging features vertebral radiculopathy in the combination with vertebral hemangiomas

Year: 2012, volume 8 Issue: №2 Pages: 521-524
Heading: Neurology Article type:
Authors: Salina E.A., Licacheva E.B., Lutoshkina E.B., Sholomov I.I., Shuldyakov А.А. Shchukovskiy N.V., Lyubitskiy I.P., Che-honatskaya M.L., Chekhonatsky A.A.
Organization: Saratov State Medical University
Summary:

Aim of the study: to study the clinical and neuroimaging features of radiculopathy vertebral hemangiomas in conjunction with the vertebrae. Materials and methods. A total of 56 patients with radiculopathy vertebral hemangiomas combined with the vertebrae. Results. The patients in addition to pain, and focal neurological symptoms were observed violation of urination, and chronic venous insuffciency of lower extremities. MRI identifed three types of vertebral hem-angiomas, depending on the structural characteristics. Conclusion. The aim of the study is realized.Most hemangiomas are asymptomatic yourself. Pain and neurological symptoms caused by musculo-tonic component, the presence of disc herniation, changes in the intervertebral joints, ligaments violation. Type III meets the criteria for hemangiomas and requires aggressive surgical treatment.

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CORRELATION OF PROGRESSION RISK OF FETOPLACENTAL INSUFFICIENCY WITH VEGETATIVE STATUS DISTURBANCE IN PREGNANT WOMEN

Year: 2012, volume 8 Issue: №2 Pages: 455-459
Heading: Neurology Article type: Original article
Authors: Kipchatova T.Yu., Chekhonatskaya M.L., Chernyshkova E.V., Chekhonatsky A.A.
Organization: Saratov State Medical University
Summary:

Research Goal was to compare probability of risk progression of chronic fetoplacental insuffciency with various disturbances of vegetative nervous system (VNS) in pregnant women. Materials. Basic group consisted of 112 pregnant women with chronic fetoplacental insuffciency; control group included 73 women with physiological course of pregnancy and delivery. Status of VNS was determined with the purpose to estimate initial vegetative tone in various functional systems and forming concept of general vegetative status in the sample. Results. Presence of fetoplacental insuffciency in pregnant women was extensively associated with increase of sympathetic section tone and VNS lability. Occurrence frequency of critical indices of hemodynamics disturbances in the system mother- placenta-fetus revealed reliable correlation dependence on VNS lability and index of vegetative supply of activity. Conclusion. Pregnant women with fetoplacental insuffciency had 25 – 30 % increased tone and lability indices of VNS sympathetic section in contrast to physiological course of pregnancy. Progression of fetoplacental insuffciency was more often revealed in pregnant women in case of replacement of sympathicotonia by vagotonia, and against a background of high VNS lability and reactivity.

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The effectiveness of magnetic resonance angiography to cerebrovascular violations

Year: 2012, volume 8 Issue: №2 Pages: 440-442
Heading: Neurology Article type: Short message
Authors: Ilyasova E.B., Chekhonatskaya M.L., Chekhonatsky A.A., Priezshzeva V.N., Kochanov S.V., Hmara T.G., Kondrateva O. A., Zuev V.V., Nikol`skiy Yu.E., Isaeva T.M.
Organization: Saratov State Medical University
Summary:

Provides information about magnetic resonance angiography in diagnosis of cerebral vascular disorders. Refects the effectiveness of magnetic resonance angiography in identifying this pathology.

Keywords: -
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