Saratov JOURNAL of Medical and Scientific Research

Ovsyannikov D.M.

Saratov State Medical University n.a. V. I. Razumovsky Department of Neurosurgerys, Assistant Professor

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

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.

201203-777-785.pdf312.01 KB

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

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.

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201202_547-552.pdf462.12 KB