Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures

Mitalip Mamytov

doi:doi:10.11648/j.cnn.20190304.13

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Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures

Mitalip Mamytov

Published in Clinical Neurology and Neuroscience (Volume 3, Issue 4)

Received: 2 October 2019 Accepted: 8 November 2019 Published: 17 November 2019

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Abstract

Background: Modern methods of complex diagnostics in neurotraumatology, in particular computed tomography (CT) and magnetic resonance imaging (MRI), enable neurosurgeons to make a differentiated approach to choosing the right method for treating traumatic and other brain injuries. Objective: To elaborate criteria for differentiated treatment of severe focal traumatic brain injuries. Methods: Results of treatment in 126 patients with severe craniocerebral injury have been examined, 74 of them were undergone to surgical methods of treatment, and 52 patients were treated conservatively. To all patients computed tomography and magnetic resonance imaging procedures of the brain were done. The results of treatment were assessed using Glasgow Outcome Scale. Criteria for selection of patients were fact of severe isolated craniocerebral injury, depth and time of loss of consciousness, availability of СТ and МRI of brain in dynamics, and operational findings. Results: It was determined а high degree of possibility of tomographic objectification and consecutive transformation of substrates of injured brain. It is noted, that the most frequent traumatization is observed for frontal (43.4%) and temporal (40.5%) brain lobes. Conclusions: Introduction of differentiated approach to using conservative and surgical methods of treatment for severe traumatic cerebral contusion and hematomas of brain, and preference of conservative treatment led to greater efficiency and adequacy of treatment of these patients.

Published in	Clinical Neurology and Neuroscience (Volume 3, Issue 4)
DOI	10.11648/j.cnn.20190304.13
Page(s)	84-88
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Severe Craniocerebral Injury, Cerebral Contusions, Differentiated Treatment

References

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Mitalip Mamytov. (2019). Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures. Clinical Neurology and Neuroscience, 3(4), 84-88. https://doi.org/10.11648/j.cnn.20190304.13

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Mitalip Mamytov. Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures. Clin. Neurol. Neurosci. 2019, 3(4), 84-88. doi: 10.11648/j.cnn.20190304.13

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Mitalip Mamytov. Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures. Clin Neurol Neurosci. 2019;3(4):84-88. doi: 10.11648/j.cnn.20190304.13

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@article{10.11648/j.cnn.20190304.13,
  author = {Mitalip Mamytov},
  title = {Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures},
  journal = {Clinical Neurology and Neuroscience},
  volume = {3},
  number = {4},
  pages = {84-88},
  doi = {10.11648/j.cnn.20190304.13},
  url = {https://doi.org/10.11648/j.cnn.20190304.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190304.13},
  abstract = {Background: Modern methods of complex diagnostics in neurotraumatology, in particular computed tomography (CT) and magnetic resonance imaging (MRI), enable neurosurgeons to make a differentiated approach to choosing the right method for treating traumatic and other brain injuries. Objective: To elaborate criteria for differentiated treatment of severe focal traumatic brain injuries. Methods: Results of treatment in 126 patients with severe craniocerebral injury have been examined, 74 of them were undergone to surgical methods of treatment, and 52 patients were treated conservatively. To all patients computed tomography and magnetic resonance imaging procedures of the brain were done. The results of treatment were assessed using Glasgow Outcome Scale. Criteria for selection of patients were fact of severe isolated craniocerebral injury, depth and time of loss of consciousness, availability of СТ and МRI of brain in dynamics, and operational findings. Results: It was determined а high degree of possibility of tomographic objectification and consecutive transformation of substrates of injured brain. It is noted, that the most frequent traumatization is observed for frontal (43.4%) and temporal (40.5%) brain lobes. Conclusions: Introduction of differentiated approach to using conservative and surgical methods of treatment for severe traumatic cerebral contusion and hematomas of brain, and preference of conservative treatment led to greater efficiency and adequacy of treatment of these patients.},
 year = {2019}
}

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TY  - JOUR
T1  - Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures
AU  - Mitalip Mamytov
Y1  - 2019/11/17
PY  - 2019
N1  - https://doi.org/10.11648/j.cnn.20190304.13
DO  - 10.11648/j.cnn.20190304.13
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 84
EP  - 88
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20190304.13
AB  - Background: Modern methods of complex diagnostics in neurotraumatology, in particular computed tomography (CT) and magnetic resonance imaging (MRI), enable neurosurgeons to make a differentiated approach to choosing the right method for treating traumatic and other brain injuries. Objective: To elaborate criteria for differentiated treatment of severe focal traumatic brain injuries. Methods: Results of treatment in 126 patients with severe craniocerebral injury have been examined, 74 of them were undergone to surgical methods of treatment, and 52 patients were treated conservatively. To all patients computed tomography and magnetic resonance imaging procedures of the brain were done. The results of treatment were assessed using Glasgow Outcome Scale. Criteria for selection of patients were fact of severe isolated craniocerebral injury, depth and time of loss of consciousness, availability of СТ and МRI of brain in dynamics, and operational findings. Results: It was determined а high degree of possibility of tomographic objectification and consecutive transformation of substrates of injured brain. It is noted, that the most frequent traumatization is observed for frontal (43.4%) and temporal (40.5%) brain lobes. Conclusions: Introduction of differentiated approach to using conservative and surgical methods of treatment for severe traumatic cerebral contusion and hematomas of brain, and preference of conservative treatment led to greater efficiency and adequacy of treatment of these patients.
VL  - 3
IS  - 4
ER  -

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Author Information

Mitalip Mamytov

Department of Neurosurgery, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan

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Mitalip Mamytov. (2019). Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures. Clinical Neurology and Neuroscience, 3(4), 84-88. https://doi.org/10.11648/j.cnn.20190304.13

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ACS Style

Mitalip Mamytov. Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures. Clin. Neurol. Neurosci. 2019, 3(4), 84-88. doi: 10.11648/j.cnn.20190304.13

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AMA Style

Mitalip Mamytov. Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures. Clin Neurol Neurosci. 2019;3(4):84-88. doi: 10.11648/j.cnn.20190304.13

Copy | Download

@article{10.11648/j.cnn.20190304.13,
  author = {Mitalip Mamytov},
  title = {Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures},
  journal = {Clinical Neurology and Neuroscience},
  volume = {3},
  number = {4},
  pages = {84-88},
  doi = {10.11648/j.cnn.20190304.13},
  url = {https://doi.org/10.11648/j.cnn.20190304.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190304.13},
  abstract = {Background: Modern methods of complex diagnostics in neurotraumatology, in particular computed tomography (CT) and magnetic resonance imaging (MRI), enable neurosurgeons to make a differentiated approach to choosing the right method for treating traumatic and other brain injuries. Objective: To elaborate criteria for differentiated treatment of severe focal traumatic brain injuries. Methods: Results of treatment in 126 patients with severe craniocerebral injury have been examined, 74 of them were undergone to surgical methods of treatment, and 52 patients were treated conservatively. To all patients computed tomography and magnetic resonance imaging procedures of the brain were done. The results of treatment were assessed using Glasgow Outcome Scale. Criteria for selection of patients were fact of severe isolated craniocerebral injury, depth and time of loss of consciousness, availability of СТ and МRI of brain in dynamics, and operational findings. Results: It was determined а high degree of possibility of tomographic objectification and consecutive transformation of substrates of injured brain. It is noted, that the most frequent traumatization is observed for frontal (43.4%) and temporal (40.5%) brain lobes. Conclusions: Introduction of differentiated approach to using conservative and surgical methods of treatment for severe traumatic cerebral contusion and hematomas of brain, and preference of conservative treatment led to greater efficiency and adequacy of treatment of these patients.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Factors Indicating on Differentiated Approach in Treatment of Severe Focal Brain Injures
AU  - Mitalip Mamytov
Y1  - 2019/11/17
PY  - 2019
N1  - https://doi.org/10.11648/j.cnn.20190304.13
DO  - 10.11648/j.cnn.20190304.13
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 84
EP  - 88
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20190304.13
AB  - Background: Modern methods of complex diagnostics in neurotraumatology, in particular computed tomography (CT) and magnetic resonance imaging (MRI), enable neurosurgeons to make a differentiated approach to choosing the right method for treating traumatic and other brain injuries. Objective: To elaborate criteria for differentiated treatment of severe focal traumatic brain injuries. Methods: Results of treatment in 126 patients with severe craniocerebral injury have been examined, 74 of them were undergone to surgical methods of treatment, and 52 patients were treated conservatively. To all patients computed tomography and magnetic resonance imaging procedures of the brain were done. The results of treatment were assessed using Glasgow Outcome Scale. Criteria for selection of patients were fact of severe isolated craniocerebral injury, depth and time of loss of consciousness, availability of СТ and МRI of brain in dynamics, and operational findings. Results: It was determined а high degree of possibility of tomographic objectification and consecutive transformation of substrates of injured brain. It is noted, that the most frequent traumatization is observed for frontal (43.4%) and temporal (40.5%) brain lobes. Conclusions: Introduction of differentiated approach to using conservative and surgical methods of treatment for severe traumatic cerebral contusion and hematomas of brain, and preference of conservative treatment led to greater efficiency and adequacy of treatment of these patients.
VL  - 3
IS  - 4
ER  -

Copy | Download