DIFFERENTIATED TREATMENT OF ISOLATED TRAUMATIC INJURY OF FRONTAL LOBES OF THE BRAIN

An analysis of treatment results was made in 83 patients with traumatic parenchymatous injuries of frontal lobes of the brain. Surgical interventions were performed in 31 patients and the conservative therapy was carried out in 52 patients. Regular neurological examinations were completed for all th...

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Main Authors: M. M. Smirnova, Yu. A. Shcherbuk, S. A. Morozov
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2018-01-01
Series:Вестник хирургии имени И.И. Грекова
Subjects:
Online Access:https://www.vestnik-grekova.ru/jour/article/view/479
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spelling doaj-a6e9ebdbc18b4254bb48593871a2e1762021-07-28T13:46:23ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-01-01173105405710.24884/0042-4625-2014-173-1-054-057478DIFFERENTIATED TREATMENT OF ISOLATED TRAUMATIC INJURY OF FRONTAL LOBES OF THE BRAINM. M. Smirnova0Yu. A. Shcherbuk1S. A. Morozov2Saint-Petersburg State University; Alexsandrovsky hospitalSaint-Petersburg State UniversityAlexsandrovsky hospitalAn analysis of treatment results was made in 83 patients with traumatic parenchymatous injuries of frontal lobes of the brain. Surgical interventions were performed in 31 patients and the conservative therapy was carried out in 52 patients. Regular neurological examinations were completed for all the patients. The data of neurovisual methods were estimated. A strategy of treatment of frontal lobes injury depends on not only from the traumatic substratum volume, but at the same time, it is formed by clinical neurologic constellations and instrumental data in traumatic injury of frontal lobes of the brain. Risk factors of unfavorable effect of traumatic parenchymatous injury of frontal lobes of the brain were reflected in the initially low GCS score, a neurologic deficit progression with contusion haemorrhagic foci in the frontal lobe (volume greater than 25 cm³), a midline shift on 6 mm or more and signs of base cistern compression and presence of mass-effect, according to CT scan data. The developed algorithm could improve the results of treatment and makes better the quality of life of the patients with traumatic parenchymatous injuries of frontal lobes of the brain.https://www.vestnik-grekova.ru/jour/article/view/479лобные долитравматическое паренхиматозное повреждениелечение черепномозговой травмыfrontal lobestraumatic parenchymatous injurytreatment of craniocerebral trauma
collection DOAJ
language Russian
format Article
sources DOAJ
author M. M. Smirnova
Yu. A. Shcherbuk
S. A. Morozov
spellingShingle M. M. Smirnova
Yu. A. Shcherbuk
S. A. Morozov
DIFFERENTIATED TREATMENT OF ISOLATED TRAUMATIC INJURY OF FRONTAL LOBES OF THE BRAIN
Вестник хирургии имени И.И. Грекова
лобные доли
травматическое паренхиматозное повреждение
лечение черепномозговой травмы
frontal lobes
traumatic parenchymatous injury
treatment of craniocerebral trauma
author_facet M. M. Smirnova
Yu. A. Shcherbuk
S. A. Morozov
author_sort M. M. Smirnova
title DIFFERENTIATED TREATMENT OF ISOLATED TRAUMATIC INJURY OF FRONTAL LOBES OF THE BRAIN
title_short DIFFERENTIATED TREATMENT OF ISOLATED TRAUMATIC INJURY OF FRONTAL LOBES OF THE BRAIN
title_full DIFFERENTIATED TREATMENT OF ISOLATED TRAUMATIC INJURY OF FRONTAL LOBES OF THE BRAIN
title_fullStr DIFFERENTIATED TREATMENT OF ISOLATED TRAUMATIC INJURY OF FRONTAL LOBES OF THE BRAIN
title_full_unstemmed DIFFERENTIATED TREATMENT OF ISOLATED TRAUMATIC INJURY OF FRONTAL LOBES OF THE BRAIN
title_sort differentiated treatment of isolated traumatic injury of frontal lobes of the brain
publisher Pavlov First Saint Petersburg State Medical University
series Вестник хирургии имени И.И. Грекова
issn 0042-4625
publishDate 2018-01-01
description An analysis of treatment results was made in 83 patients with traumatic parenchymatous injuries of frontal lobes of the brain. Surgical interventions were performed in 31 patients and the conservative therapy was carried out in 52 patients. Regular neurological examinations were completed for all the patients. The data of neurovisual methods were estimated. A strategy of treatment of frontal lobes injury depends on not only from the traumatic substratum volume, but at the same time, it is formed by clinical neurologic constellations and instrumental data in traumatic injury of frontal lobes of the brain. Risk factors of unfavorable effect of traumatic parenchymatous injury of frontal lobes of the brain were reflected in the initially low GCS score, a neurologic deficit progression with contusion haemorrhagic foci in the frontal lobe (volume greater than 25 cm³), a midline shift on 6 mm or more and signs of base cistern compression and presence of mass-effect, according to CT scan data. The developed algorithm could improve the results of treatment and makes better the quality of life of the patients with traumatic parenchymatous injuries of frontal lobes of the brain.
topic лобные доли
травматическое паренхиматозное повреждение
лечение черепномозговой травмы
frontal lobes
traumatic parenchymatous injury
treatment of craniocerebral trauma
url https://www.vestnik-grekova.ru/jour/article/view/479
work_keys_str_mv AT mmsmirnova differentiatedtreatmentofisolatedtraumaticinjuryoffrontallobesofthebrain
AT yuashcherbuk differentiatedtreatmentofisolatedtraumaticinjuryoffrontallobesofthebrain
AT samorozov differentiatedtreatmentofisolatedtraumaticinjuryoffrontallobesofthebrain
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