The study objective is to analyze surgical outcomes in patients with hemorrhagic stroke treated by endoscopic aspiration in five regional vascular centers in Russia and to evaluate capabilities and benefits of this surgical procedure. Material and methods. The study included 296 patients with hemorrhagic stroke (with various locations of the hemorrhage) that underwent endoscopic aspiration between 2006 and 2018 at one of the following institutions: N.V. Sklifosovsky Research Institute for Emergency Medicine (Moscow), City Clinical Emergency Hospital No. 1 (Omsk), Regional Clinical Hospital (Yaroslavl), N.A. Semashko Republic Clinical Hospital (Simferopol), Irkutsk Regional Clinical Hospital. Neurosurgery departments of these healthcare institutions are the parts of regional vascular centers. We used Glasgow Outcome Scale to evaluate outcomes of surgical treatment. Results. Complete recovery was observed in 52 (17.5 %) patients, while 52 (17.5 %) patients developed moderate disability and 131 patients (44.5 %) developed severe disability. Four (1.5 %) patients developed a vegetative state. Fifty-seven (19 %) patients died after surgery. Conclusion. The experience of treating hemorrhagic stroke in five neurosurgical centers demonstrates that endoscopic aspiration of hypertensive intracerebral hemorrhages is in no way inferior to microsurgery. It ensures satisfactory results and can be used in patients with various hemorrhages.
Seismic observations by 46 stationary seismic stations, including seven temporary seismic stations located in the area of Novovoronezh and Kursk nuclear power plants, and by two arrays were carried out on the Russian territory of the East European Platform. A feature of seismicity in 2016–2017 is a manifestation of swarms of weak earthquakes in the northwest in the Leningrad region and the adjacent territory of Finland, as well as earthquakes on the Ukrainian Shield with Мs(est.)=3.8 in Krivoy Rog, where mass explosions are carried out in mines, but earthquakes of moderate magnitude МL=2.6–3.9 also occur (2007, 2013). Weak earthquakes in the peripheral parts (in the southwest, west and northwest) and in zones associated with paleorift structures: in the northeast – with the Kirov-Kazhim and Central Russian aulacogenes continue to be recorded. Weaker natural seismicity with ML≤2.5 was recorded in Karelia and the regions bordering Finland, near the Kandalaksha Bay, near the Khibiny and Lovozero massifs on the Kola Peninsula and in the territory of the Voronezh crystalline massif.
Objective. On the basis of own material determine the role of radical surgery methods in treating tubercular formations of the brain in HIV-infected patients.Materials and Methods. Studied: statistical forms of the SSPB of the IOKB from 2008 to 2020, FTBPR data from 2017 to 2020, nature of the disease in 56, long-term disease dynamics — in 8, the autopsy material of 331 dead and the biopsy — 9 patients operated on with central nervous system damage (CNS).Results and Discussion. The number of patients with tuberculous meningoencephalitis increases in the structure of in-patient facilities, case-fatality rate among them grows. Need for neurosurgical care among the survivors is 25%. Long-term monitoring of operatively treated patients shows their higher survival rate, significant clinical effect of surgery, lengthening of life, increase of CD4 lymphocytes by 2,7 times in 3,5 years after the surgery. Formation of restrictive processes around tuberculous lesion in CNS was noted when taking ART with low immune status.Conclusion. Radical removal of tubercular formations of CNS in HIV is reasonable.
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