ABSTRACT
The article analyses the results of operations for creating end-to-side extra-intracranial anastomoses between the branches of the external carotid artery and cortical branches of the middle cerebral artery in 62 patients with occlusion of the cerebral vessels and in 3 patients with giant aneurysms of the supraclinoid part of the internal carotid arteries.
Subject(s)
Cerebral Revascularization , Cerebrovascular Disorders/surgery , Adolescent , Adult , Carotid Artery Diseases/surgery , Cerebral Angiography , Cerebral Arterial Diseases/surgery , Cerebrovascular Disorders/diagnostic imaging , Constriction, Pathologic/surgery , Female , Follow-Up Studies , Humans , Intracranial Aneurysm/surgery , Intracranial Embolism and Thrombosis/surgery , Male , Middle AgedABSTRACT
Hyperbaric oxygenation is a valuable adjunct to the complex of measures devised to treat patients with ischemic cerebral strokes, including those who have undergone surgical operations on the extracranial portion of the cerebral major vessels. Although the best therapeutic effect of hyperbaric oxygenation is observed in the acute period of a stroke, its employment may be useful in many patients in the residual period of the stroke as well. The therapeutic action of hyperbaric oxygenation may be due to not only a certain recovery of the function of the damaged neural centres but also to the mobilization of various mechanisms of the CNS compensatory recovery.
Subject(s)
Brain Ischemia/therapy , Hyperbaric Oxygenation , Acute Disease , Carotid Artery Diseases/therapy , Carotid Artery Thrombosis/therapy , Combined Modality Therapy , Electroencephalography , Humans , Sympathectomy , SyndromeABSTRACT
Experience in the use of hyperbaric oxygenation (HBO) in 56 neurosurgical patients with cerebral vascular aneurysms, mainly in the postoperative period, testifies to the expediency of including this method in the complex of therapeutic measures for these patients. The deep oxygenation of the body tissues, the brain included, produced by HBO makes it possible to prevent in many cases the development of severe and stable neurological defects in the postoperative period and contributes to the normalizaion of vitally important functions. Th therapeutic efficacy of the method is more marked when it is applied sufficiently early (before poorly reparable secondary disorders occur in the organism).
Subject(s)
Hyperbaric Oxygenation , Intracranial Aneurysm/therapy , Adolescent , Adult , Cerebrovascular Disorders/therapy , Epilepsy/etiology , Female , Humans , Hyperbaric Oxygenation/adverse effects , Intracranial Aneurysm/surgery , Male , Middle Aged , Postoperative Complications/therapyABSTRACT
Hyperbaric oxygenation proved an effective means of hypoxia control in the central nervous system of neurosurgical patients, which manifested itself mostly in a regression of the general cerebral and focal neurological symptoms. The most striking effect of hyperbaric ocygenation was received in cases of complications following cerebrovascular procedures. At the same time signs of normalization of the bioelectrical activity of the brain and of an elevated tonicity of the intracranial vessels were observed. The electrophysiological control of the functional state of the body helps to choose an optimum regimen and to avoid the possible side effects of oxygen toxicity under elevated pressure.
