[The use of stabilo-training with feedback in the rehabilitation of patients with posttraumatic Korsakov's syndrome].

The complex research, including clinical scales (FIM, Mayo-Portland) and data on stabilography and electroencephalography (EEG) studies, was conducted in 10 patients with posttraumatic Korsakov's syndrome (KS) before and after the rehabilitation course using stabilo-training (ST) with feedback (7-12 sessions). A control group consisted of 18 healthy people. In patients with KS, more severe cognitive (memory) disorders were noted before ST that was correlated with the maximal reduction of coherence in all frequency bands in frontal and parietal-occipital areas as well as in the long diagonal pairs between the left frontal and the right parietal-occipital areas which was most distinct for the alpha-band. A trend to the normalization of stabilography parameters and step-by step increasing of EEG coherence parameters, especially the alpha-band, was found after the rehabilitation ST course, which was accompanied with the KS regress. It increased initially in parietal-occipital-central areas of the right hemisphere with the following increase in central-frontal areas and then in frontal areas, mostly in the left hemisphere, that was in compliance with the tendency to the normalization of spatial-temporary EEG organization.

[Cerebrolysin electrophoresis in the correction of the mental defects in neurosurgery patients]. / Elektroforez tserebrolizina v korrektsii psikhicheskikh defektov neirokhirurgicheskikh bol'nykh.

Two routes of cerebrolysin administration--intravenous (a routine mode) and electrophoretic (the mode developed at the N. N. Burdenko Institute of Neurosurgery, Russian Academy of Medical Sciences)--were evaluated by using a standardized rating schedule of neurological and neuropsychological studies. The findings indicate that these routes of administration show the same therapeutical effect, the latter route of administration is simpler and causes no pain in patients.

[Rehabilitative therapy after removal of parasagittal meningiomas]. / Vosstanovitel'noe lechenie posle udaleniia parasagittal'nykh meningiom.

A complex of restorative treatment measures applied for promoting the process of motor function restoration in patients who underwent removal of parasagittal meningiomas includes drug therapy, physiotherapy, and therapeutic exercises. The lapse of time after the operation and the specific features of the motor defect must be taken into account. The suggested complex was used in 87 patients. Motor activity was restored in 23 patients completely and to a satisfactory degree in 49 patients. The causes of poor outcomes are analysed. Optimum rehabilitation of neurosurgical patients can be achieved only with complex and stage-by-stage restorative treatment.

[Disorders of motor functions after removal of parasagittal meningiomas]. / Narusheniia dvigatel'nykh funktsii posle udaleniia parasagittal'nykh meningiom.

Specific features of motor activity disorders were studied in 87 patients before and after removal of a parasagittal meningioma. Motor disorders are most severe in localization of the tumor in the region of the middle third of the superior sagittal sinus and falx and less severe when the tumor is found in the posterior parts of the anterior third of the superior sagittal sinus. The disorders are more marked after operation with extensive resection of areas of the superior sagittal sinus involves in the tumor and with occlusion of the formed venous drainage passages. The motor disorders are particularly severe after removal of parasagittal meningiomas and are often bilateral with multiple components (including disturbances in the pyramidal and extrapyramidal systems, afferent regulation of movements, and coordinated work of both hemispheres in the formation of motor acts). Not only the direct effect of the pathological focus on the cerebral motor zones situated at different levels but disorders of cerebral and peripheral circulation are of importance in the pathogenesis of these disturbances.

[Experience in using glutamic acid electrophoresis in the early treatment of craniocerebral injuries]. / Opyt primeneniia élektroforeza s gliutaminovoi kislotoi v terapii rannego perioda tiazheloi cherepno-mozgovoi travmy.

Endonasal electrophoresis with alpha-glutamic acid was used in 76 patients with severe craniocerebral injury. The result was good in 24 (38%) and satisfactory in 40 (55%) patients. Thus, a positive result of treatment was obtained in 88% of cases, which was confirmed by electrophysiological and neuropsychological studies. The method produced the greatest effect on the patients' psychic status: 74% of all disorders of higher psychic functions, mainly memory, were restored on the average by the end of treatment. Good tolerance of electrophoresis and its efficacy in the early period after severe injury, i. e. in the first month, were established. Contraindications for treatment were defined more precisely. Since the method is simple and does not call for special conditions, it may be widely used in any medical establishment equipped with galvanization apparatuses.

[Gipospast-1 thermoelectric apparatus for local hypothermia]. / Termoélektricheskii apparat dlia lokal'noi gipotermii "Gipospast-1".

A possibility of providing local hypothermia for human extremities over the area from 6.25 cm2 to 37.5 cm2 with temperature level up to 10 degrees C is shown. "Gipospast-1" is designed for accomplishing the local hypothermia. It was revealed that at such conditions the human organism reaction ensures a specific heat flow on the cooling surface to 0.02+/-0.04 W/cm2. The clinical trials of the apparatus confirmed its efficacy for removing the contractures of the facial muscles and for decreasing the spastics in paretic extremities of neurosurgical patients.

[Social and medical rehabilitation of patients subjected to surgery on account of aneurysms of the anterior connecting artery]. / Sotsial'naia i meditsinskaia reabilitatsiia bol'nykh, operirovannykh po povodu anevrizmy perednei soedinitel'noi arterii.

The report contains data concerning occupational and social rehabilitation of 46 patients operated on for aneurysma of the anterior communicative artery. It was established that the occupational prognosis depends upon the severity of the hemmorhage, character of surgical operation. Of significance are the conditions of work, time after the surgical operation. The authors mark that in 2/3 of the operated on patients the working capacity is being restored. A spontaneous restoration of diaturbed functions is slow and is not always sufficient. With this purpose it is expedient to repeat courses of a general tonic and special rehabilitative therapy. A favourable factor in the readaptation of patients is their early engagement in working activities. The authors give their recommendations for medical labour expert testimony for this category of patients.