[Craniocerebral birth injury].
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Biomedical subjects
Publications and source records attributed to A I Osna.
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The presented paper is a comparative study of clinico-immunological data with neuro-roentgen contrast methods (pneumoencephalography) in 156 newborns. The obtained data with a highly significant result permit to claim that the neuroimmune reactions up to the 7th day of life and even later, may reflect pathological changes of the brain in the newborn. Quite possibly they may be actively involved in the pathological process not only in the prenatal, but also in some cases in the postnatal ontogenesis.
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Periarterial alcohol-procaine blockade causes an effect similar to that of procaine blockade; it improves the supply of blood not only to the brain stem but also to the anterior parts of the brain through removal of the neuroreflex influences and improvement of collateral circulation. It causes stable improvement of the patient's condition, particularly in dystonic and dystonic-ischemic stages of the vertebral artery syndrome. The results of clinical study allowed indications to be formulated and revealed the absence of contraindications for the method of treatment elaborated.
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Experience in the treatment of 200 newborns with birth spinal cervical trauma in the acute period (under 3 weeks of age) is generalized. Forty-nine infants died; circulatory disorders and edema of the spinal cord were the prevalent morphological findings. The clinical manifestations were pareses of the upper extremities and, less frequently, truncal disorders. X-ray examination revealed spinal injury, epidural hematomas and edema of the spinal cord. Treatment included reduction of the dislocated vertebrae with subsequent immobilization of the cervical spine and rehabilitation therapy. Improvement and, sometimes, total normalization of the functions of the spinal cord were achieved.
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