[Complications in the endolumbar administration of aminoglycoside antibiotics].
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Biomedical subjects
Publications and source records attributed to D G Shvidkaia.
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Data on the treatment of 69 patients with cerebral abscesses is discussed. Surgery was applied on 22 patients, the abscess was removed radically with the capsule. The best results were produced in removal of superficially located abscesses, in deep location the capsule was usually ruptured during its separation and severe inflammatory complications developed in the postoperative period and led to a fatal outcome in 50% of cases. The results were optimum when the seat of the abscess was drained by an inflow-outflow system and irrigated by antiseptic and antibiotic solutions, and also in treatment by the puncture method (31 patients).
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Four cases are described of intramedullary cholesteatomas in the thoracic segment of the spine in patients from 14 to 42 years of age. Clinical observations noted the slow increase of symptoms of spinal compression in the form of asymmetric motor disorders and disturbances of sensibility. CSF blocks were found in all patients. Operations were performed on all female patients in whom a firm bulb-shaped thickening of the spine was determined. The spinal cord was dissected longitudinally and the tumour removed radically. The patients' movements were restored in periods ranging from 3 months to 2 years.
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