[Restoration of vision in toxic damage of visual pathways: traditional treatment combined with electrical stimulation].
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Biomedical subjects
Publications and source records attributed to I M Nikol'skaia.
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The picture of neuropsychological signs detected in 34 patients with optoschiasmatic arachnoiditis was analyzed before and after surgical treatment and a course of treatment with optic nerve electrostimulation. Pathological process was shown to spread on optic nerves and schiasma, and on other brain structures as well, e. g., frontal lobes basal regions. Besides, the impairment of a range of psychic functions could result from the decrease in the general brain activation levels related to a reduced flow of visual information due to fast progress of visual disorders. In this respect, the least favorable was first year of the disease. Verbal mnestic functions were improved under effective treatment restoring the vision.
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The authors generalize the results of the use of the method of direct electrostimulation of optic nerves in 145 patients with pathology of chiasmal-cellar region (tumours, optochiasmal arachnoiditis, severe craniocerebral traumas with injuries of the bony optical canal) after the operations. The efficacy of the method was shown in 2/3 of observations with retention of residual visual functions. Differences in the efficacy of treatment of patients with various nosological forms of the disease have been revealed; indications for the use of the new method have been defined.
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The article generalizes experience in the restoration of vision by direct stimulation of damaged optic nerves after operations for pathological conditions of the chiasmal-sellar region (tumors of the chiasmal-sellar region, optochiasmic arachnoiditis, damage of the optic nerve in the bone canal) in 111 patients. The therapeutic effect was favourable in two thirds of the patients. Indications are determined for the use of the method in various types, duration, and severity of the disease. The use of the method with due regard for the determined indications increases the reliability, degree, and rate of restoration of vision in patients who underwent operation.
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