[Integrative clinical approaches to the surgical treatment of pathology of the major arteries of the head].
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Biomedical subjects
Publications and source records attributed to S F Barsukov.
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The anomaly of cranio-vertebral area can frequently be the reason of acute cerebrovascular disorders in vertebro-basilar field. The frequent C1 pathology in the Kimmerle's anomaly. The anatomic studies has shown that 30% of people had this type of anomaly. This pathology can lead to severe vascular diseases of cerebrum because of the squeezing effect upon vertebral arteries in the zone of osteal ponticulus of the rear arch of atlas.
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The article deals with a rather rare pathology of the 1st cervical vertebra (Kimmerle anomaly), which frequently may lead to rather serious, and sometimes hardly explicable changes in vertebrobasilar circulation. It is necessary to stress that practicing physicians have little information about this dysraphia and frequently cannot make its diagnosis. However, Kimmerle anomaly can be easily revealed almost at pre-hospital stage by the method of spondylography, which frequently resolves the tactics of treatment of a patient. It's important that the influence of such anomaly upon vertebrobasilar circulation can be verified by the method of angiography. In this case a subtraction digital angiography is used. This modern and highly informative method proves that the Kimmerle anomaly is the reason of the circulation disorders in brain stem of a patient.
The authors assessed liquor biochemical indices, mainly enzymes, on day 1-3 of hemispheric ischemic stroke in correlation with brain infarction size in 90 relevant male patients (mean age 70 +/- 6 years). The brain damage was verified by computed tomography with measuring the infarction lesion. The latter in view, the patients were assigned in three groups: with ischemic lesion less than 5.0 cm3, less than 30 cm3 and greater than 30.0 cm3 or/and multiple lesions. The results were compared with those in patients who had suffered hemispheric ischemic stroke followed by discirculatory encephalopathy.
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