Biomedical subjects
Publications and source records attributed to S M Vinychuk.
Deontological problems in neurology and neurosurgery include behaviour of the medical personnel to patients and their relatives, evaluation of the severity of the patients' condition, performance of manipulations and operations, information of the patients about his disease. Deontological problems are of major importance in the adequate treatment of patients with diseases of the nervous system.
Results of the examination of more than 51 patients with multiple sclerosis and 20 patients of the control group are presented in this article. It is shown that therapy with immunosuppressive medicines (metilprednisolon, dexametason and synakten-depo) is effective as treatment of patients with multiple sclerosis at the stage of exacerbation, making positive effect on the dynamics of the neurological symptoms and immunal indices. The best results were observed among the patients of II and III level of gravity with mainly remitting type of multiple sclerosis. In the comparative aspect pulse-therapy with metilprednisolon was the most effective.
An analysis was performed of features of incipient manifestations of multiple sclerosis in 648 patients with a primary diagnosis having been made at the Ukrainian Centre for Study of Demyelinating Diseases over 1992-1996. Incipient manifestations of disseminated sclerosis revealed themselves predominantly as sensory, motor, visual, and coordination impairment against the background of pain sensations, paresthesias and pronounced asthenia of the nervous system. Knowledge of disseminated sclerosis debut is important for the diagnosis of the condition to be made and treatments to be administered in a timely fashion.
The present article focuses on lacunar brain infarction--that of acute or gradually progressive ischemic cerebral circulatory disorder under arterial hypertension. Major risk factors are described as are pathogenesis, pathomorphology, location of the lesion, clinical picture together with principle symptoms of manifestation, diagnosis, treatment and prophylaxis of the condition.