Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2021 > Vol 2, №5 (2021) > Theory about traumatic brain injury effects. Part I. Definitions, classification, clinical signs and quantitative tomography

Theory about traumatic brain injury effects. Part I. Definitions, classification, clinical signs and quantitative tomography

Leonid B. Likhterman , Aleksandr D. Kravchuk , Vladimir A. Okhlopkov

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Abstract

The paper presents the experience of assessment and treatment of 5000 cases of various traumatic brain injury (TBI) effects using brain imaging methods, minimally invasive and reconstructive neurosurgery. Definitions of TBI “effects” and “complications” have been proposed for the first time. Clinical and morphological classification of those has been developed, which identifies tissue effects, effects on cerebrospinal fluid system dynamics, and vascular effects of TBI. The major clinical symptoms of TBI effects have been described: neurologic deficit, mental dysfunctions, disturbances of vegetative function, epilepsy. Focal and diffuse alterations in brain tissue, intrathecal space and ventricular system resulting from TBI, identified by x-ray computed tomography, have been systematized. This has become the basis for investigation of pathogenesis and sanogenesis of brain disorders resulting from TBI, as well as for developing theory about the TBI effects.

Key words: traumatic brain injury effects, definitions, classification, computed tomography, theory.

About the Author

Leonid B. Likhterman 1 , Aleksandr D. Kravchuk 1 , Vladimir A. Okhlopkov 1

1 Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia

References

1. Konovalov A.N., Potapov A.A., Likhterman L.B. et al. Rekonstruktivnaia i minimal'no invazivnaia khirurgiia posledstvii cherepno-mozgovoi travmy. Moscow, 2012. 319 p. (in Russian).
2. Potapov A, Kravchuk A, Likhterman L et al. Sequele del trauma cranio-encefalici. Modena (Italia). Athena Srl, 2016. 320 p.
3. Likhterman L, Long D, Likhterman B. Clinical philosophy of neurosurgery. Modena (Italy), Athena Srl, 2018. 229 p.
4. Barrow DL (ed.). Complications and Sequelae of Head injury. Neurosurgical Topics. AANS USA, 1992. 201 p.
5. Weclewicz MM, Adamski S, Kurland P et al. Assessment of conservative and operative treatment of supratentorial hematomas in neurosurgery department, Copernicus hospital Gdansk between 2006 and 2018. In Traumatic Brain Injury. Change of treatment paradigms 24-th Annual Congress EMN. Warsaw, 2019.
6. Kravchuk A.D., Potapov A.A., Panchenko V.Ia. Additivnye tekhnologii v neirokhirurgii. Voprosy neirokhirurgii. 2018; 6: 97–104 (in Russian).
7. Potapov A.A., Kravchuk A.D., Panchenko V.Ia. et al. Virtual'noe modelirovanie i additivnye tekhnologii v rekonstruktivnoi neirokhirurgii. In: Potapov A.A. Neirokhirurgicheskie tekhnologii v lechenii zabolevanii i povrezhdenii osnovaniia cherepa. Moscow: Alina, 2020. P. 33–46 (in Russian).

For citation:Likhterman L.B., Kravchuk A.D., Okhlopkov V.A. Theory about traumatic brain injury effects. Part I. Definitions, classification, clinical signs and quantitative tomography. Clinical review for general practice. 2021; 5: 25–29. DOI: 10.47407/kr2021.2.5.00067


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