Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2021 > Vol 2, №8 (2021) > Morphological substrate and clinical manifestations of neurosurgical conditions

Morphological substrate and clinical manifestations of neurosurgical conditions

Leonid B. Likhterman

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Abstract

Frequent dissociations between morphological substrate and clinical manifestations of the disorder were analyzed. Noninvasive neuroimaging techniques created the opportunity for the life-time verification of incidental findings, which resulted in development of the new area, preventive neurosurgery. Systematization, diagnosis, and criteria for the surgical treatment of incidental findings in neurosurgery are reported. It had been emphasized that while the brain and spinal cord disorder recognition during the preclinical period can only be accomplished based on imaging data, the decision on the management and treatment strategy in apparently healthy individuals has to be clinical-philosophical, and has to be made in view of the subsequent quality of life. 

Key words: preventive neurosurgery, neuroimaging, incidental findings, clinical philosophy.

About the Author

Leonid B. Likhterman 1

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

References

1. Likhterman L, Long D, Likhterman B. Clinical philosophy of neurosurgery. Modena (Italy), Athena Srl, 2018. P. 193–203.
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7. Krylov V.V., Eliava Sh.Sh., Iakovlev S.B. et al. Klinicheskie rekomendatsii po lecheniiu nerazorvavshikhsia bessimptomnykh anevrizm golovnogo mozga. Voprosy neirokhirurgii. 2016; 80 (5): 124–35 (in Russian).
8. Raaymakers TW et al. Mortality and morbidity of surgery for unruptured intracranial aneurysms: a meta-analysis. Stroke 1998; 91: 566–1538.
9. Guidelines for carotid endarterectomy. Circulation. Stroke 1995; 29: 1531–579.

For citation:Likhterman L.B. Morphological substrate and clinical manifestations of neurosurgical conditions. Clinical review for general practice. 2021; 8: 27–31. DOI: 10.47407/kr2021.2.8.00096


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