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"The acute traumatic subdural hygroma." Really subdural?

Belimgotov Boris Husenovich  (prof., Head course neurosurgery at the Departament of neurosurgery Kabardino - Balkaria State University )

Benia Christina Ruslanovna  (graduate student of the Department of neurosurgery Medical faculty Kabardino - Balkaria State University neurosurgery specialty )

Ibrahim Saeed Ghaleb  (MD, neurosurgeon, Head of Neurosurgery .otdeleniem Republican clinical hospital. Nalchik )

Liybashevskaia Bella Aramazdovna  ( radiologist, Head. radiology department, the Ministry of Health Republican clinical hospital. Nalchik )

Abushash Oddai   (graduate student of the Department of Hospital Surgery Medical faculty KBSU, specialty neurosurgery )

Kadirov Murat Pashaevich  (neurosurgeon neurosurgery Republican clinical hospital. Nalchik)

Objective. To studying of pathogenesis and localization so-called “traumatic subdural hydroma”. Material and methods. The analysis of 30 supervision with a traumatic compression of a brain is carried out. Reaction of CSF to a brain compression were studied by means of CT-monitoring before and after surgical treatment. In the absence of contraindications after elimination of a factor of brain compression established a catheter in Subarachnoid space of a spinal cord for a drainage of excess congestions of CSF from a convex of hemispheres of a big brain. Results and discussion. It is well known that the Brain compression in the closed intracranial space according to Monro-Kelli s doctrine is impossible without replacement of a Cerebrospinal fluid (CSF) on subarachnoid space. At neurovisualization of a compression and dislocation syndrome in 25 supervision(n=30) replacement of a Cerebrospinal fluid (CSF) took place on subarachnoid space with formation of its excess congestion on a convex a hemisphere of a big brain wich are diagnosed as a subdural hygroma. The character and the direction of the movement which is forced out on subarachnoid space of a Cerebrospinal fluid is defined by localization, brain compression factor volume, and also a stage of a compression-dislocation syndrome. Conclusion. Result of our research is drainage a congestion of the CSF which is forced out at a brain compression from a convex a hemisphere of a big brain on a catheter in spinal subarachnoid space. During more than 120 years it is considered that these congestions os subdural localization are complication of a craniocerebral trauma under the name “traumatic subdural hydroma”. The drainage facts a CSF on a convex of a hemisphere (hydroma) through a catheter in spinal subarachnoid space is new scientific result of our researc and the undoubted proof of subarachnoid localization so-called “traumatic subdural hydroma”.

Keywords:brain compression, traumatic subdural hydroma, replacement of a CSF on subarachnoid space., subarachnoid localization, lumbar drainage.

 

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Citation link:
Belimgotov B. H., Benia C. R., Ibrahim S. G., Liybashevskaia B. A., Abushash O. , Kadirov M. P. "The acute traumatic subdural hygroma." Really subdural? // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2016. -№06. -С. 98-102
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