No abstract

Stroke is at the third place after cardiologic disorders and cancer among causes of death in economically developed countries [1,2]. In Ukraine, cerebrovascular mortality occupies second place among causes of overall mortality [3], whereas adult population disability is often associated with sequelae of previous acute cerebrovascular disorder (ACVD). During recent years, incidence rate of stroke in the country has been exceeding 100000 cases per year. In accordance with epidemiologic data, in vast majority of cases (70-80%) strokes are of ischemic origin, which in 25% cases is caused by atherosclerotic changes in extracranial segments of carotid arteries (СА) [4,5,6]. Based on established indications, surgical treatment methods have indisputable advantages over medicinal prevention of ischemic CVD upon atherosclerotic stenosis of main cerebral arteries (MCA) of high degree. Operative remodeling of arterial lumen allows elimination of source of thromboembolism (microthrombs, atheromatous plaque fragments) in brain arteries, prevents development of occlusion in stenosis site (thromb formation, dissection, hemorrhage into atherosclerotic plaque) and normalizes blood circulation in relevant vascularization area. Technologic advances during the last decade contributed to application of endovascular intervention methods in clinical practice, which significantly broadens capabilities of surgical correction of stenotic damages in MCA.

Îñîбëèâîñò³ ä³àãíîñòèêè ðåöèäèâ³â ãðèae³ ì³aeхðåбöåâèх äèñê³â ó ïîïåðåêîâîìó â³ää³ë³ хðåбòàÄèêàí ².Ì., Єðîøê³í Î.À., Ðÿб³ê³í Î.Â.Іíñòèòóò íåéðîх³ðóð㳿 ³ì. àêàä. À.Ï. Ðîìîäàíîâà ÀÌÍ Уêðà¿íè, ì. Кè¿â ДУ «Íàóêîâî-ïðàêòèчíèé öåíòð ïðîìåíåâî¿ ä³àãíîñòèêè ÀÌÍ Уêðà¿íè», ì. Кè¿â П³ä чàñ îбñòåaeåííя ïàö³єíò³â з ðåöèäèâîм ãðèae³ äèñêà ï³ñëя х³ðóðã³чíîãî ë³êóâàííя âèêî-ðèñòîâóюòü âåëèêó ê³ëüê³ñòü мåòîä³â. Пðîòå, íàéб³ëüш ³íфîðмàòèâíèм мåòîäîм íåéðîâ³зóàë³зàö³¿ яê мåòîäîм âèбîðó ïðè îбñòåaeåíí³ ïàö³єíò³â з ðåöèäèâîм êë³í³чíèх ïðîяâ³â ï³ñëя âèêîðèñòàííя äèñêåêòîм³¿, є мàãí³òîðåзîíàíñíà òîмîãðàф³я (МРТ) з ï³äñèëåííям шëяхîм âíóòð³шíüîâåííîãî ââåäåííя ïðåïàðàò³â íà îñíîâ³ ãàäîë³í³ю. Пðè ðîзï³зíàâàíí³ ï³ñëяîïåðàö³éíèх ïàòîëîã³чíèх зм³í ë³êàð мàє бóòè îб³зíàíèé щîäî ñèмïòîм³â, хàðàêòåðíèх äëя ðàííüî¿ òà ï³зíüî¿ фàз ï³ñ-ëяîïåðàö³éíîãî ïåð³îäó.Кëючîâ³ ñëîâà: поперековий відділ хребта, грижа міжхребцевого диска, рецидив, методи діагностики.