We summarized our experience in providing care to patients with closed craniocerebral trauma combined with closed skeletal bone injuries in a multidisciplinary city hospital. From 1975 till 1987 1051 patients with such trauma were treated at the neurosurgical department of the hospital, that was 6.3% of all the patients with craniocerebral injuries admitted to the hospital during the stated period. These included 78 (7.4%) children, 276 (26.3%) women and 697 (66.3%) men. There were 84% of the patients between the ages of 20 and 60. Road traffic injuries accounted for 54% of the causes of injury; alcohol intoxication accounted for 34.8% of the patients.
The clinical picture of the disease in 65 patients with the craniovertebral passage pathology is presented, surgical finds took place in 50 of them. The pyramidal and bulbar, cerebellobulbar syndroms and their combinations are shown in the clinical picture of the disease.
A comprehensive examination of 207 patients with spinal and spinal cord injuries in the acute period of the disease was carried out. 120 patients were operated on during the first 2 days after admission to the hospital. 87 patients received conservative treatment. The regression of the neurological deficit and the results of treatment for the restoration of function were the best in the group of operated patients.
Dimerhosphone (15% solution in a dose of one table spoon 3 times per day) normalizes the control mechanisms of circular provision of the brain in patients with cerebral tumors.
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