| 摘要 |
FIELD: medicine.SUBSTANCE: lateral dislocation index Iis calculated taking into account a pathological growth volume according to the imaging findings, a midline offset, impairment of consciousness according to the Glasgow Coma Scale, lateral size of both lateral ventricles at the mid-level of a pellucid septum. In the patients with a craniocerebral injury: if Iis less than 0.6, the surgery is not indicated; if Ifalls within the range of 0.7 to 1.2, the minimally invasive immediate surgery with removing the substrate causing the lateral dislocation is performed; if Iis from 1.3 to 3.5, the immediate surgery with removing the substrate causing the lateral dislocation in a combination with a bone decompression with a trephine opening sized min 7×7 cm is performed; Iexceeding 3.5 requires the immediate surgery with removing the substrate causing the lateral dislocation in a combination with expanded bone decompression with the trephine opening sized min 7×10 cm with infra-temporal decompression and extended plastic repair of a dura mater is performed. The similar calculations and measurements are performed in the patients suffering brain tumours causing lateral dislocation. The values Iof less than 1.2 require the planned surgery; if Iis from 1.3 to 3.5, the surgery is urgent, while the values Iexceeding 3.5 provide the emergency surgery.EFFECT: inventions enable determining the therapeutic approach reliably that is ensured by calculating the index taking into account the pathological growth volume, midline offset, impairment of consciousness, and lateral size of both lateral ventricles.2 cl, 7 ex |
