This work contains information about military neurosurgical traumas with their complications. Here will be spoken about neurosurgical medical treatment in the present military actions (local military conflict in Don bass from 2014 till nowadays).
Clinico-Demographic Profile of Traumatic Spinal Injury in a Tertiary HospitalLemuelJohnTonogan
As of today, there has been a limited number of studies about the demographic profile of traumatic spinal injuries in our locality and our country. The objective of this study is to determine the clinico-demographic profile of patients with traumatic spinal injury admitted in our institution for the past 10 years. A chart review of 73 patients who satisfied the inclusion criteria with traumatic spinal injuries were reviewed. Traumatic spinal injury in the locality mostly affects ages 46-60 years with a mean age of 53.5. Males were most commonly affected, married and unemployed secondary to fall and motor vehicular accidents. The cervical spine is the most commonly affected area, resulting to an incomplete paraplegia with ASIA D score in most cases. These patients were mostly managed conservatively and improved upon discharge. Strict implementation of traffic rules and fall prevention should be emphasized by the government and the locality, and also increase the awareness of patients at risk for traumatic spinal injuries and its debilitating consequences.
Transorbital stab injury with retained knife. A narrow escapeMuhammad Asim Rana
An interesting case report about a patient who was admitted with a 13 cm long knife stabbed in his eye and has gone across the mid line. The interesting thing to note is that patient did not develop any neurological deficit.
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Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study by V Psychoyios in Orthopedic Research Online Journal
Low back pain remains the common reason to see the doctors in the clinics and in United states
it remains the second most common reason to see neurosurgeon or orthopedic doctor in their respective outpatient departments. However as the presentation is common so is the surgery for the
disease is common and as with all surgeries this also carries a small risk of complications. Bowel
perforation is a rare yet documented complication following a spinal surgery and in our case it was
diagnosed within 18 hours of the laminectomy which was performed via left sided anterolateral
approach
Clinico-Demographic Profile of Traumatic Spinal Injury in a Tertiary HospitalLemuelJohnTonogan
As of today, there has been a limited number of studies about the demographic profile of traumatic spinal injuries in our locality and our country. The objective of this study is to determine the clinico-demographic profile of patients with traumatic spinal injury admitted in our institution for the past 10 years. A chart review of 73 patients who satisfied the inclusion criteria with traumatic spinal injuries were reviewed. Traumatic spinal injury in the locality mostly affects ages 46-60 years with a mean age of 53.5. Males were most commonly affected, married and unemployed secondary to fall and motor vehicular accidents. The cervical spine is the most commonly affected area, resulting to an incomplete paraplegia with ASIA D score in most cases. These patients were mostly managed conservatively and improved upon discharge. Strict implementation of traffic rules and fall prevention should be emphasized by the government and the locality, and also increase the awareness of patients at risk for traumatic spinal injuries and its debilitating consequences.
Transorbital stab injury with retained knife. A narrow escapeMuhammad Asim Rana
An interesting case report about a patient who was admitted with a 13 cm long knife stabbed in his eye and has gone across the mid line. The interesting thing to note is that patient did not develop any neurological deficit.
Crimson Publishers-Management of Heterotopic Ossification of the Elbow in Pat...CrimsonPublishersOPROJ
Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study by V Psychoyios in Orthopedic Research Online Journal
Low back pain remains the common reason to see the doctors in the clinics and in United states
it remains the second most common reason to see neurosurgeon or orthopedic doctor in their respective outpatient departments. However as the presentation is common so is the surgery for the
disease is common and as with all surgeries this also carries a small risk of complications. Bowel
perforation is a rare yet documented complication following a spinal surgery and in our case it was
diagnosed within 18 hours of the laminectomy which was performed via left sided anterolateral
approach
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Devices that amplify sound are essential for managing hearing impairment. Most hearing impairments can be treated with a modern
hearing aid. Cochlear implants are surgically implanted devices
that electronically stimulate the auditory nerve in the cochlea to
provide hearing. Criteria for cochlear implant selection include
moderate to severe sensorineural hearing loss and a patient who
still struggles to hear and understand despite the hearing aids being
properly adjusted. Advances in cochlear implants and the surgical
technique of cochlear implants have a long history full of innovations that have resulted in better surgical technique approaches,
fewer complications, and improved recovery. This review aims to
make an update on the surgical technique of cochlear implants.
Surgical Technique of Cochlear Implantation: An Updatesemualkaira
Devices that amplify sound are essential for managing hearing impairment. Most hearing impairments can be treated with a modern
hearing aid. Cochlear implants are surgically implanted devices
that electronically stimulate the auditory nerve in the cochlea to
provide hearing. Criteria for cochlear implant selection include
moderate to severe sensorineural hearing loss and a patient who
still struggles to hear and understand despite the hearing aids being
properly adjusted. Advances in cochlear implants and the surgical
technique of cochlear implants have a long history full of innovations that have resulted in better surgical technique approaches,
fewer complications, and improved recovery. This review aims to
make an update on the surgical technique of cochlear implants
Surgical Technique of Cochlear Implantation: An Updatesemualkaira
Devices that amplify sound are essential for managing hearing impairment. Most hearing impairments can be treated with a modern
hearing aid. Cochlear implants are surgically implanted devices
that electronically stimulate the auditory nerve in the cochlea to
provide hearing. Criteria for cochlear implant selection include
moderate to severe sensorineural hearing loss and a patient who
still struggles to hear and understand despite the hearing aids being
properly adjusted. Advances in cochlear implants and the surgical
technique of cochlear implants have a long history full of innovations that have resulted in better surgical technique approaches,
fewer complications, and improved recovery. This review aims to
make an update on the surgical technique of cochlear implants.
Surgical Technique of Cochlear Implantation: An Updatesemualkaira
Devices that amplify sound are essential for managing hearing impairment. Most hearing impairments can be treated with a modern hearing aid. Cochlear implants are surgically implanted devices that electronically stimulate the auditory nerve in the cochlea to provide hearing. Criteria for cochlear implant selection include moderate to severe sensorineural hearing loss and a patient who still struggles to hear and understand despite the hearing aids being properly adjusted. Advances in cochlear implants and the surgical technique of cochlear implants have a long history full of innovations that have resulted in better surgical technique approaches, fewer complications, and improved recovery. This review aims to make an update on the surgical technique of cochlear implants.
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Modern Military Neurotrauma and its Complications in War Conditions in megalopolis
1. Modern Military Neurotrauma and its Complications in War
Conditions in megalopolis
Lystratenko OI1*
, Kardash AM2
and Lystratenko DO3
1
Department of Neurosurgery, Donetsk National University, Neurosurgical clinic, Ukraine
2
Department of Neurosurgery, Donetsk National Medical University, DoKTMO, Ukraine
3
Department of Neurosurgery, Donetsk Intern in Neurosurgical clinic, Ukraine
Volume 2 Issue 1- 2019
Received Date: 01 Feb 2019
Accepted Date: 21 Feb 2019
Published Date: 25 Feb 2019
1. Abstract
This work contains information about military neurosurgical traumas with their complications.
Here will be spoken about neurosurgical medical treatment in the present military actions (local
military conflict in Don bass from 2014 till nowadays). You can realize what kind of neurosurgical
treatment could be used in megalopolis which appears under fire. Content of the work: soft tissue-
damages, open not penetrating wounds, open penetrating wounds with- and without- brain perfo-
ration (Figure 1,2 and 3) . In addition will be noticed the difference between projectile (shrapnel)
wounds and bullet wounds with their following treatment based on numerous cases of such kind of
injuries. This work has some pictures in order to show pre- and post- operative patient’s condition
(Figure 4,5,6.7 and 8)
Annals of
Clinical and Medical Case Reports
Citation:Lystratenko OI, Kardash AM and Lystratenko DO, Modern Military Neurotrauma and its Com-
plications in War Conditions in megalopolis. Annals of Clinical and Medical Case Reports. 2019; 2(1): 1-4.
United Prime Publications: http://unitedprimepub.com
*Corresponding Author (s):Jaideep Kumar Trivedi, Department of Cardio Thoracic
and Vascular Surgery, Apollo Vishakhapatnam, India, E-mail: drjdtrivedi@yahoo.co.in
Case Report
2. Keywords
Battle trauma; War in mega-
polis; The organization of
neurosurgical care; Treat-
ment; Surgical rehabilitation
(Figure1-3): Group of patients is the most numerous. PST was provided in the
next few hours from the moment of injury. Patients with concussion of brain
were treated in the clinic of neurosurgery for a short time - up to 10 days. The
prognosis for life is favorable.
Figure 1
Figure 2
Figure 3
(Figure 4-8) : Patient group - Characterized by a more severe course of head
injury. Operations were carried out to remove bone fragments and shell frag-
ments. Extensive skin defects were replaced with autografts. The plastic of ex-
tensive skin defects was carried out together with the combustiologists, as an
urgent operation to prevent pyoinflammatory complications of the central ner-
vous system. Duration of stay of patients is up to 2 months, including several
stages - such patients underwent reconstructive operations. The prognosis for
life is favorable.
Figure 4: Reconstructive operation with implantation of end expander
Figure 5
3. Figure 15: Fungus
Figure 16: Plastic of defect after 7 month
Figure 17: 7 month after operation
(Figure 18 - 22): Projectile open penetrating wound of brain
Figure 18: Projectile wound above the corpus callosum
Figure 19
Figure 20
Figure 21
Figure 22
(Figure 23-25): This is a patient with an open penetrating projectile wound
of the skull with a huge brain affection in occipital, left temporal regions. The
patient was operated on. But prognosis is unfavorable due to huge brain affec-
tion with a lot of projectiles.
Figure 23
Figure 24
United Prime Publications: http://unitedprimepub.com 3
Volume 2 Issue 1 -2019 Case Report
4. Figure 25
4. Results
Wounds of soft tissues of the skull are up to 2000 people . Non-
penetrating wounds of the skull bones are up to 1200 people.
Penetrating craniocerebral injuries are up to 800 people [3 - 6].
5. Conclusion
By modern military actions in a megalopolis conditions more
than 50% of the injured are injured in the head. In military op-
erations in addition to soldiers among the victims are a large
number of civilians - up to 25%. During military actions in the
megalopolis, the first medical aid was provided by ambulance
teams, which delivered patients to the clinic of neurosurgery. The
military first medical aid was given on the battlefield [6]. These
patients were delivered by passing transport. Time from getting
the wound to providing specialized neurosurgical care to all pa-
tients is up to 2 hours. In connection with this the number of
pyoinflammatory complications after treatment of patients with
gunshot wounds to the skull is relative small - up to 1%. Died
patients were in up to 20% of cases had combined wounds of the
limbs, chest, abdomen, head.
So we determined that:
• The average time from admission of a patient till getting
professional neurosurgical care should be not more than 2 hours.
• The number of pyoinflammatory infections by projec-
tile wounds of the skull directly depend on the speed of receiv-
ing professional neurosurgical treatment.
• The projectiles with depth localization are not recom-
mended to remove.
• Prognosis of life of patient damaged with projectile is
higher, in comparison with damaged with bullet because of low
kinetic force of projectile.
• By bullet wounds are taking place more tissue damages
due-to higher kinetic force of bullet.
. Primary surgical treatment (PST) is performed out-
side the specialized center only because of vital indications to
non-transportable patients. Transportable patients should be
transported as quicker as possible in a specialized neurosurgi-
cal center in order to reduce the liquorrhea, tissue, vascular and
pyoinflammatory complications.
Reference
1. Okie S. Traumatic brain injury in war zone/ S.Okie//New Engl. J.Med.-
2005; Vol. 352: N20 P. 2043 - 47.
2. B.V.Gaidar, U.A.Shulev, U.V.Dikarev// Battle injuries of skull and
brain/ Practical neurosurgery: guidelines for doctors under red.
B.V.Gaidar – СПб.:Гиппократ, 2002; P.112 - 136.
3. Gean A.D. Brain injury: applications from war and terrorism/ Phila-
delphia: Lippincott Williams & Wilkins, 2014; -338p.
4. Beseri, ND, Santel J, Jelavic Koic. CT analysis of missile head injury//
Neuroradiology. 1995; Vol.37 N3: P. 207 - 211.
5. Clinical practice guidelines. Joint theater trauma system: practical
emergency information for critical trauma care from military experts/
United States Army, Depertment of Defense, Medical Research and Ma-
terial Command, United States Military, United States Army Institute of
Surgical Research - 2012.
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Volume 2 Issue 1 -2019 Case Report