UDC 616.8-089(035)

Practical Neurosurgery: A Manual for Doctors / Edited by Writing Member of the Russian Academy of Medical Science B.V. Gaidar. - SPb.: Gippokrat, 2002. - 648 P.

A manual, written by leading employees of the Chair of Neurosurgery of the Medicomilitary Academy, is devoted to main problems of practical neurosurgery.

It consists of 26 chapters, describing various aspects of etiology and pathogenesis, epidemiology, pathomorphology, diagnosis and treatment of diseases and injuries of the nervous system. Peculiar attention is paid to organization of care of patients with neurosurgical pathology.

Theoretical aspects of pathophysiologic changes, watched in diseases and injuries of the central nervous system, are discussed. Clinical experience and the authors' original views on foundations of pathophysiology in neurosurgery are of extreme importance for understanding pathologic responses of the brain in cerebral lesions of different etiology.

Main methods of examining patients with neurosurgical pathology are described. Diagnostic algorithms and effectiveness of different instrumental methods of examination, used in certain types of injuries of the nervous system, are estimated.

Great attention is paid to epidemiology, diagnosis and methods of examination of casualties with craniocerebral trauma and combat injuries of the brain. Modern classifications of combat craniocerebral injuries are presented. Tactics of treatment of the wounded during local military conflicts is described. Up-to-date data on diagnosis and treatment of complications of craniocerebral injuries are given.

Some chapters are devoted to diagnosis and treatment of both peace- and war-time trauma of the spine and spinal cord. Modern information on pathogenesis and pathomorphology of gunshot wounds of the spine and spinal cord is given. Main methods of surgical correction in spinal trauma are described.

The authors pay special attention to problems of rendering emergency care to neurosurgical patients and organization of specialized neurosurgical care in mass catastrophes and natural disasters.

Diagnosis and tactics of treatment of patients with different forms of acute disorders of cerebral circulation are discussed in detail. Peculiarities of treatment of arterial aneurysms, arteriovenous malformations and anastomoses, occluding lesions of cerebral arteries are described.

Profound experience of the authors in treatment of patients with tumors of the central nervous system is presented in several chapters. Data on epidemiology of neoplasms and a modern classification of tumors of the brain and spinal cord are given. Diagnostic algorithms and different versions of surgical tactics, depending on neoplasm localization and its histological structure, are described.

Some chapters contain information on such important problems, as diagnosis and treatment of diseases and injuries of the peripheral nervous system, parasitic diseases of the brain, osteochondrosis and hydrocephalus. Problems of anesthesiologic support and intensive care in neurosurgery are subject to detailed discussion.

The manual deserves attention. There is no doubt that profound practical experience of the authors will be of great interest for neurosurgeons, neurologists, experts in resuscitation, rentgenologists, pathomorphologists, specialists in emergency care and students, studying medicine.


Head of the Neurosurgical Department
of the Sklifosovsky Research Institute of Emergency Care
Doctor of Medical Science, Professsor

Krylov V.V.