[The development and introduction of diagnostic and treatment methods for neurovascular diseases of the upper extremity]. / Razrabotka i vnedrenie metodov diagnostiki i lecheniia neirovaskuliarnykh zabolevanii verkhnei konechnosti.

The diagnosis complex, permitting to reveal the disease cause and the character of the affect faulty and quickly, was elaborated, based on the experience of treatment analysis of more than 600 patients with the upper extremities neurovascular diseases--thoracic inlet syndrome, Raynaud disease and syndrome. Methods of conservative therapy are introduced, indications for operative treatment are substantiated. Application of new methods of restoration-reconstructive interventions permitted to raise the treatment quality, particularly in seriously ill patients with complicated forms of upper extremities neurovascular diseases.

[Surgical treatment of multistage occlusion of the abdominal aorta and iliac and femoral arteries]. / Khirurgicheskoe lechenie mnogoétazhnoi okkliuzii briushnoi chasti aorty, podvzdoshnykh i bedrennykh arterii.

The results of surgical treatment of 26 patients with "multistage" occlusion, who underwent reconstructive operation on two segments (group 1), and 29 patients, who underwent ultrasound disobliteration of the femoral arteries together with the reconstructive operation (group 2), are presented. In group 1, a good immediate result was noted in 80.8%, a good long-term result--in 61.6%, in group 2--79.4 and 70.8% of the patients, respectively.

[Late results of stereotaxic surgery in parkinsonism]. / Otdalennye rezul'taty stereotaksicheskikh operatsii pri parkinsonizme.

The authors analyzed the long-term results of uni- and bilateral stereotaxic operations in 70 patients (38 males and 32 females) with idiopathic and postencephalitic parkinsonism aged 32 to 68 years at the time of examination. It was established that the effect of the first operation with regard to tremor and muscular rigidity did not depend on the side of surgical intervention. Noticeable difference was observed between the results of the first and the second operation in relation to their efficacy and sequel incidence. In cases of bilateral intervention, the second operation on the left hemisphere not infrequently caused persistent psychic and speech disorders as compared with operations on the right hemisphere. The longer the interval between operations and the younger the patients, the greater the possibility of compensation.

[Diagnosis and surgical treatment results in neurovascular thoracic outlet compression syndrome]. / Diagnostika i rezul'taty khirurgicheskogo lecheniia neirososudistogo kompressionnogo sindroma grudnogo vykhoda.

A detailed study of 44 patients with the neuro-vascular compression syndrome of thoracic exit has established the diagnostic value of clinical and special methods of diagnosing the disease. The most frequent symptoms were pain in the anterior scalene muscle (ASM) during palpation (96%) and paresthesia in fingers (93%). Rheography, arteriography and phlebography of the upper extremities combined with the positional tests should be resorted to. In case of marked neurological symptoms the data on the nerve block of the ASM are informative. Surgical treatment was undertaken in 35 patients: resection of the I rib in 14 cases (in 4 resection combined with upper thoracic sympathectomy), resection of the ASM in 12, removal of the accessory cervical rib with scalenotomy in 5, decompressive vascular reconstructive operations in 10 patients with vascular complications. Good results were obtained in 32 patients. It is stressed that detailed examinations of patients with vaso-neurological symptoms in the upper extremity are important for timely diagnosis and surgery before the complications supervene.

[Features of catecholamine metabolism in the families of patients with idiopathic parkinsonism]. / Osobennosti obmena katekholaminov v sem'iakh bol'nykh s idiopaticheskim parkinsonizmom.

From clinico-genealogic-biochemical examination of 10 families of probands suffering from idiopathic parkinsonism (clinical, electromyographic and tremographic studies, determination of the content of adrenaline and norepinephrine in blood and of the excretion with urine of DOPA, dophamine, norepinephrine and adrenaline) it is concluded that the hereditary factors play an important role in the genesis of idiopathic parkinsonism. A number of medico-genetical recommendations are proposed.