[Surgical treatment of complications after surgery for traumatic compression of the brain]. / Khirurgicheskoe lechenie oslozhnenii u bol'nykh, operirovannykh po povodu travmaticheskogo sdavleniia golovnogo mozga.

From the analysis of 123 cases in which operations were performed after relieving compression of the brain the authors give a classification of operations according to their etiological trend: relief of persisting compression of the brain, correction of respiratory disorders, provision for enteral feeding, control of purulent inflammatory complications, rehabilitation. Indications for repeated operations and specific features of their performance were developed.

[Surgical tactics in injuries and compression of the superior sagittal sinus]. / Osobennosti khirurgicheskoi taktiki pri povrezhdeniiakh i sdavleniiakh verkhnego sagittal 'nogo sinusa.

It is shown from the analysis of 38 cases with injury to and compression of the sagittal sinus that these traumas are often attended by contusion of the brain in the sagittal-parasagittal area and are characterized by hemiparesis with predominance of motor disorders in the distal parts of the limbs, often with ischuria. They are managed surgically. Emergency surgery is indicated in hemorrhage and when there is a clinical picture of progressive compression of the brain. In the other cases trephination of the skull should be postponed until shock is completely relieved and wound infection cured and should be performed by a skilled neurosurgeon and anesthetist when a sufficient amount of stored blood is available. Compression of the sagittal sinus for a period of up to 6 weeks did not cause any clinically marked disorders of cerebral circulation.

[The phasic nature of the clinical course of traumatic intracranial hematomas]. / Faznost' klinicheskogo techeniia travmaticheskikh vnutricherepnykh gematom

A complex analysis of 315 cases of verified traumatic intracranial hematomas helped single out clinical phases marking their evolution, viz. compensations, sub-compensation, moderate decompensation, gross decompensation and terminal ones. A relation between the frequency of and sequence in the development of clinical phases of the brain compression by the hematoma and severity of the primary lesion of the brain at the moment of an injury was established. A direct connection between the results of the surgical treatment of intracranial hematomas and the clinical phase in which the patient underwent the operation was ascertained. A proposition is advanced as to an active diagnosing of intracranial hematomas by which is meant elimination of topical and nosological doubts and performance of an effective operation pre-emptive to the onset of a gross clinical decompensation of the injury.