[Paradoxical air embolism of intracerebral arteries as a complication of tooth extraction].

The article describes the rare clinical case, demonstrating sudden onset of neurological manifestations (seizures and consequent formation of ischemic stroke foci) in a 29 year-old female patient during tooth extraction (right lower third molar) using the high-speed dental drill. Air injection through damaged tissues caused subcutaneous emphysema in the buccal area that caused air embolism. Presence of asymptomatic congenital heart defect in the patient (atrial septal defect) allowed the bubbles of air to move paradoxically from right to left with consequent embolization of small cerebral arteries.

[Activities of the department for psychiatric patients with severe somatic diseases].

Organizational forms of health care delivery for patients with combined somatic and mental pathology have been analyzed. The characteristics of the system of referrals, hospital admissions and treatment in psychiatric departments for patients with combined severe somatic and mental pathology is described. The basic tasks and functions of such departments are listed.