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The work analyzes preliminary results of a complex method of treatment of severe ischemic alterations of the brain. Certain parameters of the immune system, its phagocytic link in particular, were studied along with clinico-physiological indices of the functional state of the brain. It was shown that efficient surgical revascularization of the ischemic zones reinforced by electrostimulation at the early postoperative period allowed to substantially restore the motor and speech functions even in cases of critical lesions.

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The effect of electroneuromyostimulation (ENMS) combined with Nootropil administration for trauma neuropathies was assessed using clinical and physiological tests in 58 patients. The combined intervention considerably accelerated the restoration of motor and sensory functions after the reconstructive neurosurgery on the extremities. Sensory functions substantially improved in 78% of the patients receiving ENMS and Nootropil and in 23% of those receiving the conventional treatment.

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[Phenomenon of inverted rotation in spastic torticollis].

Zh Nevropatol Psikhiatr Im S S Korsakova

June 1986

The article describes a rare clinical case where a patient with right-side spastic torticollis developed stable left-side spastic torticollis following discontinuation of nacom. On the basis of clinico-physiological analysis of the given phenomenon and having compared their findings with the literature data the authors substantiate the involvement of the nigrostriatal systems of both hemispheres in the pathogenesis of torticollis and in the mechanisms of rotation inversion reported in the given disease for the first time.

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The investigation of gas exchange, central hemodynamics and real oxygen transport has shown expediency of using ether and fluothane as main anesthetic drugs in operations on the lungs in patients with a compensated form of chronic pulmonary respiratory insufficiency. Neuroleptoanalgesia decreased the operative risk as compared with ether and fluothane. A combined anesthesia with sodium hydroxybutyrate in association with drugs for NLA and tranquilizers is thought to be the method of choice in patients with a pronounced respiratory insufficiency.

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