Общая реаниматология (Feb 2005)
The Structural and Functional Characteristics of the Perifocal Area of the Cerebral Cortex in Acute Brain Injury
Abstract
The paper shows that the treatment of brain traumatic lesions is a topical problem. Moreover, the complications associated with the development of cerebral recompression play a particular role in the posttraumatic period. The purpose of the present study was to reveal the regularities of reorganization of cyto- and synaptoarchitectonics of different layers of the cerebral cortex in patients with cerebral recompression in the acute period of brain injury. Cerebral cortical biopsy specimens taken in 6 patients from the perifocal area (subdural hematoma and a contusion focus with intracerebral hematoma) were examined. The results were statistically processed, by using a package of the applied programs «StatSoft Statistica 6.0». Based on the findings, the authors suggest that it is necessary to make an early diagnosis and a complex intervention that promotes the improvement of the ultimate results of treatment.