FEATURES OF DIAGNOSIS AND TREATMENT OF PATIENTS WITH OTOGENIC VENOUS SINUS THROMBOSIS OF THE BRAIN
https://doi.org/10.24884/0042-4625-2018-177-2-19-24
Abstract
OBJECTIVE. The reason of therapeutic and diagnostic tactics in patients with otogenic venous sinus thrombosis of the brain.
MATERIAL AND METHOD. The analysis of 89 clinical cases of treatment of patients with meningoencephalitis due to inflammatory diseases of the middle ear.
RESULTS. The differentiated tactics was used during the surgical treatment of patients with intracranial purulent inflammatory diseases differentiated tactics. This tactics depended on the results of CT or MRI studies of the brain, the clinical stage of an intracerebral abscess and the organ dysfunction of the patient.
CONCLUSION. At the primary medical care stage it is necessary to identify predictors of infectious brain damage. If they are identified, the patient evacuation to a hospital is recommended urgently. CT of the temporal bones CT and MRI of the brain are performed in a hospital. A surgical sanation of infection sites, a systemic, regional antibiotic therapy are began to perform.
About the Authors
A. A. Krivopalov
Federal State Budgetary Institution «St. Petersburg scientific research Institute of ear throat nose and speech» of the Ministry of Healthcare of the Russian Federation
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
Yu. К. Yanov
Federal State Budgetary Institution «St. Petersburg scientific research Institute of ear throat nose and speech» of the Ministry of Healthcare of the Russian Federation
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
A. Yu. Shcherbuk
Federal State Budgetary Educational Institution of Higher Education «Saint-Petersburg State University»
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
Yu. A. Shcherbuk
Federal State Budgetary Educational Institution of Higher Education «Saint-Petersburg State University»
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
Р. A. Shamkina
Federal State Budgetary Institution «St. Petersburg scientific research Institute of ear throat nose and speech» of the Ministry of Healthcare of the Russian Federation
Russian Federation
St. Petersburg
Russian Federation
St. Petersburg
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Review
For citations:
Krivopalov A.A., Yanov Yu.К., Shcherbuk A.Yu., Shcherbuk Yu.A., Shamkina Р.A. FEATURES OF DIAGNOSIS AND TREATMENT OF PATIENTS WITH OTOGENIC VENOUS SINUS THROMBOSIS OF THE BRAIN. Grekov's Bulletin of Surgery. 2018;177(2):19-24. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-2-19-24
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