Yelyeynyk M. Surgical correction and prevention of cerebrospinal fluid dynamics disturbances in the treatment of arterial aneurysms of the brain

Based on the results of surgical treatment of arterial brain aneurysms of various localization, complicated by the disorders of cerebrospinal fluid dynamics in 245 patients, the influence of cerebrospinal fluid dynamics violations on the general condition and neurological manifestations of acute cerebrovascular accidents. Exclusion of arterial aneurysms from cerebrovascular flow was conducted by the use of transcranial approach - 207 cases and 38 cases of endovascular surgery technologies. Indications for the correction of cerebrovascular fluid dynamic was developed before major surgery in - 11,4% of cases; intraoperative ventricular drainage system - 17,1% of cases; sub-arachnoid space sanitation of intraoperative cerebral blood from blood clots, the final section of the intervention in - 48,6% of cases; ventricular drainage system after the basic stage of intervention - 25,7% of cases. Ventricular fibrinolysis is an effective method of restoring the cerebrospinal fluid dynamic, in intraventricular hemorrhage formation of occlusive hydrocephalus, which allows the sanitation of the ventricular system within 72 hours in 87,2% of cases. Progression of cerebrospinal fluid dynamic disorders after surgical treatment in clinically significant degree of re-absorption hydrocephalus was an indication for cerebrospinal fluid shunting operations in 67 (27,3%) patients. Using complex diagnostic tests that characterize the violations of the cerebrovascular fluid dynamics and conducting their correction to achieve positive outcomes in 67,6% of patients of group 1 and 71,3% of patients in group 2.