DIAGNOSTIC AND PROGNOSTIC VALUE OF NEUROOPHTHALMOLOGICAL INVESTIGATION RESULTS IN TRAUMATIC BRAIN INJURY
DOI:
https://doi.org/10.54890/.v3i3.122Abstract
Summary. Traumatic brain injury affects the m ost active part o f population. Ocular pathology is a frequent com plication o f traum atic brain injury. Revealing ocular signs in acute stage o f traum atic brain injury is still disputable.Goal o f the research: Investigating clinical and functional disorders of fundus and visual analyzer, elaboration and substantiation o f pathogenetic direction of prevention of optic nerve atrophy w ith estim ation o f its efficiency in the acute period o f m ild skull brain injury.
Material and methods: 110 patients w ith m ild skull brain injury. The age o f injured persons was from 17 to 82 years. Males about 77 persons (77.0%), females - 23 (23.0%).
Results: The norm al borders o f visual field were determ ined in 84.4% at isolated severe skull brain injury and in 69.1 % - in com bination with mild skull brain injury. The data of research o f cerebral and orbital hem odynam ics showed that the injured patients with mild skull brain injury register the true (p<0.05) increase of resistance index, especially in the group of patients with optic neuropathy.
Conclusion: Optic neuropathy in acute period of traumatic brain injury diagnosed in 19.6% cases, optic disc congestion in 9.8% и retinal angiopathy in 25.5% cases. Im provem ent of visual acuity, decreasing o f resistance index and increasing o f blood stream linear velocity in cerebral and ophthalmic arteries as a result o f m ild traumatic brain injury complex management considering ocular pathology have been achieved.
Keywords:
Skull brain injury, mild brain contusion, brain concussion, ophthalmology, ocular fundus, optic neuropathy.References
1. Бессмертный М.З. Состояние глазного дна в остром периоде черепно-мозговой травмы // Нейрохирургия. - 2012. - №2. - С.34-36.
2. Еолчиян С.А., Катаев М.Г., Серова Н.К. Современные подходы к хирургическому лечению краниоорбитальных повреждений //Вестн. офтальмол. -2016.- № 1.- С. 9-13.
3. Ибраимова А.А. Изменения глазного дна при черепно-мозговой травме // Здравоохранение Кыргызстана. - 2012. - №1. - С.31-33.
4. Ибраимова А.А. Роль офтальмологического исследования в диагностике тяжелой черепно-мозговой травмы // Здравоохранение Кыргызстана. -2012. - С.102-104.
5. Мамытов М.М., Ырысов К.Б., МамытоваЭ.М. Факторы дифференцированного подхода в лечении тяжелых очаговых повреждений головного мозга //Лтарська справа. - 2012. - № 6. - С. 68 73.
6. Мякотных B.C., Таланкина Н.З., Боровкова Т.А. Клинические, патофизиологические и морфологические аспекты отдаленного периода закрытой черепно-мозговой травмы // Журнал неврологии и психиатрии. - 2020. - Т.102.- №4. - С.61-65.
7. Пономарев А.И. О застойном диске зрительного нерва при острой черепно мозговой травме // Нейрохирургия. - 2012. - №2. - С.37-39.
8. Старых B.C., Чередниченко В.А. Об изменениях глазного дна у больных с закрытой черепно-мозговой травмой // Вестник офтальмологии. - 2019. - №4. - С.65-67.
9. Ballantyne J., Hollman A.S., Hamilton R Transorbital optic nerve sheath ultrasonography in normal children // Clin. Radiol. - 2018. - Vol.54, N. 11. - P.740 - 742.
10. Hayreh S.S. Pathogenesis of oedema of the optic disc (papilledema). A preliminary report // Brit. J. Ophthal. - 2017. - Vol 48. - P. 522-543.
11. Sedwick L.A., Burde R.M. Unilateral and asymmetric optic disc swelling with intracranial abnormalities // Am. J. Ophthalmol., 2019. - Vol. 96. - P.484-487.
12. Walsh F., Hoyt W. Neuroophthalmology, 3- ed Ed. - The Williams &Wilkins Baltimore, 2016. - Vol. 1. - P. 567-601.
13. Iverson G.L., Karr J.E., Gardner A.J. Results of scoping review do not support mild traumatic brain injury being associated with a high incidence of chronic cognitive impairment // PLoS One. -2019. - Vol. 14(9). - P.218.
14. Salehi A., Zhang J.H., Obenaus A. Response of the cerebral vasculature following traumatic brain injury // J Cereb Blood Flow Metab. -2017. - Vol. 37(7). - P. 2320-2339.
15. Suchoff I.B., Kapoor N., Waxman R. The occurrence of ocular and visual dysfunctions in an acquired brain-injured patient sample // J Am Opthalm Assoc. - 2019. - Vol. 70(5). - P. 301-308.
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