Background. Show efficiency of multitask team approach and continuity in recovery treatment for patients with neurosurgical issue at rehabilitation stages. Materials and methods. We performed analysis of 58 patients after neurological interventions on brain or spine cord for post stroke complications, severe cerebral or spinal cord traumas and had two-staged rehabilitation in State Health Care Budget Institution ‘Scientific Research Institute - Ochapovsky Regional Clinic Hospital #1, Krasnodar, in 2017, in neurorehabilitation department. The efficiency of multidisciplinary assessment of a patient condition according to scales at 1, 2 stages of rehabilitation with development of the individual program of rehabilitation is shown. Conclusions. Exteriorisation of a patient condition at rehabilitation stages while using specialized scales, multidisciplinary approach, the early beginning of rehabilitation actions, assessment of rehabilitation potential taking into account point on the modified scale Renkin at the end of each stage of rehabilitation allow to estimate correctly the need for the following rehabilitation stage, increase efficiency of rehabilitation actions, quality of life in patients who have had neurosurgical treatment.

Development of a Holter monitoring technique in the direction to increase research duration, imposes increased requirements to the software. In this regard use of artificial intellect technologies are of interest. We designed and realized artificial neural networks on the basis of a self-training layer of Kokhonen. The efficiency of ANN functioning in case of execution the tasks of the QRS complexes clustering which are contained in the findings of the ROHMINE test database is studied and confirmed.

Background. Assessment of life quality while carrying out a vitrectomy in children with detached retina.

Material and Methods. Twenty three patients (23 eyes) aged from 10 up to 17 years from with detached retina were examined. Surgery included carrying out a standard three-port vitrectomy and laser endocoagulation of retina vessels. All patients have been divided by method of casual selection into 3 groups. In the I group (n = 8) during the surgery the balanced salt solutions (Balansed Salt Solution – BSS) without antioxidants were used and additional purpose of the antioxidant medicines per os was not carried out; in the II group (n = 8) at performing surgery BSS with antioxidants (glutathione) – BSS plus were used; in the III group (n = 7) in the postoperative period in addition per os antioxidant medicines were administered for 3 months. In all patients the research of life quality on the basis of the reduced Russified version of the questionnaire VFQ-25 was conducted. The control group consisted of 10 children of the corresponding age and sex, the welfare and national identity, without contraindications to surgery in the area of a vitrealny cavity. Statistical processing of the received findings has been executed by means of a package of application programs of the statistical analysis AnalystSoft, BioStat 2007.

Results. In a week after surgery increase in visual acuity was not observed. Six months later reliable increase in visual acuity was noted. The highest final rates of a vasometry were observed in the II group, patients of the I group had minimum values. The minimal progressing of a cataract was observed in patients of the II group.

Conclusion. Surgery for detached retina positively influenced rates of life quality in children in the early and long-term postoperative period.

In the present article we describe a clinical example of a successful staged surgical treatment in the patient with rare joined stenosis of the vertebral canal at the cervical, thoracic and lumbar levels, surgical rehabilitation was 24 weeks. In connection with clinical data the first stage included ventral decompression of the cervical department of the spinal cord and spondylodesis by a telescopic prosthesis of a vertebral body, during the second stage through a minithoracotomy with an endovideo-assistance we performed anterolateral decompression of the spinal cord and spondylodesis by a telescopic prosthesis of a vertebral body with a lateral plate, and the third stage consisted of dorsal decompression of a dural bag and roots of the spinal cord, transpedicular fixation with an interbody spondylodesis in a lumbar department of the spine. Applying low-traumatic techniques for decompression and spondylodesis with specialized devices we could decrease level of pain syndrome, degree of neurologic deficiency, improve life quality and carry out effective fixation of three operated on vertebral aspects. Mini-invasive staged microsurgical decompressive stabilizing techniques can be used for successful treatment in patients with joined stenoses in the vertebral canal and also allow to reduce considerable risks for life and to cause full rehabilitation in the shortest possible time.

In the present article we describe a clinical case with onsite placing of veno-arterial extracorporeal membranous oxygenation in a patient with the acute myocardial infarction complicated by refractory cardiogenic shock. It allowed to stabilize his status and transport in a specialized medical institution to carry out a coronary angiography and myocardial revascularization to arrest cardiogenic shock and to achieve restoration of myocardial function and switch off ECMO. The course of disease was complicated by combined stroke with cerebral failure development and fatal outcome.

Chylopericardium is a rare medical condition when in the pericardial cavity chylous fluid is found. It contains high concentrations of triglycerids, with development of progressive cardiac insufficiency. In the present article we report about a clinical case of chylopericardium development in a patient, 66, following thoracic intervention. We observed clinical manifestation, etiology, diagnostics and treatment.

Mortality without treatment shows the highest rate among all ischemic stroke subtypes. In most cases acute thrombosis coexists with an atherosclerotic stenosis therefore treatment of both pathologies during one intravascular intervention is required quite often. Patients who underwent successful recanalization of the basilar artery have lower mortality rate. Considering all published reports, mortality for not restored blood flow in this artery is 87% vs 39% for successful recanalization. The clinical case of a successfully treated patient with an acute occlusion of a basilar artery using of a mechanical thrombectomy with angioplasty and stenosis stenting which was a reason for arterial occlusion development is presented in this article.

We present the case of successful surgical treatment in the patient with a giant cell tumor of distal epithysial cartilage of radial bone. Important feature of this case is a multi-stage combined treatment for the tumor of the radial bone with bone autotransplant in the proximal area of the peroneal bone. We discuss issues of epidemiology and choice of surgical techniques for giant cell tumor treatment.

Myxoma represents a benign tumor of heart which is found mainly in patients from 30 up to 60 years. In 75% of cases it invades the left atrium. Sometimes the only clinical finding is cardiac embolic symptoms which are most frequently noticed like cerebral vessel embolism. Clinical cases with ischemic stroke caused by the left atrium myxoma are presented in this article.

Objective. The review of the main screening methods for identification of cases with colorectal cancer, and analyze differences and likeliness.

Materials and Methods. Review of the screening methods was performed by means of international bases MEDLINE, EMBASE, Scopus, Central, ISI Web, Google and Goggle Scholar and considering published recommendations of World Wide Organization of Gastroenterology. In most guidelines screening in patients, with mean age 50–75 years, is discussed, and performance of fibrocolonoscopy every 10 years or flexible sigmoidoscopy every 5 years and annual FOB test are recommended. Differences in guidelines may be referred to intervals between tests and consistency of performed tests.

Conclusion. Mean recommended age indicated for screening performance is 50–75 years; two-staged screening with FIT at first stage and FCS at second stage represent the most optimal screening pattern.