International Medical Journal, Vol. 24., Iss. 4, 2018, P. 59−65.
CHANGES OF CLINICAL AND NEUROLOGICAL INDICES IN PATIENTS WITH POST-COMATOSE DISORDERS OF CONSCIOUSNESS AFTER SEVERE CRANIOCEREBRAL TRAUMA
Scientific−practical Center of Neurorehabilitation "Nodus", Brovary, Kyiv region, Ukraine
Craniocerebral trauma is one of the main factors of mortality and disability of young and middle−aged people. The evaluation of clinical and neurological manifestations of post−comatose post−traumatic conditions, especially in the dynamics of restoration of consciousness, remains important, especially in view of the need to develop prognostic criteria for the restoration of functional capabilities that allow patients to integrate into the social environment.In order to analyze the dynamics of clinical and neurological parameters in severe craniocerebral trauma, 220 patients were examined to determine their prognostic value for restoration of consciousness. The results of their clinico−neurological examination, regardless of the stages of consciousness renewal, indicate the absence of specific neurological focal symptoms and are characterized exclusively by the topical−functional features of the primary brain structures on the segmental and supersegmental levels. A detailed study of neurological symptoms, which has changed in the dynamics of restoration of consciousness, is important for determining the beginning of a new stage / stage of restoration of consciousness to determine the necessary therapeutic (rehab) effect at this stage in order to improve the general condition of the patient, the quality of his life, which will facilitate a faster transition. to the highest possible level of consciousness.
Key words: craniocerebral trauma, coma, post−comatose disorders of consciousness, vegetative status.