Preview

Russian journal of neurosurgery

Advanced search

CLINICAL PHILOSOPHY OF MODERN NEUROSURGERY

https://doi.org/10.17650/1683-3295-2018-20-1-94-102

Abstract

The concept Philosophy of Neurosurgery, including genesis, meaning and purpose of this clinical discipline and neuroscience, basic principles, patterns of development and direction of research and treatment of neuropathology, interdisciplinary connections, comprehension of means and methods for the emergence of scientific, clinical, technological and humanitarian knowledge in relation to the tasks of neurosurgery, as well as the worldview of neurosurgeons, is revealed.

It is shown how the philosophy of neurosurgery is practically realized through clinical thinking and conceptual approaches to the surgical interventions on the brain and spinal cord.

Justified the importance of philosophical positions in the development of a new direction is preventive neurosurgery.

It is revealed how philosophical approaches allow successfully resist the hipoxillia and syndrome of the patient-physician separation. The development of neurosurgery philosophy allows to preserve both the integrity of the perception of this clinical discipline with its increasing technologization and differentiation, as well as the systematic approach to the patient.

About the Author

L. B. Likhterman
N.N. Burdenko National Medical Research Center of Neurosurgery, Ministry of Health of Russia
Russian Federation
16 4th Tverskaya-Yamskaya St., Moscow 125047


References

1. Philosophy of Neurological Surgery. AANS Publications Committee. Ed. I. Awad. Park Ridge, IL, USA: American Association of Neurological Surgeons, 1995. 249 p.

2. Хрусталев Ю.М., Царегородцев Г.И. Философия науки и медицины. М.: ГЭОТАР-Медиа, 2007. 505 с. [Khrustalyov Yu.M., Tsaregorodtsev G.I. Philosophy of science and medicine. Moscow: GEOTAR-Media, 2007. 505 p. (In Russ.)].

3. Балалыкин Д.А., Щеглов А.П., Шок Н.П. Единство философской теории и медицинской практики во взглядах Галена. Философия науки 2014;1(60):70–85. [Balalykin D.A., Shcheglov A.P., Shok N.P. The unity of philosophical theory and medical practice in the views of Galen. Filosophiya nauki = Philosophy of Science 2014;1(60):70–85. (In Russ.)].

4. Хайдеггер М. Что зовется мышлением? Пер. с нем. М.: Академический проспект, 2010. 351 с. [Heidegger M. What is called thinking? Trans. from German. Moscow: Academicheskiy prospekt, 2010. 351 p. (In Russ.)].

5. Давыдовский И.В. Приспособительные процессы в патологии (медико- биологический аспект проблемы). Вестник АМН СССР 1962;(4):27–38. [Davydovskiy I.V. Adaptive processes in pathology (medico-biological aspect of the problem). Vestnik AMN SSSR = Bulletin of the Academy of Medical Sciences of the USSR 1962;(4):27–38. (In Russ.)].

6. Бурденко Н.Н. Обзор и пути дальнейшего развития нейрохирургической работы Центрального нейрохирургического института и 1-й хирургической клиники I ММИ. В сб.: Первая сессия нейрохирургического совета, 3–7 мая 1935 г. М.; Л.: Биомедгиз, 1937. С. 7–14. [Burdenko N.N. Review and further development of neurosurgery performance of the Central Neurosurgery Institute and the 1st Surgical Clinic of the 1st Moscow Medical Institute. In: The First Session of the Neurosurgical Council, 3–7 May 1935. Moscow; Leningrad: Biomedgiz, 1937. Рр. 7–14. (In Russ.)].

7. Блинков С.М., Глезер И.И. Мозг человека в цифрах и таблицах. Л.: Медицина, 1964. 471 с. [Blinkov S.M., Glezer I.I. The human brain in figures and tables. Leningrad: Meditsina, 1964. 471 p. (In Russ.)].

8. Блинков С.М. Количественное определение морфологических структур центральной нервной системы. М., 1972. 140 с. [Blinkov S.M. Quantitative determination of morphological structures of the central nervous system. Moscow, 1972. 140 p. (In Russ.)].

9. Serbinenko F. Ballon-catheterization and occlusion of major cerebral vessels. J Neurosurgery 1974;41(2):125–46.

10. Long D.M. The Founding Philosophy of Neurosurgery. In: Philosophy of Neurological Neurosurgery. I. Ed. I. Awad. Park Ridye, IL, USA: AANS, 1995. Pp. 1–11.

11. Long D.M., Apuzzo M.L.J. Sine Qua Non: The Formulation of a Theory of Neurosurgery. Neurosurgery 2001;49(3):567–74.

12. Farahvar A., Gerber L., Chiu Y.L. et al. Increased mortality in patients with severe traumatic brain injury treated without intracranial pressure monitoring. J Neurosurg 2012;117:729–34.

13. Chesnut R., Temkin N., Carney N. et al. A Trial of Intracranial-Pressure Monitoring in Traumatic Brain Injury. N Engl J Med 2012;367(26):2471–9.

14. Крылов В.В., Петриков С.С., Солодов А.А. Принципы мониторинга внутричерепного давления. Анналы клинической и экспериментальной неврологии 2014;8(1):44–8. [Krylov V.V., Petrikov S.S., Solodov A.A. Principles of the intracranial pressure monitoring. Annaly klinicheskoy i expiremental’noy nevrologii = Annals of Clinical and Experimental Neurology 2014;8(1):44–8. (In Russ.)].

15. Ahmadi S.A., Meier U., Lemcke J. Detailed long-term outcome analysis after decompressive craniectomy for severe traumatic brain injury. Brain Inj 2010;24:1539–49.

16. Aarabi B., Hesdorffer D.C., Simard I.M. et al. Comparative study of decompressive craniectomy after mass lesion evacuation in severe head injury. Neurosurgery 2009:64:927–39 [discussion: 939–940].

17. Meier U., Grawe A., Konig A. The importance of major extracranial injuries by the decompressive craniectomy in severe head injuries. Acta Neurochir Suppl 2005:95:55–7.

18. Sener S., Roozenbeek B., Maas A. Surgical Management of Traumatic Brain Injury – Evidence, Controversies and Perspectives for the Future. Eur Neurol Rev 2011;6:196–201.

19. Cooper D.J., Rosenfeld J.V., Murray L. et al. Decompressive craniectomy in diffuse traumatic brain injury. N Engl J Med 2011;364:1493–502.

20. Seung P.B., Son Y.J., Yang H.J. et al. Analysis of complications following decompressive craniectomy for traumatic brain injury. J Korean Neurosurg Soc 2010;48:244–50.

21. Hutchinson P.J., Kolias A.G., Timofeev I.S. et al. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension. N Engl J Med 2016;375(12):1119–30.

22. Li A., Azad T.D., Veeravagu A. et al. Cranioplasty complications and cost: A national population-level analysis using the Marketscan longitudinal database. World Neurosurg 2017;102:209–20.

23. Likhterman L., Long D., Lichterman B. Clinical philosophy of neurosurgery. Athena, Modena, Italy, 2017. 239 p.

24. Потапов А.А., Лихтерман Л.Б., Кравчук А.Д. Хронические субдуральные гематомы, М., 1997. 231 с. [Potapov A.A., Likhterman L.B., Kravchuk A.D. Chronic subdural hematomas. Moscow, 1997. 231 p. (In Russ.)].

25. Kravchuk A.D., Potapov A.A., Likhterman L.B. et al. Ematomi softodurali cronici. In: Sequele dei trauma cranio-encefalici. Athena, Modena, Italia, 2016. P. 115–170.

26. Mathews J.D., Forsythe A.V., Brady Z. et al. Cancer risk in 680000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ 2013;346:f2360. DOI: 10.1136/bmj.f2360.


Review

For citations:


Likhterman L.B. CLINICAL PHILOSOPHY OF MODERN NEUROSURGERY. Russian journal of neurosurgery. 2018;20(1):94-102. (In Russ.) https://doi.org/10.17650/1683-3295-2018-20-1-94-102

Views: 965


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
X