This study analyzes postoperative complications, mortality factors, and outcomes in 127 patients with severe combined traumatic brain injury (TBI) treated between 2020 and 2024. The research demonstrated that postoperative morbidity was largely determined by the severity of injury, patient age, preoperative neurological status, timing of surgery, and intraoperative management of cerebral edema. The overall postoperative mortality rate was 7.9%. Major predictors of death included brainstem lesions, massive brain edema with herniation, secondary hemorrhages, and delayed surgical intervention. Age-related comorbidities, such as hypertension, atherosclerosis, and pulmonary complications, contributed significantly to unfavorable outcomes in elderly patients. The study emphasizes that early surgical decompression, adequate anti-edema therapy, and comprehensive neurocritical care are essential for improving survival and functional recovery in patients with severe TBI.
| Mualliflar | Aliev Mansur Abdukholikovich |
|---|---|
| Jurnal | Research Focus |
| Nashr sanasi | 2025-12-05 |
| Jild | 4 |
| Son | 11 |
| Betlar | 214-225 |
| Til | Ingliz |
combined traumatic brain injury (TBI), brain edema, brainstem hemorrhage, postoperative complications, mortality, Glasgow Outcome Scale, neurosurgery
Post-traumatic epilepsy (PTE) is one of the most disabling long-term complications of traumatic brain injury (TBI). Despite progress in acute neurotrauma care, epileptic seizures remain a major cause of morbidity, drug…
Background. Pharmacoresistant epilepsy (PRE) remains one of the most challenging neurological conditions, often unresponsive to pharmacological therapy. Surgical intervention is considered the most effective treatment…
This study aimed to evaluate the safety and efficacy of early surgical revascularization of the brachiocephalic arteries in patients with acute ischemic stroke. Seven patients underwent carotid endarterectomy or…
Drug-resistant epilepsy (DRE) remains one of the most significant challenges in modern neurology, affecting up to 30–40% of patients despite the availability of more than 20 modern antiepileptic drugs (AEDs). PRE is a…
Stroke remains one of the leading causes of disability and mortality worldwide. The experience of the Neurosurgical Clinic of Samarkand demonstrates that early and structured neurorehabilitation significantly improves…
Degenerative-dystrophic diseases of the spine represent one of the most prevalent pathologies in modern medicine. Among them, cervical osteochondrosis occupies a leading position due to its wide range of neurological…
This article presents modern approaches to organizing therapeutic physical training (TPT) at the Neurosurgery Center of Samarkand State Medical University. The rapid advancement of neurosurgical techniques now enables…
В данной статье всесторонне исследованы проблемы совершенствования педагогических методов в процессе специальной физической подготовки юных борцов. На основе проведенного анализа представлены рекомендации и предложения…
Thyroid hormones affect the entire metabolism in the body and participate in the growth and formation of all organs and tissues. Due to the increase in thyroid diseases, we focused on the prevalence and classification…
Формирование нового человека было и остается предметом особой заботы Узбекского государства, стратегической линией, посредством которой обеспечиваются как преемственность, так и перспектива стратегического развития…