DYNAMICS OF EEG PARAMETERS IN THE PERIOPERATIVE PERIOD OF TREATMENT OF MONOSEGMENTAL STENOSIS OF THE CERVICAL SPINE

Background. The method of anterior decompression (discectomy) for monosegmental stenosis of the cervical spinal canal is subjectively assessed as highly effective by both neurosurgeons and the vast majority of patients. However, the objective criteria for the early effectiveness of this intervention have not been sufficiently studied to date.

Aim of the study to evaluate the dynamics of electroencephalography parameters in the preoperative and early postoperative period in patients with monosegmental stenosis of the cervical spine.

Materials and methods. Electroencephalography studies were conducted on 22 patients of the neurosurgery department, before and after surgical treatment under code A16.23.085.001. The spectral composition of the bioelectrical activity of the brain (alpha, beta, delta and theta rhythms), as well as the coherence of oscillations in selected leads, were studied.

Results. In the preoperative period, a disorganized type of electroencephalogramm was recorded in the examined group according to the classification of E.A. Zhirmunskaya; there was a decrease in the index and amplitude of the alpha rhythm in the parietal-occipital leads; predominance of high-amplitude beta activity in the frontal-central leads; presence of diffuse delta activity of the average index and theta activity of the average index, localized in leads P3, P4, C3, C4. On the 5th day after the operation, an organized type of electroencephalography was recorded on the encephalogram; a well-modulated alpha rhythm was observed, with a frequency in the range from 9 to 10 Hz, and an amplitude of 70 to 80 microvolts. Low-amplitude beta rhythm activity was recorded in the frontocentral leads. Low-amplitude delta and theta rhythms were recorded in the parieto-occipital leads and had a low index. Overall, the obtained data indicated positive dynamics in the restoration of cortical rhythms.

Conclusion. The positive dynamics of cerebral cortex biorhythms in the early postoperative period allows the use of the electroencephalography method to objectify the results of surgical treatment, and in the future for the purposes of neurorehabilitation.

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