[Surgical tactics in foci of brain crushing]

On the basis of 109 cases with foci of brain crushing their definition and working classification is given according to localization, spread and depth of the damage to the brain matter and the degree of compensation of the function of the brain and the organism as a whole. The concepts of "focus of crushing" and "focus of contusion" are distinguished. Four parameters are distinguished according to which decompensation in foci of crushing may develop: the condition of the vital functions, general cerebral and focal neurological symptoms, the findings of auxiliary examination methods. Attention is drawn to the need for early active diagnosis and the performance of operation in the phase of moderate clinical decompensation, i.e. before pronounced signs of compression and dislocation of the brain develop. Microsurgical techniques promote radical removal of the foci of crushing and thorough hemostasis.