Secondary brain injuries in brain injuries

We are condemned to a steady increase in both the number and severity of combined craniocerebral injuries due to an increase in road traffic injuries catatrauma and various andropogenic man-made and natural disasters. The syndrome of mutual aggravation characteristic of combined trauma significantly changes our usual clinical pictures and complicates treatment measures. A monograph by Kakhramon Kuldashev an experienced neurosurgeon and trauma surgeon summarizing many years of experience at the Andijan Neurotraumatology Centre in Uzbekistan is another necessary step towards understanding this complex problem. The studies by K. Kuldashev M.D. and his colleagues are marked by the representativeness of the material the traceability of observations from the acute period of combined craniocerebral injury to recovery and long-term consequences and the use of complex modern neuroimaging physiological and biochemical monitoring surgery therapy and resuscitation modalities. I recommend neurosurgeons trauma surgeons neurologists intensive care specialists especially the young ones to read the work of our colleagues from Andijan.