Gur'ev V N
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(5):687-92.
Patients with defects of the cranial bones were followed up for from one to ten years and over by employing clinical, electrophysiological, psychological, and social research methods. Combined assessment of cerebral dysfunctions showed the presence of general cerebral symptomatology which, in the period of decompensation, manifested itself in hypertensive and hypothalamic crises, as well as in psychopathological disturbances. The latter were controlled by courses of rehabilitation treatment. In the period between the crises, the patients with a substituted defect of the cranial bones were capable of many kinds of working activities, which suggests that the acknowledgement of an "anatomical defect" in which event the degree of disability is established once and for all is warranted only in cases of unsubstituted defects of the cranial bones (3 X 1 cm, according to the Manual of identifying the degree of disability, 1956).
采用临床、电生理、心理和社会研究方法，对颅骨缺损患者进行了1至10年及以上的随访。对脑功能障碍的综合评估显示存在一般性脑症状，在失代偿期，表现为高血压和下丘脑危象以及精神病理障碍。后者通过康复治疗疗程得到控制。在两次危象之间的时期，颅骨缺损已得到替代的患者能够进行多种工作活动，这表明只有在颅骨缺损未得到替代的情况下（根据1956年《残疾程度鉴定手册》，为3×1厘米），才应认定存在“解剖学缺陷”，一旦认定，则残疾程度就一劳永逸地确定了。
