Methodology of diagnosis in neurosurgery

The widespread approach of specialized care to the population, the spread of methods of bloodless express-visualization of the pathology of the brain and spinal cord sharply accelerated the rate of diagnostic progress in neurosurgery. To replace the passive (establishing the diagnosis by observation) came an active, immediate diagnosis. Effective use of its capabilities requires the approach to the patient clinical thinking, implementing a methodologically productive system, approach to the phenomenon from the perspective of a holistic organism - the basis of dialectics in a neurosurgical diagnosis. Practical implementation of the presented principles of diagnosis is very relevant, otherwise the negative components of the influence of the scientific and technological revolution on the development of neurosurgery can be manifested and strengthened. The methodology of the modern clinical diagnosis in the pathology of the brain and spinal cord is substantiated in the context of the possibilities of non-invasive neuroimaging. The main provisions of the examination and diagnosis in neurosurgical patients are formulated. They include the principles of syndromology, topography, nosology, visualization, age, phase approaches, sufficiency and integration of data, an individual approach. A set of criteria for an ideal method for diagnosing diseases of the central nervous system is described. The advantages of the system approach from the perspective of a holistic organism to the dialectic of a neurosurgical diagnosis are shown.

methodology, ideal method, neurosurgery, neuroimaging, diagnostic principles