[Dynamics of neurologic disorders following embolism of the bifurcation of the aorta and major arteries of the lower extremities].

The authors conducted a clinico-EMG study of 118 patients with an embolism of the aortal bifurcation and magistral arteries of the lower extremities. Among this contingent 58 were studied in the remote period -- from 2-7 years following a surgical operation. The clinical symptoms of embolism were expressed in severe pain, sensory, motor and vegetative-trophic disturbances in the affected extremities. Three degrees of the nervous system lesions were distinguished in an embolism. It was also demonstrated that there were significant changes in the bioelectrical muscle activity of the extremities. In the remote period following embolectomia, in most of the patients there still were sequalae of acute ischemia of the nervous tissue, the expressiveness of which depended upon the calibre of the occluded vessel, degree of tissue ischemia, the time of treatment and the time following the operation. A retarded restitution may be explained by the degree of the nervous tissue lesion and the persisting insufficiency of circulation in the extremities.