Reflections on controversy of modern neurosurgery

New controversy of modern neurosurgery has been revealed based on the considerable experience and scientific research of the Burdenko National Medical Research Center for Neurosurgery. It includes such issues, as fetishization of neuroimaging data and disregard of medical history and clinical features, common sense and logic of scientific knowledge, etc. Conceptual approaches to solving medical tasks have been developed to overcome controversy in terms of ethics. This resulted in the grounded concept of expanding the indications for conservative treatment of severe focal cerebral contusion, as well as in the emergence of the new paradigm of minimally invasive treatment of chronic subdural hematoma and other innovations. The results of conceptual approaches to solving some problems of neurotraumatology are presented.