Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-91-99
A. Gushcha, A. R. Yusupova, R. Kartavykh
Aim. To propose the list of guidelines of the World Federation of Neurosurgical Societies (WFNS) Spine Committee on clinical and radiological diagnosis of acute back pain.Materials and methods. Systematic literature search in the PubMed and Google Scholar databases between 2012 and 2022 using keywords “acute back pain AND clinical diagnosis” and “acute back pain AND radiologic diagnosis” was performed. In total, 97 articles were analyzed, and the WFNS Spine Committee organized 2 consensus meetings to propose specific guidelines. The first meeting took place in May of 2022 in Karachi (Pakistan), the second during the Congress of the Middle East Spine Society in September of 2022 in Istanbul (Turkey). To formulate the guidelines, both meetings used the Delphi method of voting on the preliminary statements proposed based on the evidence level‑stratified literature search.Results and discussion. In total, 10 statements were put to vote. Clinical characteristics allowing to distinguish between acute and chronic pain were indicated. A trend towards instrumental hyperdiagnosis of back pain was observed but routine neuroimaging does not have clinical benefit in acute back pain, it can even have a negative effect.Conclusion. Acute back pain is hard to diagnose both clinically and radiologically. A patient with primary acute back pain should not be prescribed radiological exams in the absence of “red flags”. There are specific indications for specific radiological exams. The gold standard of diagnosis is magnetic resonance imaging which is confirmed by high‑quality studies.
{"title":"Acute back pain: clinical and radiological diagnosis. Guidelines of the WFNS Spine Committee","authors":"A. Gushcha, A. R. Yusupova, R. Kartavykh","doi":"10.17650/1683-3295-2024-26-2-91-99","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-91-99","url":null,"abstract":"Aim. To propose the list of guidelines of the World Federation of Neurosurgical Societies (WFNS) Spine Committee on clinical and radiological diagnosis of acute back pain.Materials and methods. Systematic literature search in the PubMed and Google Scholar databases between 2012 and 2022 using keywords “acute back pain AND clinical diagnosis” and “acute back pain AND radiologic diagnosis” was performed. In total, 97 articles were analyzed, and the WFNS Spine Committee organized 2 consensus meetings to propose specific guidelines. The first meeting took place in May of 2022 in Karachi (Pakistan), the second during the Congress of the Middle East Spine Society in September of 2022 in Istanbul (Turkey). To formulate the guidelines, both meetings used the Delphi method of voting on the preliminary statements proposed based on the evidence level‑stratified literature search.Results and discussion. In total, 10 statements were put to vote. Clinical characteristics allowing to distinguish between acute and chronic pain were indicated. A trend towards instrumental hyperdiagnosis of back pain was observed but routine neuroimaging does not have clinical benefit in acute back pain, it can even have a negative effect.Conclusion. Acute back pain is hard to diagnose both clinically and radiologically. A patient with primary acute back pain should not be prescribed radiological exams in the absence of “red flags”. There are specific indications for specific radiological exams. The gold standard of diagnosis is magnetic resonance imaging which is confirmed by high‑quality studies.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":" 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141375286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-112-121
S. Prozorov, V. N. Shipovskiy
Occlusion of all the main arteries involved in the blood supply to the brain is extremely rare, develops slowly and can occur with both pronounced symptoms and minor manifestations. Vascular damage can be at different levels, depending on this, there are different ways of collateral blood flow, which are of great importance. The review discusses the methods of visualization and treatment for this pathology.
{"title":"Occlusion of all major arteries involved in blood supply to the brain","authors":"S. Prozorov, V. N. Shipovskiy","doi":"10.17650/1683-3295-2024-26-2-112-121","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-112-121","url":null,"abstract":"Occlusion of all the main arteries involved in the blood supply to the brain is extremely rare, develops slowly and can occur with both pronounced symptoms and minor manifestations. Vascular damage can be at different levels, depending on this, there are different ways of collateral blood flow, which are of great importance. The review discusses the methods of visualization and treatment for this pathology.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141374207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-82-90
M. Lebenstein-Gumovski, A. Grin
Until now, there are no successful ways to restore the damaged spinal cord and its functions in severe spinal cord injury such as spinal cord contusion, rupture or intersection. This is largely due to the lack of treatment methods aimed at the chain of pathogenetic processes occurring in the nervous tissue after injury. The topic of restoration of spinal cord functions is taboo, often undesirable for discussion, and is influenced by clinical stereotypes. The article proposes to consider the method of treatment of spinal cord injury, using modern data, taking into account emerging pathophysiological processes at the site of injury and beyond. The use of new data and achievements of experimental science on severe spinal cord injury can be a serious step towards the development of new methods for the treatment of this pathology.
{"title":"Can a complete excision of the injured site of the spinal cord lead to positive results?","authors":"M. Lebenstein-Gumovski, A. Grin","doi":"10.17650/1683-3295-2024-26-2-82-90","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-82-90","url":null,"abstract":"Until now, there are no successful ways to restore the damaged spinal cord and its functions in severe spinal cord injury such as spinal cord contusion, rupture or intersection. This is largely due to the lack of treatment methods aimed at the chain of pathogenetic processes occurring in the nervous tissue after injury. The topic of restoration of spinal cord functions is taboo, often undesirable for discussion, and is influenced by clinical stereotypes. The article proposes to consider the method of treatment of spinal cord injury, using modern data, taking into account emerging pathophysiological processes at the site of injury and beyond. The use of new data and achievements of experimental science on severe spinal cord injury can be a serious step towards the development of new methods for the treatment of this pathology.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141371810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-61-69
D. V. Nizolin, A. V. Kim, Yu. A. Zueva, O. O. Shmeleva, N. E. Maslov, A. Efimtsev, E. T. Nazaralieva, K. Samochernykh
Surgical treatment of tumors located near functional areas involves the use of technologies such as awake craniotomy, cortical and subcortical stimulation. The introduction of these and other technologies makes it possible to achieve maximum resection of the tumor without compromising the functional status of the patient. The use of this technologies has been well studied in adults, but this not about pediatric patients.Aim of the work is to present two clinical cases of successful treatment of low‑grade gliomas of functional areas of the brain in children and literature review.In clinical cases, damage of functionally significant areas were noted: the sensory speech cortex and the corticospinal tract. The involving speech cortex in the first case was also confirmed by functional magnetic resonance imaging. In the first case, an operation was performed with awake craniotomy, using cortical and subcortical mapping, in the second, using subcortical mapping and metabolic navigation. Total tumor resection was achieved in both clinical cases with a good functional outcome.Achieving an optimal balance of functional outcome and the degree of radical removal of low‑grade tumors of functional areas is possible using an integrated approach based on the analysis of multimodal data.
{"title":"Surgical treatment of gangliogliomas in functional areas of the brain in child: a literature review and clinical cases","authors":"D. V. Nizolin, A. V. Kim, Yu. A. Zueva, O. O. Shmeleva, N. E. Maslov, A. Efimtsev, E. T. Nazaralieva, K. Samochernykh","doi":"10.17650/1683-3295-2024-26-2-61-69","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-61-69","url":null,"abstract":"Surgical treatment of tumors located near functional areas involves the use of technologies such as awake craniotomy, cortical and subcortical stimulation. The introduction of these and other technologies makes it possible to achieve maximum resection of the tumor without compromising the functional status of the patient. The use of this technologies has been well studied in adults, but this not about pediatric patients.Aim of the work is to present two clinical cases of successful treatment of low‑grade gliomas of functional areas of the brain in children and literature review.In clinical cases, damage of functionally significant areas were noted: the sensory speech cortex and the corticospinal tract. The involving speech cortex in the first case was also confirmed by functional magnetic resonance imaging. In the first case, an operation was performed with awake craniotomy, using cortical and subcortical mapping, in the second, using subcortical mapping and metabolic navigation. Total tumor resection was achieved in both clinical cases with a good functional outcome.Achieving an optimal balance of functional outcome and the degree of radical removal of low‑grade tumors of functional areas is possible using an integrated approach based on the analysis of multimodal data.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":" 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141373736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-76-81
N. A. Zayachkovsky, A. A. Paltsev, M. Tastanbekov, O. Li
Among all primary brain tumors with localization in the posterior cranial fossa, hemangioblastoma is the most common among the adult population. In some patients, the manifestation of a brain tumor may occur during pregnancy.This article describes a clinical case of pregnancy complicated by hypertensive‑hydrocephalic symptoms against the background of cerebellar hemangioblastoma and developed occlusive hydrocephalus. The result of the work of a team of neurosurgeons, obstetricians and anesthesiologists was successful surgical treatment against the background of pregnancy prolongation. Five months after tumor resection, no recurrence of hemangioblastoma was observed, the patient gave birth to a healthy baby naturally.
{"title":"Surgical treatment of cerebellar hemangioblastoma during pregnancy: a clinical case and literature review","authors":"N. A. Zayachkovsky, A. A. Paltsev, M. Tastanbekov, O. Li","doi":"10.17650/1683-3295-2024-26-2-76-81","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-76-81","url":null,"abstract":"Among all primary brain tumors with localization in the posterior cranial fossa, hemangioblastoma is the most common among the adult population. In some patients, the manifestation of a brain tumor may occur during pregnancy.This article describes a clinical case of pregnancy complicated by hypertensive‑hydrocephalic symptoms against the background of cerebellar hemangioblastoma and developed occlusive hydrocephalus. The result of the work of a team of neurosurgeons, obstetricians and anesthesiologists was successful surgical treatment against the background of pregnancy prolongation. Five months after tumor resection, no recurrence of hemangioblastoma was observed, the patient gave birth to a healthy baby naturally.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":"5 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141375730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-54-60
S. V. Chernov, S. E. Krasilnikov, J. A. Rzaev, A. Kalinovskiy, A. V. Zotov, A. Kasymov, E. Gormolysova, E. Uzhakova, M. K. Antaev
Background. Metastases of the female reproductive system cancer to the brain are rare and reach about 5 % of all cases with metastatic lesions of the central nervous system. The most common metastases are ovarian cancer (0.49–6.1 %), endometrial cancer (0.4–1.2 %) and cervical cancer (0.3–0.9 %). The predominant localization and ways of spreading metastases to the brain in this category of tumors may differ from lung cancer, breast cancer, kidney cancer or melanoma.Aim. To analyze the localization of brain metastases of malignant tumors of the female reproductive system and the ways of dissemination of malignant cells from the primary focus to the central nervous system.Materials and methods. From 2013 to 2020, a total number of 448 patients with metastatic brain tumors from different cancers were operated on at the Department of Neuro‑Oncology of the Federal Center of Neurosurgery (Novosibirsk). Metastases of tumors of the female reproductive system were presented in 32 (7.1 %) cases. The average age was 55.1 (27–72) years. Ovarian cancer was the primary focus in 24 (5.3 %) cases, endometrial cancer – in 6 (1.3 %), cervical cancer – in 2 (0.4 %). Occipital lobe was the most often location for the metastases in the brain and occurred in 10 (31.3 %) patients. Subtentorial localization was on the second place and noted in 9 (28.1 %) cases. Of these, metastases to the cerebellum were registered in 8 cases and in 1 case the metastasis was located in the brain stem.Results. Gross total removal of metastasis was achieved in all 32 patients. Of 9 cases with subtentorial localization of metastasis, only 1 patient had lung metastases verified. Regression of neurological symptoms and improvement of the condition were noted in 16 patients after surgery. The Karnovsky performance score at the time of discharge was 85.2.Conclusion. The subtentorial location of metastases in malignant tumors of the female reproductive system occupies one of the leading places. This is because the dissemination of tumor cells from the pelvis can occur through a Batson vertebral venous system directly to the cerebellum or brain stem without the pulmonary blood circulation and lung dissemination. This should be taken into account for the early diagnosis of subtentorial metastatic brain tumors and referral of these patients for neurosurgical treatment.
{"title":"Predominant localization and ways of metastatic dissemination to the brain of malignant tumors of the female reproductive system","authors":"S. V. Chernov, S. E. Krasilnikov, J. A. Rzaev, A. Kalinovskiy, A. V. Zotov, A. Kasymov, E. Gormolysova, E. Uzhakova, M. K. Antaev","doi":"10.17650/1683-3295-2024-26-2-54-60","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-54-60","url":null,"abstract":"Background. Metastases of the female reproductive system cancer to the brain are rare and reach about 5 % of all cases with metastatic lesions of the central nervous system. The most common metastases are ovarian cancer (0.49–6.1 %), endometrial cancer (0.4–1.2 %) and cervical cancer (0.3–0.9 %). The predominant localization and ways of spreading metastases to the brain in this category of tumors may differ from lung cancer, breast cancer, kidney cancer or melanoma.Aim. To analyze the localization of brain metastases of malignant tumors of the female reproductive system and the ways of dissemination of malignant cells from the primary focus to the central nervous system.Materials and methods. From 2013 to 2020, a total number of 448 patients with metastatic brain tumors from different cancers were operated on at the Department of Neuro‑Oncology of the Federal Center of Neurosurgery (Novosibirsk). Metastases of tumors of the female reproductive system were presented in 32 (7.1 %) cases. The average age was 55.1 (27–72) years. Ovarian cancer was the primary focus in 24 (5.3 %) cases, endometrial cancer – in 6 (1.3 %), cervical cancer – in 2 (0.4 %). Occipital lobe was the most often location for the metastases in the brain and occurred in 10 (31.3 %) patients. Subtentorial localization was on the second place and noted in 9 (28.1 %) cases. Of these, metastases to the cerebellum were registered in 8 cases and in 1 case the metastasis was located in the brain stem.Results. Gross total removal of metastasis was achieved in all 32 patients. Of 9 cases with subtentorial localization of metastasis, only 1 patient had lung metastases verified. Regression of neurological symptoms and improvement of the condition were noted in 16 patients after surgery. The Karnovsky performance score at the time of discharge was 85.2.Conclusion. The subtentorial location of metastases in malignant tumors of the female reproductive system occupies one of the leading places. This is because the dissemination of tumor cells from the pelvis can occur through a Batson vertebral venous system directly to the cerebellum or brain stem without the pulmonary blood circulation and lung dissemination. This should be taken into account for the early diagnosis of subtentorial metastatic brain tumors and referral of these patients for neurosurgical treatment.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141374766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-44-53
S. Maryashev, R. Ishkinin, N. S. Grachev, V. Zhukov, D. I. Pitskhelauri
Aim. To analyze the effectiveness of treatment and prevention of entrapped temporal horn (ETH) using various techniques.Materials and methods. The study included 14 patients who underwent treatment or surgical prevention of ETH of the lateral ventricle after surgical resection of tumors in the projection of the trigone of the lateral ventricle. In 3 cases, microsurgical ventriculocisternostomy was performed; in 3 cases, shunting surgeries for ETH treatment; in 8 cases, ETH stenting.Results. Tumor resection level, stenting effectiveness per presence/absence of hydrocephalus, and adequacy of the chosen ETH treatment and prevention methods were analyzed. In all 3 cases of ventriculocisternostomy, tumor resection was radical, stoma was strong, ETH opened, hydrocephalus was absent. In 3 patients with shunt implantation, radical resection was performed in 1 case; in 2 cases subtotal resection was achieved; shunt dysfunction due to tumor progression was observed in 1 patient during long‑term follow‑up. In 7 of 8 patients with cases of ventricular stent implantation for treatment/prevention of ETH, tumor resection was total; in 1 patient subtotal. Stenting performed in the postoperative period for treatment of hydrocephalus had positive clinical effect in 100 % of cases (non‑focal neurological symptoms, stasis in the fundus, speech disorders regressed). In stenting for hydrocephalus prevention, a positive effect was also observed (no increase in the size of the ventricular system, shunting surgeries in the postoperative period were not required). In the analyzed patient group (n = 14), de novo neurologic deficit did not develop, no cases of infectious complications and cerebrospinal fluid leak were observed, stent did not dysfunction.Conclusion. Intraoperative ventriculocisternostomy is a reliable physiological technique for ETH prevention. Stenting of the ventricular system is an accessible and effective technique for ETH prevention. Single‑step stenting after tumor resection allows to avoid this complication in the long‑term and is not associated with surgical complications of distal stenting. The use of stenting surgeries has its advantages and disadvantages which makes this method acceptable but not universal. Implantation of shunt in the long‑term period is the method of choice for ETH treatment.
目的分析使用各种技术治疗和预防颞角内陷（ETH）的效果。研究纳入了 14 例在手术切除侧脑室三叉神经投影处肿瘤后接受治疗或手术预防侧脑室 ETH 的患者。其中3例进行了显微外科脑室造口术；3例进行了治疗ETH的分流手术；8例进行了ETH支架植入术。结果分析了肿瘤切除程度、是否存在脑积水的支架植入效果以及所选 ETH 治疗和预防方法的适当性。在所有 3 例脑室造口术患者中，肿瘤切除彻底，造口坚固，ETH 开放，无脑积水。在 3 例植入分流管的患者中，1 例进行了根治性切除；2 例进行了次全切除；1 例患者在长期随访中观察到因肿瘤进展导致的分流管功能障碍。为治疗/预防 ETH 而植入心室支架的 8 例患者中，7 例进行了肿瘤全切，1 例进行了次全切。为治疗脑积水而在术后植入支架的病例中，100% 都取得了积极的临床效果（非局灶性神经症状、眼底淤血、语言障碍消失）。在为预防脑积水而进行的支架植入术中，也观察到了积极的效果（脑室系统体积没有增大，术后无需进行分流手术）。在分析的患者组（n = 14）中，未出现新的神经功能缺损，未观察到感染性并发症和脑脊液漏病例，支架也未出现功能障碍。术中脑室造口术是预防 ETH 的一种可靠的生理学技术。脑室系统支架植入术是一种简便有效的 ETH 预防技术。在肿瘤切除术后进行单步支架植入术可长期避免这一并发症，而且不会出现远端支架植入术的手术并发症。使用支架手术有利有弊，因此这种方法可以接受，但并不普遍。长期植入分流器是治疗 ETH 的首选方法。
{"title":"Surgical techniques for treatment and prevention of entrapped temporal horn after resection of trigone ventricular tumors","authors":"S. Maryashev, R. Ishkinin, N. S. Grachev, V. Zhukov, D. I. Pitskhelauri","doi":"10.17650/1683-3295-2024-26-2-44-53","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-44-53","url":null,"abstract":"Aim. To analyze the effectiveness of treatment and prevention of entrapped temporal horn (ETH) using various techniques.Materials and methods. The study included 14 patients who underwent treatment or surgical prevention of ETH of the lateral ventricle after surgical resection of tumors in the projection of the trigone of the lateral ventricle. In 3 cases, microsurgical ventriculocisternostomy was performed; in 3 cases, shunting surgeries for ETH treatment; in 8 cases, ETH stenting.Results. Tumor resection level, stenting effectiveness per presence/absence of hydrocephalus, and adequacy of the chosen ETH treatment and prevention methods were analyzed. In all 3 cases of ventriculocisternostomy, tumor resection was radical, stoma was strong, ETH opened, hydrocephalus was absent. In 3 patients with shunt implantation, radical resection was performed in 1 case; in 2 cases subtotal resection was achieved; shunt dysfunction due to tumor progression was observed in 1 patient during long‑term follow‑up. In 7 of 8 patients with cases of ventricular stent implantation for treatment/prevention of ETH, tumor resection was total; in 1 patient subtotal. Stenting performed in the postoperative period for treatment of hydrocephalus had positive clinical effect in 100 % of cases (non‑focal neurological symptoms, stasis in the fundus, speech disorders regressed). In stenting for hydrocephalus prevention, a positive effect was also observed (no increase in the size of the ventricular system, shunting surgeries in the postoperative period were not required). In the analyzed patient group (n = 14), de novo neurologic deficit did not develop, no cases of infectious complications and cerebrospinal fluid leak were observed, stent did not dysfunction.Conclusion. Intraoperative ventriculocisternostomy is a reliable physiological technique for ETH prevention. Stenting of the ventricular system is an accessible and effective technique for ETH prevention. Single‑step stenting after tumor resection allows to avoid this complication in the long‑term and is not associated with surgical complications of distal stenting. The use of stenting surgeries has its advantages and disadvantages which makes this method acceptable but not universal. Implantation of shunt in the long‑term period is the method of choice for ETH treatment.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":" 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141374193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-100-111
A. Grin, A. Talypov, A. Kordonskiy, Z. Barbakadze
Transarticular fixation (TAF) of C1–C2 using the F. Magerl method and the Goеl–Harms technique (GHT) are the two most popular ways of forming spondylodesis at the atlantoaxial level. Nevertheless, comparative studies with a high level of evidence have not been published at present.The aim of the study was to conduct a comparative meta‑analysis of the incidence of implant‑associated complications and fusion. The initial search in revealed more than 5,000 abstracts, after applying filters, 202 studies were selected, of which 16 works were included in this study. According to the results of the meta‑analysis, no significant differences were found between the methods of Goel–Harms and F. Magerl in the duration of surgery and intraoperative blood loss, as well as in the frequency of postoperative implant‑associated complications and spinal fusion of C1–C2 vertebrae.
使用 F. Magerl 法和 Goеl-Harms 技术（GHT）对 C1-C2 进行经关节固定（TAF），是在寰枢椎水平形成脊柱结节的两种最常用方法。本研究旨在对植入物相关并发症和融合的发生率进行比较荟萃分析。初步检索发现了 5000 多篇摘要，经过筛选后，选出了 202 篇研究，本研究纳入了其中的 16 篇。根据荟萃分析的结果，Goel-Harms 和 F. Magerl 两种方法在手术时间、术中失血量、术后植入物相关并发症发生率和 C1-C2 椎体脊柱融合方面均无明显差异。
{"title":"Comparative meta-analysis of implant-associated complications and spinal fusion incidence in Goel-Harms technique and posterior С1-С2 transarticular screw fixation per F. Magerl","authors":"A. Grin, A. Talypov, A. Kordonskiy, Z. Barbakadze","doi":"10.17650/1683-3295-2024-26-2-100-111","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-100-111","url":null,"abstract":"Transarticular fixation (TAF) of C1–C2 using the F. Magerl method and the Goеl–Harms technique (GHT) are the two most popular ways of forming spondylodesis at the atlantoaxial level. Nevertheless, comparative studies with a high level of evidence have not been published at present.The aim of the study was to conduct a comparative meta‑analysis of the incidence of implant‑associated complications and fusion. The initial search in revealed more than 5,000 abstracts, after applying filters, 202 studies were selected, of which 16 works were included in this study. According to the results of the meta‑analysis, no significant differences were found between the methods of Goel–Harms and F. Magerl in the duration of surgery and intraoperative blood loss, as well as in the frequency of postoperative implant‑associated complications and spinal fusion of C1–C2 vertebrae.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141372242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-70-75
O. Bogdanova, A. Y. Grigoriev, V. G. Pilnikov, E. A. Melikov
Abscess of the sella turcica is an extremely rare disease of the chiasm and sellar region which often clinically and radiologically imitates other lesions in this area complicating the diagnosis.The article presents a clinical case of a 42‑year‑old female patient with primary abscess of the sella turcica which at first was considered to be pituitary adenoma. The patient underwent surgery through endoscopic transnasal access with good postoperative outcome. Additional postoperative examination revealed a possible source of hematogenic advancement of infectious process into the sella turcica cavity – pericoronitis of tooth 4.8. The article also presents review of publications on the topic.
{"title":"Primary abscess of the sella turcica of odontogenic nature (observation from practice)","authors":"O. Bogdanova, A. Y. Grigoriev, V. G. Pilnikov, E. A. Melikov","doi":"10.17650/1683-3295-2024-26-2-70-75","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-70-75","url":null,"abstract":"Abscess of the sella turcica is an extremely rare disease of the chiasm and sellar region which often clinically and radiologically imitates other lesions in this area complicating the diagnosis.The article presents a clinical case of a 42‑year‑old female patient with primary abscess of the sella turcica which at first was considered to be pituitary adenoma. The patient underwent surgery through endoscopic transnasal access with good postoperative outcome. Additional postoperative examination revealed a possible source of hematogenic advancement of infectious process into the sella turcica cavity – pericoronitis of tooth 4.8. The article also presents review of publications on the topic.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141372765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-07DOI: 10.17650/1683-3295-2024-26-2-122-126
V. V. Shalin
The article is devoted to Semyon Ivanovich Shumakov (1913–1995), an outstanding doctor, the founder of the neurosurgical service of the Penza region.The formation of the neurosurgical service in the Penza region occurred in the middle of the XX century. S.I. Shumakov is exactly the man who stood at the origins. The development of neurosurgery as a separate branch of clinical medicine in the Penza region became possible thanks to his work. During the work of S.I. Shumakov, the neurosurgical service underwent great changes – new methods of diagnosis and treatment were introduced, as well as complex surgical interventions were carried out, which are now becoming commonplace. Thanks to his dedication and dedication to his work, modern neurosurgery is currently developing in the Penza region.The data of the biography and the main directions of S.I. Shumakov’s work are considered. The data of the materials of the State Archive of the Penza region, the available literature data, as well as the archive of relatives, friends and students were analyzed.
{"title":"Semyon Ivanovich Shumakov (1913–1995) – founder of the neurosurgical service of the Penza region (to the 110th anniversary of birth)","authors":"V. V. Shalin","doi":"10.17650/1683-3295-2024-26-2-122-126","DOIUrl":"https://doi.org/10.17650/1683-3295-2024-26-2-122-126","url":null,"abstract":"The article is devoted to Semyon Ivanovich Shumakov (1913–1995), an outstanding doctor, the founder of the neurosurgical service of the Penza region.The formation of the neurosurgical service in the Penza region occurred in the middle of the XX century. S.I. Shumakov is exactly the man who stood at the origins. The development of neurosurgery as a separate branch of clinical medicine in the Penza region became possible thanks to his work. During the work of S.I. Shumakov, the neurosurgical service underwent great changes – new methods of diagnosis and treatment were introduced, as well as complex surgical interventions were carried out, which are now becoming commonplace. Thanks to his dedication and dedication to his work, modern neurosurgery is currently developing in the Penza region.The data of the biography and the main directions of S.I. Shumakov’s work are considered. The data of the materials of the State Archive of the Penza region, the available literature data, as well as the archive of relatives, friends and students were analyzed.","PeriodicalId":197162,"journal":{"name":"Russian journal of neurosurgery","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141373956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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