A5076494709- Meningioma and schwannoma management
- Cerebrospinal fluid and hydrocephalus
- Glioma Diagnosis and Treatment
- Fetal and Pediatric Neurological Disorders
- Spinal Fractures and Fixation Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Facial Nerve Paralysis Treatment and Research
- Trigeminal Neuralgia and Treatments
- Head and Neck Surgical Oncology
- Neurofibromatosis and Schwannoma Cases
- Vascular Malformations Diagnosis and Treatment
- Management of metastatic bone disease
- Pituitary Gland Disorders and Treatments
- Nuclear reactor physics and engineering
- Medical Imaging Techniques and Applications
- Intracranial Aneurysms: Treatment and Complications
- Bone Tumor Diagnosis and Treatments
- Anatomy and Medical Technology
- Graphite, nuclear technology, radiation studies
- Cerebrovascular and Carotid Artery Diseases
- Spinal Dysraphism and Malformations
- Nuclear Physics and Applications
- Brain Metastases and Treatment
- Field-Flow Fractionation Techniques
- Parvovirus B19 Infection Studies
Burdenko Neurosurgery Institute
1987-2024
Pirogov Russian National Research Medical University
2024
Ministry of Health of the Russian Federation
2021-2023
National Medical Research Center of Cardiology
2021
Russian Academy of Sciences
2015-2021
State Research Center of the Russian Federation
2019
Surgical treatment of posterior cranial fossa and cerebellopontine angle tumors is associated with a risk facial nerve dysfunction. The causes for muscle paresis include compression by the tumor, destruction structure tumor growing from fibers, injury during surgical removal etc. first 3 months after are potential therapeutic window use botulinum toxin type A (BTA). During this period, drug introduced both in healthy side to improve symmetry at rest mimetic movements affected induce...
to present the main topographic and anatomical features of clivus adjacent structures for improving optimizing extended endoscopic transnasal posterior (transclival) approach in removal clival ventral cranial fossa lesions.We performed a study 25 cadaver heads, vascular bed which was filled with colored silicone using original technique visualizing individual variability.We landmarks necessary performing endonasal approach. Superior, medial, inferior transclival approaches provide access...
Послеоперационные исходы функции лицевого нерва в зависимости от топографии невриномы слухового Postoperative outputs in function of the facial nerve depending on topography auditory neurinoma Введение Невринома (она же вестибулярная шваннома) (НСН) -доброкачественная опухоль, развивающаяся из леммоцитов верхней вестибулярной порции вестибулокохлеарного месте перехода центрального миелина периферический © ШИМАНСКИЙ В. Н., ШЕВЧЕНКО К. В., ТАНЯШИН С. ШУЛЬГИНА А. А
Surgical treatment of skull base tumors invading the craniovertebral junction is a complex medical problem due to high rate adverse postoperative outcomes in these patients.
The objective was to produce anatomical preparations by injecting vessels with colored silicone study the brain and skull base anatomy.Fresh, undissected, unfixed cadavers were used. internal carotid arteries jugular veins identified on both sides of neck. washed running water. Then, a complex solution consisting white rubber, oil (solvent), coloring pigment (red blue pigments) at ratio 1:(0.9-1.1):(0.04-0.06), respectively, prepared. About 30-60 s before into vessels, catalyst-hardener...
Delayed facial palsy is a complication developing 3 or more days after surgery. The etiology and pathogenesis of this condition has not been fully explored, there are no treatment standards for it. As in the case Bell's paralysis, glucocorticosteroids (GCSs) currently used to treat delayed palsy. However, patients with contraindications GCSs need new therapy modalities.We aimed evaluate efficacy safety botulinum neurosurgical interventions.We examined 33 developed resection vestibular...
Radiation therapy of small vestibular schwannomas is quite often used as an effective alternative to surgical treatment. At the same time, 2-10% patients are detected with radioresistant tumors progressing varying degrees, which associated continued tumor growth. In these cases, a decision on resection or re-irradiation made depending neurological symptoms, patient's somatic status, and neuroimaging data. Surgical outcomes intraoperative findings in pre-irradiated have been poorly...
The objective of the study was to develop tactics surgical treatment large and giant pituitary adenomas, spreading into posterior cranial fossa.Patients with hormonally inactive adenoma, extending right cavernous sinus fossa.The endoscopic endonasal removal a endo-supra-latero(D)-retrosellar tumor conducted. Control MRI shows that removed radically. Oculomotor disturbances were observed in early postoperative period, which significantly regressed within 6 months. article provides detailed...
to describe the main topographic and anatomical features of clival region its adjacent structures for improvement optimization extended endoscopic endonasal posterior (transclival) approach resection tumors ventral cranial fossa.We performed a craniometric study 125 human skulls heads 25 cadavers, arterial venous bed which was stained with colored silicone (the staining technique developed by authors) visualize individual variability. Currently, we have clinical material from more than 120...
Trigeminal neuralgia occurs in 1-7% patients with multiple sclerosis (MS). We assessed the efficacy of microvascular decompression trigeminal nerve MS patients.We studied who underwent nerve. Results and сonclusion. The superior cerebellar artery was compressed 5 patients, vein 1. At follow up 3-5 years, no relapses pain syndrome were observed after successful surgery. There complications surgical treatment. Indications to this treatment should be made on basis MRI.Цель исследования. Боли в...
Various suboccipital approaches are extensively used in modern neurosurgery for treatment of posterior cranial fossa disease. The main patient's positions on the operating table during surgery half-sitting and lying ones.The article provides a detailed description methodology retrosigmoid median position.The position, when correctly, provide good view field with minimal risk complications associated position table.Различные субокципитальные доступы активно используются в современной...
The possibility of developing extraventricular CSF pathways obstruction was demonstrated in the mid-20th century. development neuroimaging (mainly MRI) and endoscopic techniques made it possible to plan perform minimally invasive surgeries a narrow anatomical corridor achieve regression neurological symptoms. Purpose study: determine effectiveness surgery for hydrocephalus due idiopathic obstruction. Materials methods. Sixty-five patients with signs underwent examination surgical treatment...
BACKGROUND: A validated tool for assessing the quality of life specific to a particular disease has not yet been developed. Previous studies only partially investigated patients with craniovertebral junction meningiomas and did include entire spectrum functional disorders in this disease. AIM: To develop validate questionnaire assess meningiomas. MATERIALS AND METHODS: retrospective prospective study 119 was conducted before after surgical combined (surgical removal tumor followed by...
An auditory nerve neurinoma is a benign tumor that usually occurs in the inner canal Obersteiner — Redlich zone of upper vestibular between oligodendrocytes and Schwann cells located 8–10 mm from pial membrane lateral surface bridge. The incidence 1 case per 100,000 population year. 90 % infratentorial tumors adults are neurinomas nerve. article provides data on clinical picture, differential diagnosis prevalence this disease.
Treatment of clival meningiomas is still one the unresolved issues in modern neurosurgery. There are several treatment strategies. These ones include various combinations follow-up, surgical CSF drainage, tumor resection and radiotherapy.To assess postoperative outcomes patients with meningiomas.We analyzed 18 large or giant assessed extent using scale by G. Frank E. Pasquini (2002): total - 95-100%, subtotal 80-95%, partial 50-80%, extended biopsy <50% tumor. Total was achieved 1 patient...
The term "idiopathic hydrocephalus" in adults is a broader concept that includes larger spectrum of patients compared to normotensive hydrocephalus". It both young and elderly with various forms the disease, levels obstruction. Th ere no general classification approach treat such pathology. Endoscopic triventriculostomy idiopathic aqueductal stenosis cerebrospinal fluid shunting after positive test (tap test) evacuation hydrocephalus are proved be effective. In other pathway obstruction,...
СРАВНЕНИЕ РЕЗУЛЬТАТОВ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ПАЦИЕНТОВ С НЕВРИНОМАМИ СЛУХОВОГО НЕРВА, ОПЕРИРОВАННЫХ В ПОЛОЖЕНИИ НА ОПЕРАЦИОННОМ СТОЛЕ «ЛЕЖА» И «СИДЯ» В. Н. Шиманский 1 , К. Шевченко Д