Introduction . Classical trigeminal neuralgia is caused by the compression of nerve root and often requires surgical intervention due to maladaptive intense pain syndrome. Both arteries veins are considered compressing vessels, however, role venous in development remains undefined. The aim study was investigate effectiveness microvascular decompression treatment compression, considering use various tactics. Material methods A retrospective analysis outcomes 70 patients who underwent for at...

Multiloculated hydrocephalus remains one of the most challenging neurosurgical problems. In this study, we use frameless navigation during endoscopic interventions to improve efficiency operations.Nine navigated procedures were performed in 8 children with various forms multiloculated from March 2013 June 2014. Preoperatively, optimal entry point for fenestration several cysts was determined on basis magnetic resonance data. During surgery, rigid endoscope registered neuronavigation system...

Improving the accuracy and timeliness of medical imaging in everyday clinical neurosurgery practice is an urgent problem for health care all countries. This will be solved with help artificial intelligence (AI). By performing search contouring "suspicious" pathological objects, making automatic measurements on 3D images (MRI, CT), formalizing quantitative indicators compiling statistical reports, AI can solve diagnostic problems radiology imaging. The effect introducing at least a more...

Extracerebral tumors of posterior fossa often lead to dysfunction the brain stem, however degree stem’s damage is determined most on basis clinical data only. Magnetic Resonance Spectroscopy (MRS) allows study biochemical processes and determine chemical content cerebral tissues noninvasively. Changes in perifocal zone patients with acoustic neuromas subtentorial meningiomas have been studied. Basic metabolite’s level’s analysis N-acetyl-asparatate (NAA), creatine, choline lactate conducted....

Background. In case of ineffective conservative antiepileptic therapy, surgical treatment aimed at removing the epileptogenic focus may be applied. Resection procedures allow to eliminate seizures in most patients, but 20–30% cases they persist or recur, thereby proposing use some neuromodulation. Objective: assess effectiveness neuromodulation patients with drug-resistant epilepsy (DRE) after failed resection interventions. Material and methods. A retrospective data analysis was carried out...

Abstract Patients suffering from chronic pain are known to exhibit distinctive personality traits and impaired neuropsychological performance across various cognitive domains. However, there is currently a lack of comprehensive evidence regarding behavioral functioning patterns in patients with trigeminal neuralgia. In this study, we aimed thoroughly characterize range psychological variables sample 80 34 healthy controls, assess their relationship intensity duration. Our findings revealed...

Trigeminal neuralgia presents significant challenges in neurosurgery, with patients responding variably to Microvascular Decompression (MVD). Advanced neuroimaging techniques, specifically MRI using the Constructive Interference Steady State (CISS) sequence and Diffusion Tensor Imaging (DTI), have emerged as promising tools predicting outcomes of MVD. Aim study was determine predictors successful microvascular decompression surgery classical trigeminal neuralgia. Material methods. This...

Determination of the characteristics personality profile using Big Five model in patients with drug-resistant epilepsy, taking into account duration disease.

To evaluate the efficacy of gasserian ganglion balloon compression in patients with trigeminal neuralgia associated multiple sclerosis (MS).Eight (3 men, 5 women), aged from 46 to 66 years (mean age 55 years), MS underwent surgery. An average duration pain syndrome was 8,4 years. Six had previous surgeries due facial pain. Percutaneous performed all patients. Follow up period 2 24 months.Six (75%) reported 100% relief right after surgery, (25%) a significant decrease (2-3 points on VAS)....

<p><strong>Aim.</strong> The study was to evaluate the advantages and disadvantages of trigeminal neuralgia treatment by Hakanson S. glycerol rhizolysis method. <br /><strong>Methods.</strong> results were retrospectively evaluated in 96 patients with neuralgia, who had been operated at Neurosurgical Department Irkutsk City Hospital over a period from 2009 2016. To prospective follow-up, 53 during – 2014 surveyed phone. comparison our long-term other...

Venous thromboembolic complications (VTE) are an actual problem for all surgical specialties, and neurosurgery was no exception. Data on the incidence of deep vein thrombosis pulmonary embolism vary over a wide range: from 0 to 34 % andfrom 3.8 %, respectively. According some estimates, VTE in second place among causes postoperative mortality neurosurgery, which makes study this topic relevant undoubtedly important improving quality care patients. The article provides overview modern...

Introduction. Patients with brain tumors are at increased risk for the development of venous thromboembolism (VTE). The most effective prevention method today is a combination mechanical compression lower extremities and introduction low molecular weight heparin (LMWH). In 2018, an algorithm VTE was introduced in our clinic, which implies early (in first 48 h after surgery) administration LMWH. study objective to assess effect LMWH on incidence intracranial hemorrhage (ICH) removal tumors....

Early identification of risk groups is essential for effective and target prevention venous thromboembolic events (VTE) in all areas surgery. For this purpose, the authors has developed put into practice an algorithm distinguishing low, moderate high VTE among neurosurgical patients.To assess predictive value elective interventions.The study included 7914 patients who underwent surgery between January 2018 December 2019. According to algorithm, we identified low (1536 (19%) patients), (4554...

<h3></h3> Венозные тромбоэмболические осложнения (ВТЭО) могут существенно осложнить течение послеоперационного периода у пациентов нейрохирургического профиля. Известно, что пациенты с опухолями головного мозга особенно часто подвержены развитию ВТЭО. <h3>ЦЕЛЬ ИССЛЕДОВАНИЯ</h3> Определить частоту и факторы риска развития ВТЭО различными типами опухолей мозга. <h3>МАТЕРИАЛ И МЕТОДЫ</h3> Все пациенты, оперированные по поводу в 2019 г. (610 больных), разделены на следующие группы соответствии...

Trigeminal neuralgia in most cases caused by compression of trigeminal nerve or its branches with vessels. Compression may locate root entry zone (REZ) a distance from it. The aim the study is to compare distances REZ offending vessel on symptomatic side same asymptomatic side. Comparing this showed significantly shorter Thus, it could be concluded that factor has part development neuralgia.

Care of patients with multiple primary tumors, one which is a tumor the CNS, challenge today's neurosurgery. This article considers role neurosurgery to clarify diagnosis, as well its influence on further treatment tactics in tumors. 26 brain tumors combined previously treated malignant diseases other organs were surgically treated. The observation proved need verify morphological structure prescribe subsequent adjuvant therapy despite their cancer anamnesis.

Diffusion-tensor imaging in modern MR units is perspective tool for creation of tracts brain white matter. Most often reason trigeminal neuralgia (TN) vascular compression. Very important part pain pathogenesis played by structural changes, due to demyelination nerve root, caused Studying changes root with DTI could clear influence compression development TN. The aim this study was estimate fractional anisotropy root. Study included 33 patients TN, who underwent microvascular decompression....

High-resolution magnetic resonance imaging (MRI) plays an important part in the diagnostic process of clarification indications for operating and planning operative treatment tactics patients with neurovascular conflict. Due to higher strength field 3 Tl MR units have better signal noise ratio image quality. The aim study is compare quality 1.5 Material Methods. 25 conflict were examined using 3D-CISS images. Delimitation acuity anatomical structures, images two devices compared. During...