Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko最新文献

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[Complexity index of microsurgical treatment of unruptured cerebral aneurysms]. [未破裂脑动脉瘤显微外科治疗复杂性指数]。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro20258903128
F V Grebenev, Sh Sh Eliava, An N Konovalov, G V Danilov, Yu V Pilipenko, A S Kheyreddin, O B Belousova, D N Okishev, D E Semenov, G Sh Mamedbekova, Yu V Koledova
{"title":"[Complexity index of microsurgical treatment of unruptured cerebral aneurysms].","authors":"F V Grebenev, Sh Sh Eliava, An N Konovalov, G V Danilov, Yu V Pilipenko, A S Kheyreddin, O B Belousova, D N Okishev, D E Semenov, G Sh Mamedbekova, Yu V Koledova","doi":"10.17116/neiro20258903128","DOIUrl":"https://doi.org/10.17116/neiro20258903128","url":null,"abstract":"<p><p>Background. Although the concepts of «complex aneurysm» and «technically complex aneurysm» are widely used at present, there is no generally accepted definition. Moreover, the criteria are often subjective. Depending on the parameters included, complex aneurysms comprise 5-9.7% of all patients with cerebral aneurysms [1, 2]. Complex aneurysms have higher risk of complications, whose accurate assessment is difficult. In case of unruptured aneurysms, analysis of this risk is of particular importance.</p><p><strong>Objective: </strong>To develop the microsurgical complexity index in the treatment of unruptured aneurysms for objective assessment of complexity of microsurgical treatment and prediction of complications.</p><p><strong>Material and methods: </strong>The study included 850 patients with a single unruptured aneurysm who underwent microsurgical treatment. Postoperative outcomes and incidence of various complications were analyzed depending on anatomical and morphological characteristics of aneurysm.</p><p><strong>Results: </strong>We developed the microsurgical complexity index for the treatment of unruptured aneurysms and appropriate web application (www.isam.rf). Patients with severe neurological disorders at discharge comprised 2.5%, and mortality rate was 0.47%. New neurological deficit after surgery occurred in 9.3% of cases. Moderate and severe in-hospital complications occurred in 8.6% of cases. Non-radical exclusion of aneurysm was observed in 4.1% of cases. In case of complexity index «0», the incidence of various complications was lower compared to the group as a whole by 1.8-5.7%, index «1» - by 0.1-2.7%, index «2». The incidence of in-hospital complications Clavien-Dindo grade III-V was lower by 0.3%. The incidence of functional status mRS score 4-6 did not differ from the group as a whole, and the incidence of other complications was higher by 0.9-3.6%. In case of complexity index «3», the incidence of all complications was higher by 0.6-12.8%, index «4» - by 10.8-22.6%, index «5-6» - by 3.9-22.7%.</p><p><strong>Conclusion: </strong>Original index may be valuable for more objective assessment of the risks of microsurgical treatment of aneurysms depending on anatomical and morphological characteristics and stratification of aneurysms according to their complexity. Aneurysms with index ≥3 may be classified as a group of complex aneurysms.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 3","pages":"28-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188150","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}
引用次数: 0
[Intraoperative neurophysiological monitoring in surgery for spinal intramedullary tumors]. [术中神经生理监测在脊柱髓内肿瘤手术中的应用]。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro202589031108
M O Kudymets, N A Konovalov, S V Kaprovoy, R A Onoprienko, A B Kozlova, Yu M Poluektov, N I Bychkovskii
{"title":"[Intraoperative neurophysiological monitoring in surgery for spinal intramedullary tumors].","authors":"M O Kudymets, N A Konovalov, S V Kaprovoy, R A Onoprienko, A B Kozlova, Yu M Poluektov, N I Bychkovskii","doi":"10.17116/neiro202589031108","DOIUrl":"https://doi.org/10.17116/neiro202589031108","url":null,"abstract":"<p><p>Despite modern advances in neurosurgery, treatment of intramedullary spinal cord tumors is still associated with postoperative neurological impairment and high incidence of adverse outcomes. Intraoperative neurophysiological monitoring allows real-time functional assessment of spinal cord conduction pathways and accurate tumor resection. Currently, concomitant monitoring of somatosensory and motor evoked potentials, as well as D-wave is the most common. This excludes damage to both sensory and motor pathways. In modern literature, there are some differences in methods of intraoperative neurophysiological monitoring, such as sensitivity and specificity of the method, criteria of «alarm» during surgical treatment of intramedullary tumors and correlation of neurophysiological monitoring parameters with postoperative neurological status of patients.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 3","pages":"108-113"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188153","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}
引用次数: 0
[Perioperative complications in surgery for craniosynostosis in children: a systematic review and meta-analysis]. [儿童颅缝闭锁手术围手术期并发症:系统回顾和荟萃分析]。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro202589031114
B A Bashiryan, L A Satanin, O A Gadzhieva, G V Danilov, Yu V Strunina, I K Kokaeva, V A Tere
{"title":"[Perioperative complications in surgery for craniosynostosis in children: a systematic review and meta-analysis].","authors":"B A Bashiryan, L A Satanin, O A Gadzhieva, G V Danilov, Yu V Strunina, I K Kokaeva, V A Tere","doi":"10.17116/neiro202589031114","DOIUrl":"10.17116/neiro202589031114","url":null,"abstract":"<p><strong>Objective: </strong>To study the structure, incidence and risk factors of perioperative complications in children with craniosynostosis (CS).</p><p><strong>Material and methods: </strong>A systematic searching of data was performed for analysis of perioperative complications and adverse events following surgical correction of CS in patients younger 24 months.</p><p><strong>Results. a: </strong>Systematic review included 33 manuscripts. The overall incidence of complications and adverse events was 9.8%. In patients after endoscopic surgeries, this rate was 7.2%, whereas open reconstructive surgeries were followed by 13.5% morbidity.</p><p><strong>Conclusion: </strong>The most common surgical complications in pediatric craniosynostosis surgery were intraoperative blood loss requiring transfusion (35.7%), dural tears (3.8%), cerebrospinal fluid leaks (0.7%), hematomas (1.6%), and surgical site infections (1.6%). Non-surgical complications included non-surgical infections (1.1%), respiratory (1.2%) and neurological disturbances (0.5%). Fever (3.4%) is an undesirable phenomenon and can aggravate postoperative period after surgery for CS.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 3","pages":"114-121"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188156","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}
引用次数: 0
[Dynamics of permeability of the blood-brain barrier after FUS thalamotomy according to contrast-enhanced MRI]. [对比增强MRI显示FUS丘脑切除术后血脑屏障通透性的动态变化]。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro20258904151
M B Dolgushin, K A Prischepina, M Yu Martynov, I S Gumin, E A Katunina, I V Senko, R T Tairova, A V Dvoryanchikov
{"title":"[Dynamics of permeability of the blood-brain barrier after FUS thalamotomy according to contrast-enhanced MRI].","authors":"M B Dolgushin, K A Prischepina, M Yu Martynov, I S Gumin, E A Katunina, I V Senko, R T Tairova, A V Dvoryanchikov","doi":"10.17116/neiro20258904151","DOIUrl":"https://doi.org/10.17116/neiro20258904151","url":null,"abstract":"<p><strong>Objective: </strong>To study the dynamics of permeability of the blood-brain barrier (BBB) after focused ultrasound (FUS) thalamotomy in patients with tremor of different origin through visualization phenomena, assessment of the tendency of contrast accumulation level change at MRI in coagulation necrosis focus over different time intervals.</p><p><strong>Material and methods: </strong>The study included 10 patients (8 - with Parkinson's disease, 2 - with essential tremor). MRI of the brain was performed before the procedure, MRI of the brain with contrast enhancement («Gadobutrol») was carried out after 2 and 24 hours, 1, 3, 6 and 12 months from FUS thalamotomy. The volume and nature of contrast accumulation in the impact area were evaluated.</p><p><strong>Results: </strong>Observations show that the performance of FUS thalamotomy leads to a temporary impairment of the BBB permeability. This is confirmed by the data of dynamic accumulation of contrast substance in MRI in the area of coagulation necrosis.</p><p><strong>Conclusion: </strong>The analysis of the dynamic changes of volume and patterns of accumulation of contrast substance in MRI in the area of coagulation necrosis after FUS thalamotomy was performed during the study. The obtained data demonstrate almost complete absence of contrast enhancement 24 hours after intervention, that may indicate a partial restoration of the structural-functional integrity of BBB after its transient disruption in the early postoperative period.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 4","pages":"51-60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971907","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}
引用次数: 0
[Complications of gunshot wounds and blunt injuries of the spine and spinal cord in early period]. [早期枪弹伤和脊柱脊髓钝性损伤的并发症]。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro20258904130
A V Esipov, G I Antonov, V A Manukovsky, I I Ivanov, S Yu Timonin, A O Kelin, Yu V Strunina
{"title":"[Complications of gunshot wounds and blunt injuries of the spine and spinal cord in early period].","authors":"A V Esipov, G I Antonov, V A Manukovsky, I I Ivanov, S Yu Timonin, A O Kelin, Yu V Strunina","doi":"10.17116/neiro20258904130","DOIUrl":"https://doi.org/10.17116/neiro20258904130","url":null,"abstract":"<p><p>Combat injuries to the spine and spinal cord refer to rare, but some of the most severe. Currently, there is a need to improve the treatment and rehabilitation of patients with injuries to the spine and spinal cord. However, the complicated course of the wound infection can become a critical factor influencing the treatment outcome.</p><p><strong>Objective: </strong>To analyze the structure of complications in the early period and determine the factors that have the greatest influence on the incidence of their development in gunshot wounds and closed injuries to the spine and spinal cord under modern conditions.</p><p><strong>Material and methods: </strong>The work analyzed the results of a prospective examination and treatment of 300 injured subjects, who received medical care at various stages of medical evacuation. A total of 65.6% of the injured had gunshot wounds, 34.4% - closed injuries to the spine. Mine blast injuries were the most common - 88%, and missile wounds - 12%. Age of the patients ranged from 18 to 59 years, median age was 34. Most observed patients (79.6%) had combined injuries.</p><p><strong>Results: </strong>The incidence of surgical complications during the treatment in the Vishnevsky Central Military Clinical Hospital in the group of gunshot wounds amounted to 28%, in closed injuries - 7.8%, complications of the wound infection 42.4% and 17.6%, respectively. Liquorrhea has been observed only in the group with gunshot wounds in 5.2% of cases. The instability of surgical hardware has not been recorded in any case. The highest incidence of purulent-septic complications was recorded in the group with gunshot wounds and amounted to 26%, and in the group with closed injuries - 9%. Purulent meningitis has been developed in 3% of patients, all of them had gunshot wounds to the spine. Postoperative wound pyogenesis has been noted in 2.7%. Overall mortality was 6%.</p><p><strong>Conclusion: </strong>The combination of the damage and severe nature of the injury are common for gunshot wounds and closed injury to the spine and spinal cord. The risk of surgical complications (purulent-septic, postoperative liquorrhea) for patients with gunshot wounds is higher. More frequent development of complications of wound disease, namely pulmonary, urological, infectious (pneumonia), is typical. Wound liquorrhea also statistically significantly increases the possibility of surgical complications.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 4","pages":"30-38"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971910","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}
引用次数: 0
[Dynamics of caudal cranial nerves' functions after resection of ventrolateral craniovertebral meningioma: clinical case and literature review]. [颅椎腹外侧脑膜瘤切除术后尾侧脑神经功能的动态变化:临床病例及文献复习]。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro20258904198
V V Stepanenko, K S Gordienko, A V Trashin, V A Shamanin, Yu A Shulev
{"title":"[Dynamics of caudal cranial nerves' functions after resection of ventrolateral craniovertebral meningioma: clinical case and literature review].","authors":"V V Stepanenko, K S Gordienko, A V Trashin, V A Shamanin, Yu A Shulev","doi":"10.17116/neiro20258904198","DOIUrl":"https://doi.org/10.17116/neiro20258904198","url":null,"abstract":"<p><p>Surgery of meningiomas of the craniocervical region is one of the most difficult parts of neurosurgery due to the closeness of the brainstem, caudal group of the cranial nerves (CNs) and vertebral artery. According to the literature, suffering of the caudal group of CNs is between 20 and 55% according to different authors. In their dysfunction, the recovery of CNs is long-term and requires joint efforts by both the medical team and the patient and his family.</p><p><strong>Objective: </strong>To demonstrate the dynamics of the restoration of CNs functions (over 12 years) in patient after resection of the ventrolateral craniocervical meningioma.</p><p><strong>Material and methods: </strong>The article describes a clinical case of patient with ventrolateral meningioma of the craniocervical region. The tumor was resected (Simpson II) from a posterolateral access with transcondylar extension.</p><p><strong>Results: </strong>The dynamics of caudal CNs recovery over 12 years has been traced and presented. In this clinical case, the main restoration of caudal CNs function has been observed during the first 6 months after surgery and remained unchanged thereafter.</p><p><strong>Conclusion: </strong>Based on the literature data and presented clinical observation, it appears that the resection of meningiomas from the lower third of the clivus is predictably associated with a high risk of caudal CNs dysfunction, that should be considered when planning an operation and a postoperative rehabilitation program.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 4","pages":"98-105"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971946","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}
引用次数: 0
[The use of radiosurgery in the treatment of patients with single brain metastasis]. 【放射外科在单发脑转移患者中的应用】。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro2025890216
M Yu Ostapenko, V A Lukshin, D Yu Usachev, A V Golanov, E R Vetlova, G L Kobyakov
{"title":"[The use of radiosurgery in the treatment of patients with single brain metastasis].","authors":"M Yu Ostapenko, V A Lukshin, D Yu Usachev, A V Golanov, E R Vetlova, G L Kobyakov","doi":"10.17116/neiro2025890216","DOIUrl":"10.17116/neiro2025890216","url":null,"abstract":"<p><p>Brain metastases occur in approximately 20% of all cancer patients. Stereotactic radiosurgery alone and in combination with surgical resection is one of the approaches to treating patients with brain metastases.</p><p><strong>Objective: </strong>To evaluate the effectiveness of stereotactic radiosurgery regarding local control, overall survival and complications; to compare stereotactic radiosurgery alone and preoperative stereotactic radiotherapy.</p><p><strong>Material and methods: </strong>A retrospective study included 85 patients with single brain metastasis. The first group comprised 45 patients who underwent stereotactic radiosurgery, while the second group included 40 patients who underwent preoperative stereotactic radiotherapy and subsequent surgical treatment. Mean age was 59 and 56 years (<i>p</i>=0.2), radiation volume - 4.4 and 15.9 cm³, respectively (<i>p</i><0.05).</p><p><strong>Results: </strong>Local growth control after preoperative stereotactic radiotherapy followed by resection was 100%, 97.5%, and 87.5% after 3, 6, and 12 months, respectively. After stereotactic radiotherapy alone, these values were 100%, 95.6% and 88.9%, respectively (<i>p</i>=0.4). One-year survival was 87.5% after preoperative radiotherapy and 64.4% after stereotactic radiosurgery alone (<i>p</i><0.05). Among 85 patients, 16 (18.8%) ones had long-term surgical and post-radiation complications.</p><p><strong>Conclusion: </strong>Stereotactic radiotherapy alone is effective. However, there are limitations in tumor size (up to 2.5 cm) and volume (9.5 cm³). Preoperative stereotactic radiotherapy followed by surgical resection is advisable for larger tumors (up to 4.5 cm and 18.9 cm³) with high rates of overall survival and local growth control.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 2","pages":"6-13"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781232","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}
引用次数: 0
[High-grade astrocytoma with piloid features: case report and systematic review]. 【具有核样特征的高级别星形细胞瘤:病例报告及系统回顾】。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro20258902183
Yu M Poluektov, N A Konovalov, M V Ryzhova, N I Bychkovskii, N V Lasunin, B A Zakirov, D S Kim
{"title":"[High-grade astrocytoma with piloid features: case report and systematic review].","authors":"Yu M Poluektov, N A Konovalov, M V Ryzhova, N I Bychkovskii, N V Lasunin, B A Zakirov, D S Kim","doi":"10.17116/neiro20258902183","DOIUrl":"10.17116/neiro20258902183","url":null,"abstract":"<p><p>In 2021, a new type of tumor was defined according to the new WHO classification (high-grade astrocytoma with piloid features<b>,</b> HGAP). Morphological and neuroimaging differences of HGAP from pilocytic astrocytoma complicate diagnosis. Now, significant detection of this tumor is possible only using molecular genetic testing, in particular, methylation profile analysis.</p><p><strong>Objective: </strong>To present a patient with HGAP and perform a systematic review of studies devoted to adults with HGAP regarding clinical course, diagnosis, protocols and treatment outcomes.</p><p><strong>Material and methods: </strong>Selection of studies was carried out in accordance with the PRISMA recommendations. The authors analyzed the studies independently of each other. All data were systematized. A case report was described jointly with attending physicians and pathologists.</p><p><strong>Results and discussion: </strong>HGAP is characterized by rapid progression and resistance to therapy. This case illustrates the importance of awareness of neurosurgeons and necessitates molecular genetic tests to identify this group of tumors.</p><p><strong>Conclusion: </strong>HGAP is a rare and aggressive tumor. Treatment algorithm for such patients has not yet been developed. The world experience of treatment is presented by individual series. Analysis of methylation profile is necessary for patients with atypical course of tumors similar to pilocytic astrocytoma.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 2","pages":"83-91"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781278","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}
引用次数: 0
[Extracranial metastasis of WHO Grade I benign meningioma: a clinical case and literature review]. WHO一级良性脑膜瘤颅内外转移一例临床并文献复习。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro202589041106
A V Gorozhanin, A G Fedyakov, Yu O Potapova, Yu A Kozlova, F O Khanmukhometov, E N Gordienko
{"title":"[Extracranial metastasis of WHO Grade I benign meningioma: a clinical case and literature review].","authors":"A V Gorozhanin, A G Fedyakov, Yu O Potapova, Yu A Kozlova, F O Khanmukhometov, E N Gordienko","doi":"10.17116/neiro202589041106","DOIUrl":"https://doi.org/10.17116/neiro202589041106","url":null,"abstract":"<p><strong>Introduction: </strong>The majority of meningiomas - benign tumors with an extremely low metastasis tendency. Only singular observations of extracranial metastasis of WHO Grade I benign meningiomas are described in the literature. Despite the intensive study of meningiomas' molecular biology, there are currently no reliable markers indicating the possibility of their metastasis.</p><p><strong>Objective: </strong>To describe the clinical case report of a patient with meningothelial meningioma of the wings of the sphenoid bone and extracranial metastasis into the pulmonary parenchyma.</p><p><strong>Material and methods: </strong>Patient with sphenopetroclival meningioma on the left was observed in the clinic. Operations were performed in 2003, 2005 and 2008. In 2009, radiation treatment of the tumor residue in the medial portions of the middle cranial fossa and on the clivus was carried out in a total focal dose of 56.0 Gy. In 2022, multiple lung metastases were detected in presence of a satisfactory condition on CT performed due to suspicion of viral pneumonia.</p><p><strong>Results: </strong>Histological diagnosis of primary tumor and thoracoscopically resected metastase - WHO Grade I meningothelial meningioma, Ki-67 labeling index amounted to 3%. As of May 2025, the patient's well-being is satisfactory, the Karnofsky index - 80, on the ECOG scale - 1. The primary tumor after radiation treatment in 2009 is stable, metastases in the lungs also have not been progressing since detection in 2022 despite the absence of special treatment.</p><p><strong>Conclusion: </strong>The presented clinical observation confirms the possibility of distant metastasis of WHO Grade I meningioma and a relatively favorable course of metastatic disease in this case.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 4","pages":"106-111"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971913","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}
引用次数: 0
[History of the Development of the Department of Neurosurgery of the Russian Medical Academy of Medical Sciences (to the 90th Anniversary of the Department of Neurosurgery)]. 【俄罗斯医学科学院神经外科发展历史(至神经外科成立90周年)】。
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2025-01-01 DOI: 10.17116/neiro202589011116
D Y Usachev, O N Dreval, V A Lazarev, A V Baskov, G G Shaginyan, I I Tsuladze, A V Kuznetsov, V L Puchkov, V A Chekhonatsky, O V Mukhina, K V Lyubimaya
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