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

{"title":"[Phenomenon of subdural accumulations in children with arachnoid cysts of the Sylvian fissure].","authors":"K B Matuev, S K Gorelyshev, E A Khukhlaeva","doi":"10.17116/neiro20258905196","DOIUrl":"https://doi.org/10.17116/neiro20258905196","url":null,"abstract":"<p><p>One of the complications of arachnoid cysts of the Sylvian fissure is subdural accumulations including hygromas or hematomas. The last ones follow spontaneous or traumatic cyst rupture. Subdural accumulations can occur after surgical treatment (cystocisternostomy).</p><p><strong>Objective: </strong>To describe subdural accumulations in 2 children with arachnoid cysts of the Sylvian fissure; to review literature data on genesis of this phenomenon, prevention and treatment.</p><p><strong>Material and methods: </strong>Two children with arachnoid cysts of the Sylvian fissure and subdural accumulations are presented. In the first case, subdural accumulations arose as a result of primary spontaneous cyst rupture, in the second case - after endoscopic cystocisternostomy.</p><p><strong>Results: </strong>The first child had spontaneous arachnoid cyst rupture Galassi type 2 with subsequent chronic subdural left-sided hematoma in the frontal-temporal-parietal region. Symptoms regressed after microsurgical subdural cystocisternostomy. Follow-up MRI after discharge revealed no subdural accumulations and brain dislocation. The second child had arachnoid cyst of the left Sylvian fissure Galassi type 3. After endoscopic cystocisternostomy, MRI in the first year revealed clinically insignificant subdural accumulations recognized as chronic subdural hygroma, after another year - as chronic hematoma. MRI after 3 years demonstrated complete regression of subdural accumulations.</p><p><strong>Conclusion: </strong>Microsurgery with creation of communication between subdural cavity, cyst and basal cisterns is preferable for spontaneous rupture of arachnoid cysts of the Sylvian fissure and tense subdural accumulations in children. Isolated drainage of subdural accumulations may be sufficient in some cases. Clinically not significant subdural CSF collections after endoscopic fenestration of Sylvian fissure arachnoid cysts in children are often and do not require surgical correction in the majority of cases.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 5","pages":"96-102"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303701","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}

{"title":"[Surgical treatment of drug-resistant epilepsy].","authors":"A A Zuev, N V Pedyash, N P Utyashev, N O Ivin, A A Utyasheva, E A Gordeeva","doi":"10.17116/neiro20258905128","DOIUrl":"https://doi.org/10.17116/neiro20258905128","url":null,"abstract":"<p><strong>Background: </strong>Surgical treatment is possible for drug-resistant epilepsy. Localization of epileptogenic zone in temporal lobe or outside it influences the effectiveness of surgical treatment.</p><p><strong>Objective: </strong>To evaluate the effectiveness of surgical treatment of drug-resistant epilepsy.</p><p><strong>Material and methods: </strong>Postoperative outcomes were analyzed in patients with drug-resistant epilepsy between 2016 and 2022.</p><p><strong>Results: </strong>There were 346 resections and 66 palliative surgeries. Effectiveness of resections (Engel I outcome) was 79% for temporal epilepsy and 62% for extratemporal epilepsy.</p><p><strong>Conclusion: </strong>Our data on effectiveness of surgical treatment are consistent with data of other studies.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 5","pages":"28-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303712","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}

{"title":"[C-Mill sensory treadmill in the treatment of idiopathic normotensive hydrocephalus].","authors":"S A Abytov, G V Gavrilov, T A Skoromets, A V Stanishevskiy, V Yu Cherebillo, D V Svistov","doi":"10.17116/neiro20258901175","DOIUrl":"10.17116/neiro20258901175","url":null,"abstract":"<p><p>The authors studied motor disorders in idiopathic normotensive hydrocephalus (iNPH, Hakim-Adams syndrome) using C-Mill treadmill.</p><p><strong>Objective: </strong>To present the first experience of C-Mill in assessing the motor function in patients with iNPH.</p><p><strong>Material and methods: </strong>The study is carried out at the Pavlov State Medical University and Hospital for War Veterans. To date, we enrolled 10 patients with iNPH and examined these ones using a unique multifunctional tool C-Mill before surgery, after tap test and after cerebrospinal fluid bypass surgery.</p><p><strong>Results: </strong>In all cases, we obtained positive postoperative results with improvement of motor function.</p><p><strong>Conclusion: </strong>C-Mill is a special treadmill with built-in tools designed to analyze human gait and balance, as well as for rehabilitation to improve gait and balance disorders in virtual reality. C-Mill sensory treadmill is valuable to assess motor disorders in patients with iNPH before surgery, improve the diagnostic process when selecting patients for surgery using invasive diagnostic methods and significantly improve the accuracy of postoperative evaluating the effectiveness of surgical treatment by quantifying the regression of motor disorders.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 1","pages":"75-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190657","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}

{"title":"[Influence of local anesthesia methods on the results of radiofrequency facet denervation].","authors":"P G Mytyga, Sh Sh Magomedov","doi":"10.17116/neiro20258902157","DOIUrl":"10.17116/neiro20258902157","url":null,"abstract":"<p><strong>Background: </strong>One of the elements of lower back pain is facet syndrome. Radiofrequency facet denervation is an effective minimally invasive method for this pain. There is no consensus regarding local anesthesia method for this manipulation. Researchers believe that introduction of anesthetic before denervation leads to needle displacement and deterioration of effect.</p><p><strong>Objective: </strong>To evaluate the influence of local anesthesia methods on the results of radiofrequency facet denervation.</p><p><strong>Material and methods: </strong>A single-center retrospective study included adults with typical pain syndrome who underwent radiofrequency facet denervation L3-S1 between 2022 and 2024. Patients were divided into three groups depending on anesthesia. In the control group («K»), patients did not receive injection of anesthetic in ablation area. In the main groups, patients received injection of anesthetic before (group «A») and after (group «B») denervation. Intensity of pain syndrome during denervation and 24 hours later was assessed using the VAS scale. After 6 months, effectiveness of the procedure was assessed using the SF-36 and ODI.</p><p><strong>Results and discussion: </strong>The study involved 351 people. Of these, 131 ones were excluded for various reasons. Patients were divided into groups: control - 67, group «A» - 87, group «B» - 66 people. Six months after denervation, all patients demonstrate significant reduction in pain syndrome and QoL improvement without significant between-group differences. Pain syndrome during denervation and on the first day after surgery was significantly lower in the group «A».</p><p><strong>Conclusion: </strong>Injection of anesthetic before denervation does not affect the result, while this approach significantly reduces pain syndrome during intervention.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 2","pages":"57-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781281","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}

{"title":"[Endoscopic interventions for gunshot craniocerebral injuries].","authors":"M N Kravtsov, A E Chistyakov, M A Legzdain, D V Svistov","doi":"10.17116/neiro20258903148","DOIUrl":"10.17116/neiro20258903148","url":null,"abstract":"<p><p>Full-endoscopic (neuroendoscopic) removal of foreign bodies from the cranial cavity is a relatively new technique with limited information available in the literature. Compared to open surgeries, this minimally invasive approach is associated with less impact on the surrounding brain tissues and fewer complications. The safety of such procedures is enhanced by the use of CT navigation. This article describes the surgical technique of endoscopic removal of metallic fragments in combat-related gunshot cranial injuries, based on five clinical cases, and presents the results of a systematic literature review.</p><p><strong>Objective: </strong>To evaluate the capabilities and effectiveness of fully endoscopic surgery in combat-related gunshot cranial injuries and to compare the obtained results with the data available in the global literature.</p><p><strong>Material and methods: </strong>In the neurosurgery clinic of the Military Medical Academy named after S.M. Kirov, from March 2023 to June 2024, 5 patients with shrapnel wounds to the head underwent removal of foreign bodies using endoscopic techniques. The databases of scientific publications PubMed, Google Scholar, and eLibrary searched for publications in accordance with the rules of systematic review, and 12 articles were found that fully meet the search criteria.</p><p><strong>Results: </strong>All 5 patients were successfully operated using endoscopic techniques. Endoscopic rehabilitation of a gunshot wound is an optional minimally invasive neurosurgical procedure and can be effectively applied in a specialized hospital to remove foreign bodies localized deep in the brain, ventricles, and base of the skull, with a high risk of their removal during primary surgical treatment or its non-radical implementation.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 3","pages":"48-59"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188151","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}

{"title":"[Prolactin-secreting pituitary carcinomas with intra- and extracranial metastasis: case report and review].","authors":"L I Astafieva, I V Chernov, G L Kobyakov, Yu Yu Trunin, L V Shishkina, A N Shkarubo, D V Fomichev, Yu G Sidneva, G R Vagapova, P L Kalinin","doi":"10.17116/neiro20258901183","DOIUrl":"10.17116/neiro20258901183","url":null,"abstract":"<p><p>According to the modern WHO classification, pituitary carcinomas (or metastatic neuroendocrine pituitary tumors) are pituitary tumors with confirmed craniospinal and/or distant metastases. The main goal of histological analysis of pituitary carcinomas is to confirm pituitary origin of metastases. Treatment usually includes surgery and radiotherapy, dopamine agonists in maximum possible doses in case of prolactin-secreting pituitary carcinomas and chemotherapy with preferable temozolomide.</p><p><strong>Objective: </strong>To present the results of diagnosis and treatment of two patients with prolactin-secreting pituitary carcinomas.</p><p><strong>Material and methods: </strong>The authors describe 2 patients with prolactin-secreting pituitary carcinomas arising from drug-resistant aggressive prolactinomas with histologically confirmed metastases. In both cases, combined treatment included surgery, radio- and chemotherapy (cabergoline and temozolomide).</p><p><strong>Results: </strong>A 47-year-old patient underwent surgery, radio- and dopamine agonist therapy with subsequent regression of tumor growth in the follow-up period. However, progressive increase in prolactin concentration necessitated PET/CT with detection of multiple metastases in bones and lymph nodes. Temozolomide therapy led to temporary shrinkage of metastatic foci with subsequent progression. The second case was characterized by multiple brain and spinal cord metastases in a 47-year-old woman. Resection of intracranial metastasis and temozolomide therapy stabilized the disease and normalized serum prolactin throughout 2-year follow-up with subsequent progression.</p><p><strong>Conclusion: </strong>Pituitary carcinoma is a rare tumor with unfavorable prognosis. Treatment is currently not standardized and determined by available world experience regarding various chemotherapeutic drugs. Temozolomide is the most effective drug. However, short-term remission is usually followed by subsequent disease progression in most cases.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 1","pages":"83-93"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190780","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}

{"title":"[Surgical treatment of epilepsy associated with tuberous sclerosis in children: a single-center retrospective study].","authors":"F B Berdinov, A V Levov, V B Solovev, A A Kuznetsova, M Yu Dorofeeva, A N Kislyakov, V N Umerenkov, M I Livshits, G E Chmutin","doi":"10.17116/neiro20258903117","DOIUrl":"https://doi.org/10.17116/neiro20258903117","url":null,"abstract":"<p><strong>Background: </strong>The most common symptom of CNS damage in tuberous sclerosis is epilepsy. The last one is drug-resistant in most cases. Surgical treatment should be considered in these patients.</p><p><strong>Objective: </strong>To analyze the results of surgical treatment of drug-resistant epilepsy in children with tuberous sclerosis, to identify predictors of successful treatment.</p><p><strong>Material and methods: </strong>A retrospective study included 45 children between 2017 and 2023. In addition to standard non-invasive procedures, preoperative management included stereo-EEG in 19 cases, subdural EEG in 2 cases and staged subdural and stereo-EEG in 1 case. Selective tuberectomy was performed in 15 patients, tuberectomy (+) - in 16 children, lobectomy - in 6, multilobar resection - in 4, posterior quadrant disconnection - in 2, hemisphrotomy - in 2, repeated surgeries - in 6 children.</p><p><strong>Results: </strong>The median follow-up was 27 months. Postoperative outcomes ILAE grade I, IV, V and VI were observed in 62%, 25%, 11% and 2% of cases, respectively. Antiepileptic therapy was discontinued in 4.4% of cases. In 22.2% of patients, doses of drugs were reduced. Epileptogenic zone in frontal lobe favorably affected postoperative outcome (<i>p</i>=0.027). Transient hemiparesis occurred in 5 (11.1%) cases, persistent expected hemiparesis - in 1 (2.2%) case.</p><p><strong>Conclusion: </strong>Surgical treatment is effective for epilepsy in children with tuberous sclerosis. It is advisable to refer children with epilepsy and tuberous sclerosis to specialized centers for preoperative examination if therapy with two drugs is ineffective.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 3","pages":"17-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188174","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}

{"title":"[Anatomical variants of papillary craniopharyngiomas: analysis of surgical series].","authors":"V V Ivanov, A N Konovalov, L V Shishkina, D V Fomichev, A N Shkarubo, M A Kutin, P L Kalinin","doi":"10.17116/neiro20258904118","DOIUrl":"https://doi.org/10.17116/neiro20258904118","url":null,"abstract":"<p><strong>Background: </strong>Craniopharyngiomas are benign tumors of the chiasmal-sellar region of adults and children, prone to local invasion and recurrence. There are two morphological types of craniopharyngiomas - adamantinomatous (in children and adults) and papillary (PCPs) (mainly in adults). PCPs are a rarer type (15-20%). In the literature of recent years devoted to PCPs, two main variants of these tumors are distinguished: 1) solid intraventricular (III ventricle) and 2) monocystic with a small tumor component located outside III ventricle.</p><p><strong>Objective: </strong>To investigate the pathogenesis of PCPs and clarify the causes of formation of different anatomical tumor variants.</p><p><strong>Material and methods: </strong>The study included 34 adult patients with PCPs, among them 21 - women and 13 - men, who had undergone primary surgical treatment in the NMRC for Neurosurgery named after Academician N.N. Burdenko from 2017 to 2024. The inclusion criterion was the presence of suprasellar, extra-intraventricular and strictly ventricular localization according to the brain MRI data. Tumor resection was performed using microsurgical (12) and endoscopic transsphenoidal access (22). In all cases, intraoperative sampling of histological material was carried out, including both a solid part of the tumor and a tumor cyst capsule. «Papillary craniopharyngioma» diagnosis in all cases was histologically confirmed.</p><p><strong>Results: </strong>Two main forms of PCP have been identified - solid intraventricular PCP (III ventricle) (24%) and PCP with pronounced monocystic component (76%). Cystic PCPs of two variants - suprasellar extraventricular (cisternal) cystic PCPs and cystic PCPs, displacing the III ventricle's floor and spreading into its cavity.</p><p><strong>Conclusion: </strong>The existence of two main forms of PCPs - solid intraventricular and predominantly cystic is determined by the initial tumor growth site relative to the pia mater. The cause for formation of cystic forms of PCPs is their location under the pia mater, which participates in the cystic wall formation.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 4","pages":"18-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971770","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}

{"title":"[Neurovascular compression syndrome in the upper thoracic aperture region: diagnosis and surgical treatment].","authors":"I I Tsuladze, O N Dreval, R K Magomedov, D Yu Usachev, D V Vakatov, Yu V Sidorova","doi":"10.17116/neiro20258904177","DOIUrl":"https://doi.org/10.17116/neiro20258904177","url":null,"abstract":"<p><p>Neurovascular compression syndrome (NVCS) in the region of the upper thoracic aperture (UTA) occurs due to significant compression of the vascular-nervous bundle (VNB) in narrow anatomical spaces, which are represented by an interscalene space, costoclavicular space and area under the pectoralis minor tendon. Based on the data of traditional clinical and instrumental research methods, it is not always possible to accurately determine the nature and level of damage to the vascular-nervous bundle (VNB), that is often caused by variability of anatomical organization of the peripheral nervous system.</p><p><strong>Objective: </strong>To identify and describe the specific clinical features of NVCS in the region of UTA and propose an informative instrumental method of diagnosis for development of the optimal surgical treatment algorithm.</p><p><strong>Material and methods: </strong>The study included 130 patients with signs of compression of vascular-nervous structures in the region of UTA: 83 (63.8%) women and 47 (36.2%) men. Age of patients ranged from 18 to 75 years (mean age was 44.59±12.48 years). The study algorithm included evaluation of clinical and instrumental research methods. All patients underwent MSCT angiography of UTA structures for determination of the surgical treatment tactics. A total of 110 patients were operated, and 121 surgical interventions were performed using three types of surgical access.</p><p><strong>Results: </strong>The main neurological symptom was a pronounced pain syndrome, which covered the entire shoulder girdle, cervico-occipital region with distribution along the anterior surface of the chest and interscapular region with radiation to the upper limb. Pain syndrome had a diffuse and constant nature, changing the intensity depending on the position of the body and physical loads. Specific trigger points were also identified. Clinical signs of circulatory disorders have been observed in the area of subclavian artery (<i>n</i>=54), subclavian vein (<i>n</i>=31) and vertebral artery (<i>n</i>=43). In 90 patients with MSCT angiography, 110 X-ray macro features of compression (bone, muscular, fibrous and vascular abnormalities) were identified.</p><p><strong>Conclusion: </strong>Evaluation of specific clinical symptoms of VNB compression and use of data from MSCT angiography of structures of UTA and BCA allow to determine the level and nature of damage to the vascular-nervous complex and choose the optimal surgical treatment method.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 4","pages":"77-86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972041","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}

{"title":"[Comparison of minimally invasive and traditional surgical treatment of extramedullary tumors of the craniovertebral junction].","authors":"S V Kaprovoy, N A Konovalov, R A Onoprienko, Yu V Strunina, N D Shmelev","doi":"10.17116/neiro20258905164","DOIUrl":"https://doi.org/10.17116/neiro20258905164","url":null,"abstract":"<p><strong>Objective: </strong>To compare minimally invasive and traditional surgical treatment of extramedullary tumors of the craniovertebral junction (CVJ).</p><p><strong>Material and methods: </strong>The study included patients who underwent microsurgical resection of extramedullary tumors of the craniovertebral junction. Clinical and surgical parameters reflecting the effectiveness and safety of surgical methods used were analyzed.</p><p><strong>Results: </strong>The study included 61 patients (minimally invasive approaches (MISS) - 29 patients, traditional approaches (OPEN) - 32 patients). Total resection of tumor was achieved in most patients with high safety according to intraoperative and postoperative parameters. In two cases, redo surgery was required due to wound cerebrospinal fluid leakage and large CSF cyst in soft tissues. Mean hospital-stay was 7 days. VAS score of pain syndrome within surgical site at discharge averaged 2 points. Three months after surgery, pain syndrome was almost absent in all patients. There were no significant differences in parameters of neurophysiological monitoring (<i>p</i>=0.758).</p><p><strong>Conclusion: </strong>Undoubtedly, further searching and improvement of minimally invasive surgical approaches with subsequent study of their effectiveness and safety are necessary in randomized clinical trials.</p>","PeriodicalId":24032,"journal":{"name":"Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko","volume":"89 5","pages":"64-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303525","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}