neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2023-25-2-130-139neurosurgery-1381Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWВенозная реваскуляризация головного мозга при менингиомахCerebral venous revascularization in meningioma surgeryhttps://orcid.org/0000-0001-8439-2109ОрловЕ. А.OrlovE. A.

Егор Андреевич Орлов

125047 Москва, ул. 4-я Тверская-Ямская, 16

Egor Andreevich Orlov

16 4th Tverskaya-Yamskaya St., Moscow 125047

orlegor@mail.ruhttps://orcid.org/0000-0003-4960-9135ПолунинаН. А.PoluninaN. A.

108814 Москва, ул. Сосенский стан; 8129090 Москва, Б. Сухаревская пл., 3; 117997 Москва, ул. Островитянова, 1

1 Ostrovityanova St., Moscow 117997; 3 Bolshaya Sukharevskaya Sq., Moscow 129090; 8 Sosenskiy Stan St., Moscow 108814

ФГАУ «НМИЦ нейрохирургии им. ак. Н.Н. Бурденко» Минздрава РоссииРоссияNational Medical Research Center for Neurosurgery named after Academician N.N. Burdenko, Ministry of Health of RussiaRussian FederationФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России; ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы»; «Московский многопрофильный клинический центр «Коммунарка» Департамента здравоохранения г. Москвы»РоссияPirogov Russian National Research Medical University, Ministry of Health of Russia; N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; Moscow Multidisciplinary Clinical Center “Kommunarka”, Moscow Healthcare DepartmentRussian Federation202311072023252130139Copyright © Орлов Е.А., Полунина Н.А., 20232023Орлов Е.А., Полунина Н.А.Orlov E.A., Polunina N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1381Введение

Введение. Менингиомы, в большинстве своем доброкачественные опухоли, могут становиться проблемой как при их труднодоступной локализации, так и при поражении ими близлежащих синусов головного мозга. В таком случае перед хирургом встает ряд вопросов, связанных с диагностикой, предоперационным планированием и выбором тактики лечения этих больных. Выбор в пользу реваскуляризации венозного русла не всегда однозначен в силу отсутствия четких показаний и противопоказаний к этому вмешательству. Авторы представляют обзор литературы, освещающий проблему венозной реваскуляризации головного мозга при менингиомах. Цель работы – анализ статей, посвященных теме хирургического лечения менингиом при поражении венозной системы головного мозга.

Заключение

Заключение. По результатам работы представлен критический анализ приведенной литературы, показывающий недостаточную разработанность проблемы лечения пациентов с такими опухолями на данный момент. В дальнейших клинических исследованиях стоит уточнить как технические моменты при удалении данных опухолей, так и более глубоко проработать показания и противопоказания для этих больных.

Introduction

Introduction. Brain tumors are a complex problem of modern neurosurgery. Meningiomas, mostly benign tumors, can become a problem when they are difficult to locate. The complexity is also caused by tumors affecting the sinuses of the brain. In this case, the surgeon faces a number of issues related to the diagnosis, preoperative planning and the choice of treatment tactics for these patients. The choice in favor of revascularization of the venous bed is also not always unambiguous due to the lack of clear indications and contraindications to this type of intervention. The purpose of the work was to analyze articles on the topic of surgical treatment of meningiomas of the brain venous system.

Conclusion

Conclusion. Based on the results of the work, a critical analysis of the cited literature is presented, showing the insufficient development of the problem of treating patients with such tumors at the moment. In further clinical studies, it is necessary to clarify both the technical aspects when removing these tumors, and to work more deeply on the indications and contraindications for surgery in the group of these patients.

менингиомы головного мозгапарасагиттальные менингиомывенозная реваскуляризацияшунтирование синусов головного мозгаmeningioma of the brainparasagittal meningiomavenous revascularsationbypass grafting of the brain sinusesАвторы выражают благодарность художнику Александре Владиславовне Андроповой за иллюстрации к статьеThe authors express their gratitude to Alexandra Vladislavovna Andropova for the illustrations to the articleReferencesMarosi C., Hassler M., Roessler K. et al. Meningioma. Crit Rev Oncol Hematol 2008;67(2):153–71. DOI: 10.1016/j.critrevonc.2008.01.010Marosi C., Hassler M., Roessler K. et al. Meningioma. Crit Rev Oncol Hematol 2008;67(2):153–71. DOI: 10.1016/j.critrevonc.2008.01.010Buerki R.A., Horbinski C.M., Kruser T. et al. An overview of meningiomas. Future Oncol 2018;14(21):2161–77. DOI: 10.2217/fon-2018-0006Buerki R.A., Horbinski C.M., Kruser T. et al. An overview of meningiomas. Future Oncol 2018;14(21):2161–77. 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The authors declare that there are no conflicts of interest present.