References

neurosurgery

Нейрохирургия

Russian journal of neurosurgery

1683-32952587-7569

Издательский дом "МедИНК"

10.63769/1683-3295-2025-27-4-104-113

neurosurgery-1764

Research Article

ОБЗОРЫ ЛИТЕРАТУРЫ

LITERATURE REVIEW

Аневризмы, ассоциированные с ангиопатией моямоя

Aneurysms associated with мoyamoya angiopathy

https://orcid.org/0000-0002-9140-0645

Амиралиева

М. Ш.

Amiralieva

M. Sh.

Мадина Шамильевна Амиралиева

117513 Москва, ул. Островитянова, 1, стр. 10;

142770 Москва, ул. Сосенский стан, 8

Madina Shamilevna Amiralieva

Bld. 10, 1 Ostrovytianova St., Moscow 117342;

amiralievamadina@mail.ru

https://orcid.org/0000-0002-5743-8279

Сенько

И. В.

Senko

I. V.

117513 Москва, ул. Островитянова, 1, стр. 10

Bld. 10, 1 Ostrovytianova St., Moscow 117342

ФГБУ «Федеральный центр мозга и нейротехнологий» Федерального медико-биологического агентства России; ГБУЗ г. Москвы «Московский многопрофильный центр «Коммунарка» Департамента здравоохранения г. МосквыРоссияFederal Center of Brain Research and Neurotechnology; Moscow Multidisciplinary Clinical Center «Kommunarka»Russian Federation

ФГБУ «Федеральный центр мозга и нейротехнологий» Федерального медико-биологического агентства РоссииРоссияFederal Center of Brain Research and NeurotechnologyRussian Federation

2025

15012026

274104113

2026

Амиралиева М.Ш., Сенько И.В.

Amiralieva M.S., Senko I.V.

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/1764

Распространенность интракраниальных артериальных аневризм при ангиопатии моямоя (АА-АММ) в 5 раз выше, чем в общей популяции. Риск разрыва АА-АММ достигает 90 %. Применение стандартных методов хирургии аневризм без учета особенностей ангиопатии моямоя может привести к неблагоприятным последствиям для пациента, в связи с чем вопрос о разработке алгоритма хирургической тактики для лечения АА-АММ является актуальным.

Цель работы – проанализировать опыт лечения АА-АММ, представленный в мировой научной литературе, оценить преимущества и недостатки различных методов лечения.

В работе также рассмотрены ключевые аспекты анализируемой темы, включая современные данные о распространенности, этиопатогенетические теории формирования АА-АММ, классификацию. Поиск научных источников осуществлялся в журналах, прошедших рецензирование Высшей аттестационной комиссии и входящих в международную базу данных Scopus, а также в информационных системах и базах данных PubMed, MEDLINE, Cochrane Library, eLIBRARY.RU. В анализ были включены публикации на английском и русском языках. Срок давности источников не ограничивался.

Нами предложены алгоритм хирургического лечения АА-АММ, разработанный на основании данных научной литературы, а также усовершенствованная топографическая классификация АА-АММ согласно наиболее распространенным анатомическим вариантам локализации относительно церебральных сосудов с учетом высокой предрасположенности таких аневризм к разрыву. Алгоритм хирургической тактики, представленный в данной работе, может служить руководством в лечении пациентов с АА-АММ.

The prevalence of intracranial arterial aneurysms associated with мoyamoya angiopathy (AA-MMA) is five times higher than in the general population. The rupture risk of AA-MMA can reach 90 %. The application of standard surgical methods for aneurysm treatment without considering the features of мoyamoya angiopathy may lead to adverse consequences for patients. Therefore, the development of a surgical strategy algorithm for AA-MMA treatment is highly relevant.

The aim of this work is to analyze the experience of treating AA-MMA as presented in the global scientific literature, to evaluate the advantages and disadvantages of various treatment methods.

The paper also discusses key aspects, including current data on prevalence, etiopathogenetic theories of AA-MMA formation and classification. A search for scientific sources was conducted in journals reviewed by the Higher Attestation Commission and included in the international database Scopus, as well as in information systems and databases such as PubMed, Scopus, MEDLINE, Cochrane Library, and eLIBRARY.RU. Publications in both english and russian were included in the analysis. There was no limitation on the age of sources.

We proposed a surgical treatment algorithm for AA-MMA based on data from scientific literature. Additionally, the article presents an improved topographic classification according to the most common anatomical locations, taking into account the high predisposition to rupture. The surgical strategy algorithm presented in this study may serve as a guide for treating patients with AA-MMA.

аневризмыассоциированные с ангиопатией моямояангиопатия моямояэндоваскулярное лечениемикрохирургическое лечениереваскуляризация

мoyamoya angiopathy related aneurysmsмoyamoya angiopathyendovascular treatmentmicrosurgical treatmentrevascularization

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The authors declare that there are no conflicts of interest present.