neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2025-27-4-114-122neurosurgery-1768Research ArticleЛЕКЦИЯLECTUREМетоды нейрофизиологического мониторинга при операциях на стволе головного мозга: преимущества, ограничения и перспективы развитияMethods of neurophysiological monitoring during brainstem surgery: advantages, limitations, and future perspectiveshttps://orcid.org/0000-0003-1163-7253ЛаптеваК. Н.LaptevaK. N.

Кристина Николаевна Лаптева

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

Kristina Nikolaevna Lapteva

16 4th Tverskaya-Yamskaya St., Moscow 125047

laptevakr@gmail.comhttps://orcid.org/0000-0002-8732-3114ГаврюшинА. В.GavrjushinA. V.

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

16 4th Tverskaya-Yamskaya St., Moscow 125047

ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. акад. Н. Н. Бурденко» Минздрава РоссииРоссияN. N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of RussiaRussian Federation202515012026274114122Copyright © Лаптева К.Н., Гаврюшин А.В., 20262026Лаптева К.Н., Гаврюшин А.В.Lapteva K.N., Gavrjushin A.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/1768

Хирургическое лечение опухолей и микромальформаций ствола головного мозга сопряжено с рисками нарастания неврологической симптоматики после операции, что обусловлено высокой концентрацией жизнеобеспечивающих нервных структур в стволе мозга. Для проведения максимально безопасных хирургических вмешательств используют интраоперационный нейрофизиологический мониторинг. На данный момент имеются различные нейрофизиологические модальности – как методики картирования, так и непрерывного мониторинга, которые применяют при нейрохирургических вмешательствах. В статье освещаются возможности применения интраоперационного нейрофизиологического мониторинга во время таких операций на основании данных, представленных в литературе. Работа может быть полезна клиническим нейрофизиологам и нейрохирургам, занимающимся хирургическим лечением пациентов с опухолями и микромальформациями ствола головного мозга.

Surgical treatment of tumors and micromalformations in the brainstem carries significant risks of aggravating neurological symptoms postsurgery. This is primarily due to the high concentration of critical nerve structures within the brainstem. To enhance safety during these procedures, intraoperative neurophysiological monitoring is employed. Currently, various neurophysiological modalities, including mapping techniques and continuous monitoring methods, are utilized in these neurosurgical interventions. In this review, we discuss the potential applications of intraoperative neurophysiological monitoring during brainstem surgeries, highlight the limitations of these methods, and explore the prospects for the development of intraoperative diagnostic techniques. This work may be useful for clinical neurophysiologists and neurosurgeons who perform surgical treatment of patients with tumors and micromalformations of the brainstem.

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