neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2026-28-1-119-129neurosurgery-1807Research ArticleЛЕКЦИЯLECTUREОсобенности проведения интраоперационного нейрофизиологического мониторинга при хирургии вестибулярных шванном. Обзор литературыIntraoperative neurophysiological monitoring in surgery of vestibular schwannomas (literature review)https://orcid.org/0009-0000-9751-7329КозловаТ. В.KozlovaT. V.

Т. В. Козлова

105203, Москва, ул. Нижняя Первомайская, 70

T. V. Kozlova

70 Nizhnyaya Pervomayskaya St., Moscow 105203

kozlovatv_dr@mail.ruhttps://orcid.org/0000-0003-2974-1462ЗуевА. А.ZuevA. A.

А. А. Зуев

105203, Москва, ул. Нижняя Первомайская, 70

A. A. Zuev

70 Nizhnyaya Pervomayskaya St., Moscow 105203

ФГБУ «Национальный медико-хирургический центр им. Н. И. Пирогова» Минздрава РоссииРоссияNational Medical and Surgical Center named after N. I. Pirogov, Ministry of Health of RussiaRussian Federation202614042026281119129Copyright © Козлова Т.В., Зуев А.А., 20262026Козлова Т.В., Зуев А.А.Kozlova T.V., Zuev A.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/1807

Вестибулярные шванномы – одни из самых распространенных новообразований в области мостомозжечкового угла. Современный уровень хирургической техники обеспечивает крайне низкий уровень летальности (менее 0,5 %), но послеоперационные неврологические расстройства, особенно нарушение функции мимической мускулатуры и потеря слуха со стороны расположения опухоли, являются довольно частыми осложнениями. Лечение пациентов с такими опухолями требует применения интраоперационного нейромониторинга.

Цель работы – анализ разных методов интраоперационного нейромониторинга при хирургии вестибулярных шванном с оценкой функционального состояния лицевого нерва в послеоперационном периоде, а также прогностической значимости каждого из методов.

Поиск научных источников осуществляли в информационных системах и базах данных PubMed, Cochrane Library, MedLine. Критерии включения: подробные описания методов интраоперационного нейромониторинга при хирургии вестибулярных шванном. Критерий исключения – отсутствие описания нейрофизиологических методов при хирургии вестибулярных шванном. Срок давности источников – 20 лет.

Vestibular schwannomas are one of the most common tumors of the cerebellopontile angle area. Current level of surgical technique provides very low mortality rate (less than 0.5 %) but postoperative neurological deficits, specifically facial musculature dysfunction and hearing loss on the side of the tumor, are quite frequent complications. Treatment of patients with these tumors requires intraoperative neuromonitoring.

Aim. To analyze different methods of intraoperative neuromonitoring in surgery of vestibular schwannomas with evaluation of functional condition of the facial nerve in the postoperative period, as well as prognostic significance of each method. The search for scientific sources was performed in the PubMed, Cochrane Library, MedLine databases. Inclusion criterion: detailed descriptions of intraoperative neurophysiological monitoring techniques in surgery of vestibular schwannomas. Exclusion criterion: absence of description of neurophysiological monitoring techniques in surgery of vestibular schwannomas. Sources not older than 20 years were selected.

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