Методы нейрофизиологического мониторинга при операциях на стволе головного мозга: преимущества, ограничения и перспективы развития
https://doi.org/10.63769/1683-3295-2025-27-4-114-122
Аннотация
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.
Об авторах
К. Н. Лаптева
ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. акад. Н. Н. Бурденко» Минздрава России
Россия
Россия
Кристина Николаевна Лаптева
125047 Москва, ул. 4‑я Тверская-Ямская, 16
А. В. Гаврюшин
ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. акад. Н. Н. Бурденко» Минздрава России
Россия
Россия
125047 Москва, ул. 4‑я Тверская-Ямская, 16
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Рецензия
Для цитирования:
Лаптева К.Н., Гаврюшин А.В. Методы нейрофизиологического мониторинга при операциях на стволе головного мозга: преимущества, ограничения и перспективы развития. Нейрохирургия. 2025;27(4):114-122. https://doi.org/10.63769/1683-3295-2025-27-4-114-122
For citation:
Lapteva K.N., Gavrjushin A.V. Methods of neurophysiological monitoring during brainstem surgery: advantages, limitations, and future perspectives. Russian journal of neurosurgery. 2025;27(4):114-122. (In Russ.) https://doi.org/10.63769/1683-3295-2025-27-4-114-122
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