МЕТОД КОРТИКО-КОРТИКАЛЬНЫХ ВЫЗВАННЫХ ПОТЕНЦИАЛОВ В НЕЙРОХИРУРГИЧЕСКОЙ ПРАКТИКЕ

Цель: Обзор литературы о клинических исследованях, в которых применялся метод кортико-кортикальных вызванных потенциалов (ККВП) в рамках нейрохирургической практики. Материалы и методы. Проведен анализ 38 публикаций международной базы данных Pubmed в которых использован метод регистрации ККВП у пациентов с нейрохирургической патологией. Работы были опубликованы с 1970 г. до июля 2014 г. Результаты. Метод ККВП позволяет получить информацию о наличии нейрональных связей между функциональными зонами коры головного мозга, идентифицировать направление межнейрональных связей (определить зоны, принимающие или генерирующие сигналы), определить степень возбудимости коры в области эпилептического очага и вокруг него и получить информацию о путях распространения эпилептической активности по коре и подкорковым структурам головного мозга. Заключение: ККВП являются перспективным методом для изучения взаимосвязей между различными корковыми и подкорковыми структурами головного мозга у нейрохирургических пациентов во время операции, а также до и после вмешательства. Этот метод может быть использован в условиях как местной (во время хирургии с пробуждением), так и общей анестезии.

кортико-кортикальные вызванные потенциалы, картирование коры головного мозга, интраоперационный нейрофизиологический мониторинг, опухоли головного мозга, эпилепсия, cortico-cortical evoked potentials (CCEP), mapping of cerebral cortex (cortical mapping), intraoperative neurophysiological monitoring, brain tumors, intractable epilepsy

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