Внутриканальные вестибулярные шванномы. Наблюдение, радиохирургия или микрохирургия – что выбрать?
https://doi.org/10.17650/1683-3295-2020-22-3-102-109
Аннотация
В обзоре описана эпидемиология вестибулярных шванном (ВШ), их классификация, патогенез основных клинических симптомов мелких опухолей, расположенных во внутреннем слуховом проходе (внутриканально), принципы диагностики и различные варианты лечения. Анализируются достоинства и недостатки основных вариантов ведения пациентов с внутриканальными ВШ: наблюдения, радиохирургических и микрохирургических вмешательств. Наблюдение целесообразно при отсутствии признаков роста ВШ, при исходно не нарушенном или при полностью утраченном слухе со стороны опухоли. Радиохирургия дает пациенту шанс на сохранение слуха, в том числе функционального, и позволяет контролировать рост ВШ более чем в 90 % случаев. В настоящее время недостаточно данных, чтобы рекомендовать микрохирургическое вмешательство как метод первого выбора при лечении внутриканальных ВШ.
Об авторах
С. Р. Ильялов
Центр высокоточной радиологии Gamma Clinic (ООО «Гамма Медтехнологии»)
Россия
Россия
Ильялов Сергей Рустамович
249031 Обнинск, ул. Королева, 4
А. В. Голанов
ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. Н.Н. Бурденко» Минздрава России
Россия
Россия
125047 Москва, ул. 4-я Тверская-Ямская, 16
С. М. Банов
ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. Н.Н. Бурденко» Минздрава России
Россия
Россия
125047 Москва, ул. 4-я Тверская-Ямская, 16
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Рецензия
Для цитирования:
Ильялов С.Р., Голанов А.В., Банов С.М. Внутриканальные вестибулярные шванномы. Наблюдение, радиохирургия или микрохирургия – что выбрать? Нейрохирургия. 2020;22(3):102-109. https://doi.org/10.17650/1683-3295-2020-22-3-102-109
For citation:
Ilyalov S.R., Golanov A.V., Banov S.M. Intracanalicular vestibular schwannomas. Observation, radiosurgery or microsurgery – what to choose? Russian journal of neurosurgery. 2020;22(3):102-109. (In Russ.) https://doi.org/10.17650/1683-3295-2020-22-3-102-109
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