medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.medvis-357Research ArticleГОЛОВА И ШЕЯHEAD AND NECKКраниоспинальная менингиома вентролатерального расположения: клиническое наблюдение и обзор литературыCraniospinal Meningioma of Ventrolateral Location: Case Report and Literature ReviewДородовА. М.DorodovA. M.

аспирант 6-го нейрохирургического отделения НИИ нейрохирургии им. Н.Н. Бурденко, Москва

125047 Москва, ул. 4-я Тверская-Ямская, д. 16. НИИ нейрохирургии им. Н.Н. Бурденко, 6-е нейрохирургическое отделение. Тел. +7-925-365-29-89

resident of 6th neurosurgical department of N.N. Burdenko neurosurgical institute, Moscow

4 Tverskaya-Yamskaya str., 16, Moscow, Russia, 125047. N.N. Burdenko neurosurgical institute. Phone: +7-925-365-29-89.

nsdorodov@yandex.ruМухаметжановД. Ж.MukhametzhanovD. Zh.

доктор мед. наук, ведущий научный сотрудник 6-го нейрохирургического отделения НИИ нейрохирургии им. Н.Н. Бурденко, Москва

doct. of med. sci., leading researcher of 6th neurosurgical department of N.N. Burdenko neurosurgical institute, Moscow

ФГАУ “НИИ нейрохирургии им. акад. Н.Н. Бурденко” Минздрава РоссииРоссияBurdenko Neurosurgical InstituteRussian Federation201628122016062632Copyright © Дородов А.М., Мухаметжанов Д.Ж., 20162016Дородов А.М., Мухаметжанов Д.Ж.Dorodov A.M., Mukhametzhanov D.Z.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/357

Менингиомы области краниовертебрального перехода встречаются относительно редко в сравнении с интракраниальными менингиомами другой локализации. Около 90% менингиом данной локализации расположено вентрально и вентролатерально. Хирургическое лечение опухолей этой области сопряжено с высокими рисками неврологических осложнений. В то же время исходы хирургического лечения и послеоперационные прогнозы зависят от степени радикальности удаления этих доброкачественных опухолей. Для наилучшей экспозиции опухоли и контроля жизненно важных структур (магистральных сосудов, черепных и спинальных нервов, ствола головного мозга) требуется использование адекватных подходов к патологическому процессу. В представленном клиническом наблюдении приведен пример тотального удаления вентролатеральной кранио спинальной менингиомы из крайнелатерального (far-lateral) доступа с практически полным регрессом неврологической симптоматики в послеоперационном периоде.

In this clinical case of surgical treatment of craniovertebral junction meningioma (CVJ-area) of ventrolateral location. Meningiomas of CVJ-region are relatively rare compared with intracranial meningiomas at other location. About 90% meningiomas of CVJ-region has ventral and ventrolateral location. Surgical treatment of tumors of this area is associated with a high risk of neurological complications. At the same time, surgical outcomes and postoperative projections depend on the degree of removal of these radical benign tumors. For the best exposure of the tumor and control of vital structures (major vessels, cranial and spinal nerves, the brain stem) requires the use of appropriate approaches to the pathological process. In this case, an example of the total removal of the ventrolateral craniospinal meningioma of the extreme lateral (far-lateral) access to almost complete regression of neurological symptoms in the postoperative period.

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