persmedРоссийский журнал персонализированной медициныRussian Journal for Personalized Medicine2782-38062782-3814ФОНД АЛМАЗОВА10.18705/2782-3806-2024-4-3-262-267ITEWLYpersmed-270Research ArticleНЕЙРОХИРУРГИЯОпухоли С2 спинномозгового нерва в детском возрасте. Обзор публикаций и клинический случай из практикиTumors from the 2nd spinal nerve in childhood. Review of publications and a clinical case from practiceСамочерныхН. К.SamochernykhN. K.

Самочерных Никита Константинович, врач-нейрохирург

ул. Аккуратова, д. 2, Санкт-Петербург, 197341.

Samochernykh Nikita K., neurosurgeon

Akkuratova str., 2, Saint Petersburg, 197341

neurosurgeon.spb@gmail.comСысоевК. В.SysoevK. V.

Сысоев Кирилл Владимирович, к.м.н., старший научный сотрудник

Санкт-Петербург

Sysoev Kirill V., MD, PhD, senior researcher

Saint Petersburg

СамочерныхК. А.SamochernykhK. A.

Самочерных Константин Александрович, д.м.н., профессор РАН, ведущий научный сотрудник, директор РНХИ им. проф. А. Л. Поленова — филиала ФГБУ «НМИЦ им. В. А. Алмазова»

Санкт-Петербург

Samochernykh Konstantin A., DMSc, PhD, professor of the RAS, leading researcher, director Polenov Russian Scientific Research Institute of Neurosurgery — branch of Almazov National Medical Research Centre

Saint Petersburg

 

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian Federation20240808202443262267Copyright © Самочерных Н.К., Сысоев К.В., Самочерных К.А., 20242024Самочерных Н.К., Сысоев К.В., Самочерных К.А.Samochernykh N.K., Sysoev K.V., Samochernykh K.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://persmed.elpub.ru/jour/article/view/270

Новообразования C2 спинномозговых нервов являются редкими клиническими наблюдениями в детском возрасте. Удаление этих опухолей имеет ряд особенностей, связанных с их локализацией. В работе описан опыт лечения ребенка 17 лет с опухолью (шваннома) C2 спинального нерва. У пациента манифестация заболевания была связана с проявлениями компрессионной миелопатии на фоне обнаруженной по данным МРТ опухоли больших размеров на уровне С1-С2 позвонков с экстра-интраканальным распространением по типу «песочных часов». Несмотря на размеры опухоли и расположение интрадурального компонента вентрально от спинного мозга, выбранная тактика позволила минимизировать хирургическую травму и избежать неврологического дефицита при тотальном удалении новообразования.

Neoplasms of the C2 spinal nerves are rare clinical observations in childhood. The removal of these tumors has a number of features related to their localization. The paper describes the experience of treating a 17-year-old child with a tumor (schwannoma) of the C2 spinal nerve. In the patient, the manifestation of the disease was associated with manifestations of compression myelopathy against the background of a large tumor detected by MRI at the level of C1-C2 vertebrae with an extra-intracanal spread of the “hourglass” type. Despite the size of the tumor and the location of the intramural component ventrally from the spinal cord, the chosen tactics made it possible to minimize surgical trauma and avoid neurological deficit with total removal of the neoplasm.

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