persmedРоссийский журнал персонализированной медициныRussian Journal for Personalized Medicine2782-38062782-3814ФОНД АЛМАЗОВА10.18705/2782-3806-2025-5-4-355-363IQMCTTpersmed-396Research ArticleСЕРДЕЧНО-СОСУДИСТАЯ ХИРУРГИЯМетоды визуализации спонтанных венозных повреждений головного мозга и их применимость в хирургии опухолей основания черепаMethods of visualization of spontaneous venous injuries of the brain and their applicability in surgery of skull base tumorsЯковленкоЮ. Г.YakovlenkoYu. G.

Яковленко Юрий Георгиевич  — кандидат медицинских наук, врач-нейрохирург, доцент кафедры неврологии и восстановительной медицины

пер. Нахичеванский, д. 29, Ростов-на-Дону, 344022

Yakovlenko Yury G., MD, PhD, neurosurgeon, associate professor of the Department of Neurology and Rehabilitation Medicine

Nakhichevansky str., 29, Rostov-on-Don, 344022

Yuyakovlenko@gmail.comШепелеваА. В.ShepelevaA. V.

Шепелева Анна Витальевна  — заведующая отделением МРТ и РКТ клиники

Ростов-на-Дону

Shepeleva Anna V., MD, Head of Department of MRIand CT

Rostov-on-Don

ЧерниковаИ. В.ChernikovaI. V.

Черникова Ирина Владимировна — кандидат медицинских наук, доцент, заведующая кафедрой неврологии и восстановительной медицины

Ростов-на-Дону

Chernikova Irina V., MD, PhD, Head of Departmentof Neurology and Rehabilitation Medicine

Rostov-on-Don

ТиторенкоЮ. И.TitorenkoJ. I.

Титоренко Юлия Игоревна — ординатор 1-го годаобучения по специальности «неврология»

Ростов-на-Дону

Titorenko Julia I., MD, 1st year resident in neurology

Rostov-on-Don

Федеральное государственное бюджетное образовательное учреждение высшего образования «Ростовский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияRostov State Medical UniversityRussian Federation20251211202554355363Copyright © Яковленко Ю.Г., Шепелева А.В., Черникова И.В., Титоренко Ю.И., 20252025Яковленко Ю.Г., Шепелева А.В., Черникова И.В., Титоренко Ю.И.Yakovlenko Y.G., Shepeleva A.V., Chernikova I.V., Titorenko J.I.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/396

Стремительно развивающиеся технологии нейровизуализации позволяют с точностью определить венозную ишемию и венозный инфаркт головного мозга. Большинство работ по данной тематике посвящено изучению спонтанных церебральных венозных тромбозов. Общим для подобных тромбозов и венозных повреждений, возникших в ходе удаления опухолей основания черепа, является острое выключение церебральных вен. Однако в остальных аспектах клинико-диагностические алгоритмы зачастую не аналогичны. В статье представлены обобщение и анализ доступной литературы о возможностях нейровизуализации венозных повреждений головного мозга в спонтанных и хирургических условиях. Описаны современные способы ангиографической и перфузионной диагностики на примере тромбоза дуральных синусов и кортикальных вен. Приведена дискуссия о возможности применения данных методик в нейрохирургии. 

Rapidly developing neuroimaging technologies allow to accurately determine venous ischemia and venous infarction of the brain. Most of the works on this topic are devoted to the study of spontaneous cerebral venous thromboses. Common to such thromboses and venous injuries that occurred during the removal of skull base tumors is acute exclusion of cerebral veins. However, in other respects, clinical and diagnostic algorithms are often not similar. The article presents a generalization and analysis of the available literature on the possibilities of neuroimaging venous brain injuries in spontaneous and surgical conditions. Modern methods of angiographic and perfusion diagnostics are described using thrombosis of the dural sinuses and cortical veins as an example. A discussion of the possibility of using these techniques in neurosurgery is given. 

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