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Encarnación-Santos D, Chmutin G, Bozkurt I, Chaurasia B, Umana GE, Nicoletti GF, Scalia G. Letter to the Editor Regarding "Minimally Invasive Spine Surgery: An Overview". World Neurosurg 2024; 184:353-354. [PMID: 38590064 DOI: 10.1016/j.wneu.2023.11.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 11/27/2023] [Indexed: 04/10/2024]
Affiliation(s)
| | - Gennady Chmutin
- Department of Neurosurgery, Peoples' Friendship University, Moscow, Russia
| | - Ismail Bozkurt
- Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turkey; Department of Neurosurgery, School of Medicine, Yuksek Ihtisas University, Ankara, Turkey
| | - Bipin Chaurasia
- Department of Neurosurgery, Bhawani Hospital and Research Center, Birgunj, Nepal
| | | | | | - Gianluca Scalia
- Neurosurgery Unit, Department of Head and Neck Surgery, Garibaldi Hospital, Catania, Italy
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Encarnación-Santos D, Chmutin G, Bozkurt I, Chaurasia B, Umana GE, Scalia G. Letter to the Editor Regarding "What's in a Name? "Global Neurosurgery" in the 21st Century". World Neurosurg 2024; 184:341-342. [PMID: 38590056 DOI: 10.1016/j.wneu.2023.11.133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Accepted: 11/26/2023] [Indexed: 04/10/2024]
Affiliation(s)
| | - Gennady Chmutin
- Department of Neurosurgery, People's Friendship University, Moscow, Russia
| | - Ismail Bozkurt
- Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turkey; Department of Neurosurgery, School of Medicine, Yuksek Ihtisas University, Ankara, Turkey
| | - Bipin Chaurasia
- Department of Neurosurgery, Bhawani Hospital and Research Center, Birgunj, Nepal
| | | | - Gianluca Scalia
- Neurosurgery Unit, Department of Head and Neck Surgery, Garibaldi Hospital, Catania, Italy
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Reyes-Soto G, Pérez-Cruz JC, Delgado-Reyes L, Castillo-Rangel C, Cacho Diaz B, Chmutin G, Nurmukhametov R, Sufianova G, Sufianov A, Nikolenko V, Sufianov R, Goncharov E, Montemurro N, Encarnacion Ramirez MDJ. The Vertebrobasilar Trunk and Its Anatomical Variants: A Microsurgical Anatomical Study. Diagnostics (Basel) 2024; 14:534. [PMID: 38473006 DOI: 10.3390/diagnostics14050534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Revised: 02/08/2024] [Accepted: 02/19/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND The trunk of the basilar artery has not been included in microanatomy studies. Anatomical variants of the perforant branches of the vertebrobasilar trunk and their relationship with neural structures are very important in surgical approaches. Surgical dissection for the treatment of vascular lesions requires a perfect knowledge of the microsurgical anatomy. METHODS We conducted a descriptive analysis of 50 brains, which were fixed with formalin at 10% for 2 weeks, and the arterial system was injected with colored latex. After microsurgical dissection, it was divided into three segments: the lower portion went from the anterior spinal artery to the anteroinferior cerebellar artery, the middle segment was raised from the upper limit of the lower portion to the origin of the superior cerebellar artery, and the upper segment ranged from the previous portion until the origin of the posterior cerebral artery. RESULTS The basilar artery had an average length of 30 mm. The average diameter at its junction with the vertebral arteries was 4.05 mm. The average middle segment was 3.4 mm in diameter and 15.2 mm in length. The diameter of the upper segment was 4.2 mm, and its average length was 3.6 mm. The average number of bulbar arteries was three, and their average diameter was 0. 66 mm. The number of caudal perforator arteries were five on average, with a diameter of 0.32 mm. We found three rare cases of anatomical variants in the vertebra-basilar junction. CONCLUSIONS The basilar artery emits penetrating branches in its lower, middle, and upper portions. The origin of penetrating branches was single or divided after forming a trunk. However, we observed long branches from perforant arteries.
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Affiliation(s)
- Gervith Reyes-Soto
- Unidad de Neurociencias, Department of Head and Neck, Instituto Nacional de Cancerología, Mexico City 04260, Mexico
| | - Julio C Pérez-Cruz
- Laboratorio de Técnicas Anatómicas y Material Didactico, Escuela Superior de Medicina, Instituto Politécnico Nacional, Mexico City 01070, Mexico
- Departamento de Anatomía, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City 04510, Mexico
| | - Luis Delgado-Reyes
- Departamento de Anatomía, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City 04510, Mexico
| | - Carlos Castillo-Rangel
- Department of Neurosurgery, Servicio of the 1ro de Octubre Hospital of the Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City 07760, Mexico
| | - Bernardo Cacho Diaz
- Functional Neurosciences Unit, Mexico National Cancer Institute, Mexico City 07760, Mexico
| | - Gennady Chmutin
- Department of Neurological Surgery, Peoples Friendship University of Russia, 103274 Moscow, Russia
| | - Renat Nurmukhametov
- Department of Neurological Surgery, Peoples Friendship University of Russia, 103274 Moscow, Russia
| | - Galina Sufianova
- Department of Pharmacology, Tyumen State Medical University, 625000 Tyumen, Russia
| | - Albert Sufianov
- Department of Pediatric Neurosurgery of Federal Center of Neurosurgery, Federal Center of Neurosurgery of Ministry of Health of the Russian Federation, 625000 Tyumen, Russia
| | - Vladimir Nikolenko
- Department of Neurosurgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, Russia
| | - Rinat Sufianov
- Department of Human Anatomy, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, Russia
| | - Evgeniy Goncharov
- Department of Petrovsky Russian Scientific Center of Surgery, 121359 Moscow, Russia
| | - Nicola Montemurro
- Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana (AOUP), 56100 Pisa, Italy
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Santos DE, Bozkurt I, Nurmukhametov R, Dosanov M, Volovish A, Chmutin G, Sierra AT, Eneliz B, Bernard E, Nakry P, Scalia G, Chaurasia B. The future of minimally invasive spine surgery in low-income Latin American countries. Egypt J Neurol Psychiatry Neurosurg 2024; 60:35. [DOI: https:/doi.org/10.1186/s41983-024-00814-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 02/15/2024] [Indexed: 04/10/2024] Open
Abstract
AbstractTreatment of spinal disorders can be managed conservatively or surgically. With the trend toward minimalistic approaches, minimally invasive spinal surgery (MISS) has gained much more importance over the last decade. Its use along with the required training has tremendously increased in developed countries. However, the availability of MISS today is uneven in different regions due to the development and availability of technology, as well as the level of training and qualifications of surgeons who are able to perform such operations on the spine. The purpose of this article is to analyze the prospects for minimally invasive spine surgery in Latin America in comparison with higher income countries.
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Encarnación-santos D, Rubenovich-chikava D, Pachev M, Bozkurt I, Chmutin G, Chaurasia B. Acute Subdural Hematoma Regarding Glial Cystic Changes– A Case Report and Literature Review.. [DOI: 10.21203/rs.3.rs-3967434/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/10/2024]
Abstract
Abstract
Background
This report attempts to examine a controversial case of trauma-associated acute subdural hematoma (ASH). In that case, surgical intervention indicates an intraoperative craniectomy with trephine evacuation or, if the patient is eligible, a Decompressive Craniectomy.
Clinical Case Description
A 51-year-old male was referred to our emergency room due to severe dysarthria and left hemiparesis precipitated by a traumatic event to the right frontoparietal region. demonstrated an (ASH) associated with areas of cystic-glial transformation. Confirmed by CT and follow-up.
Conclusion
A case that illustrates and favors surgical intervention for evacuation with priority and recovery by osteoplastic craniotomy as a treatment and approaches to subdural hematoma, hematoma, and postoperative compliance after said procedure.
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Encarnacion D, Chmutin G, Chaurasia B, Bozkurt I. Hundred Pediatric Cases Treated for Chiari Type II Malformation with Hydrocephalus and Myelomeningocele. Asian J Neurosurg 2023; 18:258-264. [PMID: 37397054 PMCID: PMC10310441 DOI: 10.1055/s-0043-1768572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/04/2023] Open
Abstract
Background Chiari malformation type II (CM-II) may not always present as an asymptomatic disorder but prove to be difficult in managing. This is especially true for neonates who show the worst prognosis. There is confounding data over whether shunting or craniocervical junction (CVJ) decompression should be employed. This retrospective analysis summarizes the results of 100 patients diagnosed and treated for CM-II along with hydrocephalus and myelomeningocele. Methods We reviewed all the children who were diagnosed and surgically treated for CM-II at the Moscow Regional Hospital. Surgical timing was decided on the clinical conditions of each patient. Urgent surgery in the more compromised patients (usually infants) and elective surgery for patients with less severe conditions was performed. All patients first underwent CVJ decompression. Results The retrospective review yielded 100 patients operated on for CM-II with concomitant hydrocephalus and myelomeningocele. The average herniation was 11.2 ± 5.1 mm. However, herniation level did not correlate with clinical findings. Concomitant syringomyelia was observed in 60% of patients. More severe spinal deformity was observed in patients with widespread syringomyelia ( p = 0.04). In children of the younger age group, cerebellar symptoms and bulbar disorders were more frequently observed ( p = 0.03), and cephalic syndrome was noted much less frequently ( p = 0.005). The severity of scoliotic deformity correlated with the prevalence of syringomyelia ( p = 0.03). Satisfactory results were significantly more often observed in patients of the older age group ( p = 0.02). Patients with unsatisfactory results at the time of treatment were significantly younger ( p = 0.02). Conclusion If CM-II is asymptomatic, then no specific treatment is prescribed. If the patient develops pain in the occiput and neck, then pain relievers are prescribed. If a patient has neurological disorders or concomitant syringomyelia, hydrocephalus or myelomeningocele, surgical intervention is indicated. The operation is also performed if the pain syndrome cannot be overcome within the framework of conservative therapy.
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Affiliation(s)
- Daniel Encarnacion
- Department of Neurosurgery, Morozovskaya Children City Clinic Hospital, Moscow, Russia
| | - Gennady Chmutin
- Department of Neurosurgery, Morozovskaya Children City Clinic Hospital, Moscow, Russia
| | - Bipin Chaurasia
- Department of Neurosurgery, Nilkantha Hospital and Research Centre, Birgunj, Nepal
| | - Ismail Bozkurt
- Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turkey
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Santos DE, Chmutin G, Aybar Peña MD, Matos Cuevas YE, Marcel EI, Chaurasia B. Letter to the Editor Regarding “Management of Hydrocephalus with Ventriculoperitoneal Shunts: Review of 109 Cases of Children”. World Neurosurg 2022; 164:465-466. [DOI: : 10.1016/j.wneu.2022.04.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/10/2024]
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Chmutin G, Antonov G, Chmutin E, Fedyanin A, Livshitz M, Oleynikov B, Zokhidov Z, Shumadalova A. Diagnostic Investigations as a Basis for Optimising Surgical Management of Vertebrobasilar Insufficiency Syndrome. Front Surg 2022; 9:901759. [PMID: 35651687 PMCID: PMC9150087 DOI: 10.3389/fsurg.2022.901759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 04/13/2022] [Indexed: 11/29/2022] Open
Abstract
Vertebrobasilar insufficiency (VBI) is one of the most common forms of cerebrovascular pathology. The progression of the VBI, especially in the context of inadequate therapy, often leads to the formation of a persistent neurological deficits within the framework of dyscirculatory encephalopathy and the consequences of a stroke in the vertebrobasilar system. This study demonstrate the importance of objective methods of patient investigation to optimize the choice of the most effective methods of surgical treatment for VBI in cases of ineffective medical treatment. We have shown that the optimization of the diagnostic algorithm contributes to the correct individualized determination of types of surgical treatment for patients with VBI. It was found that, in addition to traditional diagnostic methods, the use of radiographic methods (ultrasound Doppler, multispiral computed tomography with contrast enhancement) is invaluable for choosing the tactics of surgical treatment. We propose a significant outcome indicator like the blood flow reactivity index to determine the postoperative improvement of blood flow in the vertebral arteries. In addition, the need to perform cerebral angiography and consultations with related specialists to exclude pathologies with a similar clinical picture is emphasized.
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Affiliation(s)
- Gennady Chmutin
- Department of Nervous Diseases and Neurosurgery, Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
| | - Gennady Antonov
- Department of Neurosurgery, 3rd Central Military Clinical Hospital named after A.A. Vishnevsky under the Ministry of Defense of the Russian Federation, Krasnogorsk, Russia
| | - Egor Chmutin
- Department of Nervous Diseases and Neurosurgery, Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
| | - Aleksei Fedyanin
- Department of Nervous Diseases and Neurosurgery, Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
| | - Matvey Livshitz
- Department of Nervous Diseases and Neurosurgery, Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
- Department of Neurosurgery, Federal State Budgetary Institution of Medical Department of Moscow Morozov Children’s City Clinical Hospital of Medical Department of Moscow, Moscow, Russia
| | - Boris Oleynikov
- Department of Nervous Diseases and Neurosurgery, Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
- Department of Neurosurgery, Federal State Budgetary Institution of Medical Department of Moscow Morozov Children’s City Clinical Hospital of Medical Department of Moscow, Moscow, Russia
- Correspondence: Boris Oleynikov
| | - Zokirzhon Zokhidov
- Department of Nervous Diseases and Neurosurgery, Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
| | - Alina Shumadalova
- Department of General Chemistry, Bashkir State Medical University, Ufa, Russian Federation
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Djumanov K, Kariev G, Chmutin G, Antonov G, Chmutin E, Musa G, Maier A, Shumadalova A. Comparing Two Improved Techniques With the Traditional Surgical Techniques for Intra and Extramedullary Spinal Tumor Resection: A Report of 280 Cases. Front Surg 2022; 9:892470. [PMID: 35548191 PMCID: PMC9083194 DOI: 10.3389/fsurg.2022.892470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 03/28/2022] [Indexed: 11/21/2022] Open
Abstract
Objectives Spinal tumors remain a challenging problem in modern neurosurgery. The high rate of postoperative morbidity associated with intramedullary tumors makes the need for safer surgical techniques invaluable. This study analyses our experience with the treatment of spinal cord tumors and compares traditional management and a new different surgical approach to intramedullary tumors with an associated hydrosyringomyelia. Materials and Methods This retrospective study compared standard surgical techniques and 2 newer modified techniques for intra and extramedullary spinal tumors at the Neurosurgery center for spinal cord tumors of the Republic of Uzbekistan. Preoperative neurological status was recorded with the ASIA/ISNCSCI scale. Postoperative outcome was graded using the Nurrick score. Results Of the 280 cases, there were 220 (78.5%) extramedullary and 60 (21.5%) with intramedullary spinal tumors. The control and main group had 159 (56.8%) and 121 (43.2%) patients, respectively. Severe compression myelopathy (ASIA- A, B, C) was 217 (77.5%) patients i.e., ASIA A-39 (13.9%); B-74 (26.4%), and C-104 (37.1%). In 74 extramedullary tumors (33.6%) treated with the new method, good postoperative outcomes in 44 cases (59.5%) with OR = 1.9; 95% CI 1.1–3.3 (p < 0.05). Thirty-seven (61.7%) intramedullary tumors were treated with the newer modified technique. There was no difference with the standard method (p = 0.15). However, when comparing postoperative Nurick grade 1–2 with grade 3–4, the newer strategy was superior with improvement in 24 (65%) patients, OR = 3.46; 95% CI 1.2–10.3 (p < 0.05). Conclusion When compared with standard methods, the proposed newer modified strategy of surgical treatment of spinal cord tumors with the insertion of a syringosubarachnoid shunt in the presence of an associated hydrosyringomyelia is associated with better postoperative outcome (Nurick 1 and 2) in 64.8%.
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Affiliation(s)
- Kamaliddin Djumanov
- Republican Specialized Scientific and Practical Medical Center of Neurosurgery, Tashkent, Uzbekistan
| | - Gayrat Kariev
- Republican Specialized Scientific and Practical Medical Center of Neurosurgery, Tashkent, Uzbekistan
- Department of Neurosurgery, Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan
| | - Gennady Chmutin
- Department of Nervous Diseases and Neurosurgery, Peoples' Friendship University of Russia (RUDN University), Moscow, Russia
- Federal State Budgetary Institution of Medical Department of Moscow “Morozov Children's City Clinical Hospital of Medical Department of Moscow”, Moscow, Russia
| | - Gennady Antonov
- 3rd Central Military Clinical Hospital Named After A.A. Vishnevsky Under the Ministry of Defense of the Russian Federation, Krasnogorsk, Russia
| | - Egor Chmutin
- Department of Nervous Diseases and Neurosurgery, Peoples' Friendship University of Russia (RUDN University), Moscow, Russia
| | - Gerald Musa
- Department of Nervous Diseases and Neurosurgery, Peoples' Friendship University of Russia (RUDN University), Moscow, Russia
- *Correspondence: Gerald Musa
| | - Adam Maier
- Department of Nervous Diseases and Neurosurgery, Peoples' Friendship University of Russia (RUDN University), Moscow, Russia
| | - Alina Shumadalova
- Department of General Chemistry, Bashkir State Medical University, Ufa, Russia
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Musa G, Simfukwe K, Gots A, Chmutin G, Chmutin E, Chaurasia B. Clinical and radiological characteristics in fatal third ventricle colloid cyst. Literature review. J Clin Neurosci 2020; 82:52-55. [PMID: 33317739 DOI: 10.1016/j.jocn.2020.10.032] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 09/10/2020] [Accepted: 10/18/2020] [Indexed: 02/06/2023]
Abstract
BACKGROUND Colloid cysts are a benign tumor that is almost exclusively found in the third ventricle and may cause hydrocephalus and rarely life-threatening acute deterioration and even sudden death. With very few cases of sudden death reported in literature not much is known about the patient and cyst characteristics in these patients. The authors present a review of 65 cases of colloid cyst attributed deaths in literature. MATERIALS AND METHODS A literature search for sudden death with radiologically or pathologically identified colloid cyst was done on PubMed, google scholar, Medbase and clinicaltrials.org research drives. Patient demographics, symptoms and cyst characteristics were recorded and analyzed. A Bivaret Pearson correlationcoefficientwas used to analyze and compare the relationship between each antecedent symptom, cyst size, and, cyst hemorrhage in patients who subsequently succumbed and died in order to ascertain possible relation. RESULTS Most patients had a history of sudden severe headaches (p = 0.01) with associated vomiting (p = 0.03). Radiologically, cyst associated ventriculomegaly was seen in 97% (P = 0.78) was a notable feature. Even more, the cyst size (p = 0.01) and associated hemorrhage (p = 0.02) were also major notable feature preceding sudden death in both gender group. CONCLUSION Acute deterioration in colloid cysts is rare, but can be fatal. Associated symptoms include severe headache and vomiting. Seizures are commonly seen in patients in the first two decades. Given the risk of acute deterioration and mortality, headaches should be thoroughly investigated and all patients diagnosed with a colloid cyst > 1 cm should be offered surgical management regardless of symptom profile.
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Affiliation(s)
- Gerald Musa
- Neurosurgery Resident, Peoples Friendship University of Russia, Russia.
| | - Keith Simfukwe
- Neurosurgery Resident, Peoples Friendship University of Russia, Russia
| | | | | | | | - Bipin Chaurasia
- Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal
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Abdali A, Astaf Eva L, Trunin Y, Kalinin P, Golanov A, Abdali B, Chmutin G, Shkarubo A, Chaurasia B. Modern Methods of Stereotactic Radiosurgery and Radiotherapy for the Treatment of Cushing Disease. Neurol India 2020; 68:S129-S133. [PMID: 32611903 DOI: 10.4103/0028-3886.287663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Cushing's disease is caused by a pituitary tumor causing increased production of adrenocorticotropic hormone, which leads to chronic hypersecretion of cortisol through adrenal cortices. Endoscopic trans-sphenoidal adenomectomy is the first choice of treatment with greatest efficiency for the treatment of the disease. However, in the absence of remission or recurrence of hypercortisolism after neurosurgical resection (adenomectomy), as well as in cases when surgical intervention cannot be carried due to medical contraindications to surgical intervention, radiation treatment is used as an alternative or adjoining therapy. In this literature review the efficiency of different radiation techniques (the conventional and the modern techniques), as well as possible complications of modern methods of radiosurgery and radiotherapy have been looked for.
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Affiliation(s)
- Ashraf Abdali
- N.N. Burdenko National Medical Research Center of Neurosurgery; Department of Neurological Diseases and Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
| | - Ludmila Astaf Eva
- N.N. Burdenko National Medical Research Center of Neurosurgery; Department of Neurological Diseases and Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
| | - Yuriy Trunin
- N.N. Burdenko National Medical Research Center of Neurosurgery; Department of Neurological Diseases and Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
| | - Pavel Kalinin
- N.N. Burdenko National Medical Research Center of Neurosurgery; Department of Neurological Diseases and Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
| | - Andrey Golanov
- N.N. Burdenko National Medical Research Center of Neurosurgery; Department of Neurological Diseases and Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
| | - Badshahzar Abdali
- Department of Neurological Diseases and Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
| | - Gennady Chmutin
- N.N. Burdenko National Medical Research Center of Neurosurgery; Department of Neurological Diseases and Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
| | - Alexey Shkarubo
- N.N. Burdenko National Medical Research Center of Neurosurgery; Department of Neurological Diseases and Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
| | - Bipin Chaurasia
- Department of Neurological Diseases and Neurosurgery, Peoples' Friendship University of Russia, Moscow, Russian Federation
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