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Kakhkharov R.A.

Burdenko Neurosurgical Center

Kadyrov Sh.U.

Burdenko Neurosurgical Center

Ogurtsova A.A.

Burdenko Neurosurgical Center

Bayev A.A.

Burdenko Neurosurgical Center

Afandiev R.M.

Burdenko Neurosurgical Center

Pronin I.N.

Burdenko Neurosurgical Center

Surgical treatment of brain tumors adjacent to corticospinal tract in children

Authors:

Kakhkharov R.A., Kadyrov Sh.U., Ogurtsova A.A., Bayev A.A., Afandiev R.M., Pronin I.N.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2024;88(1): 97‑102

DOI: 10.17116/neiro20248801197

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Table of contents

SURGICAL TREATMENT OF BRAIN TUMORS ADJACENT TO CORTICOSPINAL TRACT IN CHILDREN
SURGICAL TREATMENT OF BRAIN TUMORS ADJACENT TO CORTICOSPINAL TRACT IN CHILDREN

To cite this article:

Kakhkharov RA, Kadyrov ShU, Ogurtsova AA, Bayev AA, Afandiev RM, Pronin IN. Surgical treatment of brain tumors adjacent to corticospinal tract in children. Burdenko's Journal of Neurosurgery. 2024;88(1):97‑102. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20248801197

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

An urgent problem in modern neurosurgery is resection of brain tumors adjacent to corticospinal tract (CST) due to high risk of its damage and subsequent disability. The main methods for prevention of intraoperative damage to CST are preoperative MR tractography and intraoperative electrophysiological monitoring. Both methods are used in pediatric neurosurgery. We reviewed the PubMed database since 2000 using the following keywords: «tumors of the hemispheres in children», «corticospinal tract», «MR tractography», «intraoperative electrophysiological monitoring». We present available literature data on preoperative MR tractography and intraoperative electrophysiological monitoring in children with supratentorial tumors near CST. Algorithm of intraoperative electrophysiological monitoring is often missing or insufficiently described. MR tractography is usually presented in case reports. Researchers do not compare the effectiveness of MR tractography and intraoperative electrophysiological monitoring. In case of MR tractography, a limitation is impossible CST reconstruction in children 2—3 years old. This may be due to unformed pyramidal system in these children.

CONCLUSION

Preoperative MR tractography and intraoperative electrophysiological monitoring are valid methods for assessment of CST. Optimal research parameters in children require careful study that will allow objective planning of each stage of preoperative management and increase resection quality for gliomas near CST in children without neurological deterioration.

Keywords:

basal ganglia tumors
motor cortex tumors
MR tractography
intraoperative electrophysiological monitoring

Authors:

Kakhkharov R.A.

Burdenko Neurosurgical Center

Kadyrov Sh.U.

Burdenko Neurosurgical Center

Ogurtsova A.A.

Burdenko Neurosurgical Center

Bayev A.A.

Burdenko Neurosurgical Center

Afandiev R.M.

Burdenko Neurosurgical Center

Pronin I.N.

Burdenko Neurosurgical Center

Received:

15.06.2023

Accepted:

14.09.2023

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