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Tomskiy A.A.

Burdenko Neurosurgical Center

Bril E.V.

Burnazyan Federal Medical Biophysical Center;
Russian Medical Academy of Continuing Professional Education

Gamaleya A.A.

Burdenko Neurosurgical Center

Poddubskaya A.A.

Burdenko Neurosurgical Center

Fedorova N.V.

Russian Medical Academy of Continuing Professional Education

Levin O.S.

Russian Medical Academy of Continuing Professional Education

Illarioshkin S.N.

Research Center of Neurology

Problems in organizing neurosurgical care for patients with Parkinson’s disease in the Russian Federation

Authors:

Tomskiy A.A., Bril E.V., Gamaleya A.A., Poddubskaya A.A., Fedorova N.V., Levin O.S., Illarioshkin S.N.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2024;88(3): 5‑13

DOI: 10.17116/neiro2024880315

Read: 2426 times

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Table of contents

PROBLEMS IN ORGANIZING NEUROSURGICAL CARE FOR PATIENTS WITH PARKINSON’S DISEASE IN THE RUSSIAN FEDERATION
PROBLEMS IN ORGANIZING NEUROSURGICAL CARE FOR PATIENTS WITH PARKINSON’S DISEASE IN THE RUSSIAN FEDERATION

To cite this article:

Tomskiy AA, Bril EV, Gamaleya AA, Poddubskaya AA, Fedorova NV, Levin OS, Illarioshkin SN. Problems in organizing neurosurgical care for patients with Parkinson’s disease in the Russian Federation. Burdenko's Journal of Neurosurgery. 2024;88(3):5‑13. (In Russ., In Engl.)
https://doi.org/10.17116/neiro2024880315

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:

BACKGROUND

Currently, there are some problems in the Russian Federation complicating development of neurosurgical care for patients with Parkinson’s disease (PD).

MATERIAL AND METHODS

In 2022, neurologists — movement disorders specialists were surveyed to analyze situation with PD pharmacological treatment and referral of patients for surgical treatment in Russian constituent entities. Data on neurosurgical treatment of PD were obtained by collecting information on the surgical activity of medical institutions in the Russian Federation. Most hospitals involved in PD treatment took part in this study.

RESULTS

The state of neurosurgical care for patients with PD is analyzed and possible ways to improve the quality of treatment are discussed.

CONCLUSION

Over the past 20 years, a system of neurosurgical care for patients with PD has been formed in 14 centers in the Russian Federation (2022). Obstacles to its further development can be divided into 3 categories: problems of patient selection and routing, complexity of organization and financing surgeries, and imperfect postoperative patient management. Ways to overcome these obstacles imply expanding the network of centers for extrapyramidal diseases, development of domestic neurostimulation systems, improving the distribution of quotas taking into account the capabilities of hospitals, specialized training of neurologists for extrapyramidal centers and neurosurgeons for deep brain stimulation centers, adequate financing and systematization of postoperative management of patients with PD.

Keywords:

Parkinson’s disease
extrapyramidal center
functional neurosurgery
deep brain stimulation
neurostimulation
movement disorder specialist

Authors:

Tomskiy A.A.

Burdenko Neurosurgical Center

Bril E.V.

Burnazyan Federal Medical Biophysical Center;
Russian Medical Academy of Continuing Professional Education

Gamaleya A.A.

Burdenko Neurosurgical Center

Poddubskaya A.A.

Burdenko Neurosurgical Center

Fedorova N.V.

Russian Medical Academy of Continuing Professional Education

Levin O.S.

Russian Medical Academy of Continuing Professional Education

Illarioshkin S.N.

Research Center of Neurology

Received:

09.11.2023

Accepted:

22.03.2024

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