vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗvmireaviz-53Research ArticleМорфология, патологияMorphology, pathologyТРАНСКОНДИЛЯРНЫЙ КРАЙНЕЛАТЕРАЛЬНЫЙ FAR LATERAL ДОСТУПFAR-LATERAL TRANSCONDYLAR APPROACHЛюньковаР. Н.LyunkovaR. N.

кандидат медицинских наук, нейрохирург,

Москва

Moscow

regina.lunkova@mail.ruЛопанчукП. А.LopanchukP. A.

врач-педиатр, ассистент кафедры пропедевтики детских болезней, директор,

Москва

Moscow

ГущинА. В.GushchinA. V.

кандидат медицинских наук, врач-хирург, заместитель директора,

Москва

Moscow

МишуринскаяЕ. А.MishurinskayaE. A.

врач-хирург;

специалист по учебно-методической работе, руководитель анатомических курсов, 

Москва

Moscow

БендосенкоВ. А.BendosenkoV. A.

студент лечебного факультета ФГБОУ ВО РНИМУ им. Н.И. Пирогова Министерства здравоохранения Российской Федерации, техник,

Москва

Moscow

КрыловВ. В.KrylovV. V.

доктор медицинских наук, профессор, академик РАН, заведующий кафедрой нейрохирургии и нейрореанимации,

Москва

Moscow

ГБУЗ «ГКБ 68 им. В.П. Демихова ДЗМ»РоссияState Budgetary Healthcare Institution ‘V.P. Demikhov City Clinical Hospital No. 68’, Moscow Healthcare DepartmentRussian FederationМАСЦ ФГБОУ ВО РНИМУ им. Н.И. Пирогова Министерства Здравоохранения Российской ФедерацииРоссияMulti-profile Accreditation and Simulation Center, Federal State Budgetary Institution of Higher Education ‘N.I. Pirogov Russian National Research Medical University’, Ministry of Health of the Russian FederationRussian FederationГБУЗ «ГКБ 68 им. В.П. Демихова ДЗМ»; МАСЦ ФГБОУ ВО РНИМУ им. Н.И. Пирогова Министерства Здравоохранения Российской ФедерацииРоссияState Budgetary Healthcare Institution ‘V.P. Demikhov City Clinical Hospital No. 68’, Moscow Healthcare DepartmentRussian FederationМАСЦ ФГБОУ ВО РНИМУ им. Н.И. Пирогова Министерства Здравоохранения Российской ФедерацииРоссияState Budgetary Healthcare Institution ‘V.P. Demikhov City Clinical Hospital No. 68’, Moscow Healthcare DepartmentRussian FederationФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Institution of Higher Education ‘A.I. Evdokimov Moscow State University of Medicine and Dentistry’, Ministry of Health of the Russian FederationRussian Federation202025112020034461Copyright © Люнькова Р.Н., Лопанчук П.А., Гущин А.В., Мишуринская Е.А., Бендосенко В.А., Крылов В.В., 20202020Люнькова Р.Н., Лопанчук П.А., Гущин А.В., Мишуринская Е.А., Бендосенко В.А., Крылов В.В.Lyunkova R.N., Lopanchuk P.A., Gushchin A.V., Mishurinskaya E.A., Bendosenko V.A., Krylov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/53

Хирургическое лечение патологии краниоспинальной области и краниовертебрального перехода представляет одну из сложных проблем в нейрохирургии, так как в патологический процесс вовлекаются ствол головного мозга, мозжечок, черепные нервы мосто-мозжечкового угла (ММУ), спинальные нервы, позвоночная (ПА) и базилярная артерии (БА) и их ветви, костные структуры и суставно-связочный аппарат краниовертебрального сочленения. В зависимости от распространения процесса применяют различные доступы к зоне краниовертебрального перехода и области большого затылочного отверстия, в том числе анализированный нами far lateral (крайне латеральный) доступ.

Surgical treatment of craniospinal disorders and craniovertebral junction disorders is one of the most challenging problems in neurosurgery, because the pathological process involves the brain stem, cerebellum, cranial nerves of the cerebellopontine angle (CPA), spinal nerves, vertebral artery (VA) and its branches, basilar artery (BA) and its branches, bone structures, as well as joints and ligaments of the craniovertebral junction. Various approaches are used to get the access to the craniovertebral junction and foramen magnum, including the far-lateral approach analyzed in this article. The choice of surgical approach depends on the spread of pathological process.

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