Microsurgical selective neurotomy in treatment of the focal spastic syndromes of the different etiology.

Object: To estimate the effectiveness of selective peripheral neurotomy (SPN) in the treatment of local botuloresistant spastic disorders.

Methods: 20 SPNs were performed in 18 patients with spastic disorders. In 11 cases we performed SPN of the nervus obturatorius, in 5 - tibialis, in 3 - musculocutaneous, in 1 - radialis.

[Cervical spondylogenic myelopathy: diagnostics, treatment, prognosis].

The authors present a review of literature focusing on state-of-art of surgical management of cervical spondylogenic myelopathy (CSM). Pathophysiology of CSM, evaluation and differential diagnosis are also described. Special attention is given to the value of neurophysiological aspects in pre- and postoperative examination.

[Multiple echinococcosis of brain, heart and kidneys].

The authors report a rare case of multiple echinococcosis (brain, heart and kidneys). Neuronavigation, intraoperative ultrasound scanning have allowed to plan exact and non-traumatic access to the cysts. Microsurgical technique and intraoperative neurophysiological monitoring provided removal of seven cysts without their rupture from the left parietooccipital and right parietal area with good postoperative functional result.

[Planning of surgical approach to intracerebral tumors of the hemispheres using fMRI, neuronavigation, and electrophysiological monitoring].

The paper discusses pre- and intraoperative application of different guiding techniques (frameless neuronavigation, fMRI, electrophysiological monitoring). We performed comparative analysis of different combinations of these methods. 74 patients with intracerebral tumors involving eloquent areas (sensorimotor cortex in 56 and speech zones in 18) were operated.

[Tethered cord syndrome in different types of spina bifida in children].

Background: Tethered cord syndrome (TCS) occurs in 10-75% of children after correction of myelomeningocele and lipomyelomeningocele. Early diagnosis and surgical treatment of TCS after correction of different types of spina bifida remains a challenging problem of modern neurosurgery.

Materials And Methods: Since January till December 2008 in Burdenko Neurosurgical Institute 15 children were prospectively examined and operated.