Neurosurgery and Neurology of Kazakhstan

23,24,25,26

Authors: Sh.T. Taylakov, L.V. Schischkina

Most hemangiopericytomas are located in the musculo-skeletal system and the skin, while the intracranial location is rare. In a review paper, an analysis of publications in the world literature on the problem of diagnostic method and treatment of hemangiopericytomas. Radical surgery is the treatment of choice, but must be completed with postoperative radiotherapy, which has proved to be the therapy most strongly related to the final prognosis. Hemangiopericytomas have a relentless tendency for local recurrence and metastases outside the central nervous system which can appear even many years after diagnosis and adequate treatment of the primary tumour. Key words: hemangiopericytoma; meningeal; treatment; prognosis.

33,34,35,36,37

Authors: Mikhailova N.V., Savinov S.V., Akchurina I.E., Grebenyukova I.V., Utebekov Z.E., Sitnikov I.Y., Abedimova R.A., Esimova G.N., Sinitsina T.N.

Gemimegalentsefaly - serious malformation of the brain, which always combined with severe symptomatic forms of epilepsy. The latter, in turn, aggravate and worsen the prognosis for the child. Impossible to achieve a stable positive result against the background of selection of anticonvulsant therapy. In SVS Laboratory study of epilepsy, convulsions and family monitoring after V.M.Savinova observed a child with congenital malformation of the brain - gemimegalentsefaly. Parencephaly put at prenatal diagnosis by ultrasound, and then confirmed by CT scan of prenatal. After the birth repeatedly held video EEG monitoring with the registration period of sleep and wakefulness and including attack period, neurological examination, MRI diagnosis (1,5 Tsl). Prescribed anticonvulsants combination, with low effect results. Underwent surgery –functional vertical gemisferotomy in the left side. Postoperatively, seizures were not observed. As a result, our conclusions were drawn: Treatment of choice is surgical patients while taking AEDs. Surgical treatment is based on resection of the affected hemisphere to provide the best compensatory capacities of the brain due to a healthy hemisphere. Early diagnosis and a decision on operative treatment is great prognostic value. The sooner an operation will be made, the better the work of adaptation mechanisms of the body. The main indication for postponing surgery may serve as a small child’s weight due to an increased risk of breaking bcc intraoperative conditions. Key words: gemimegalentsefaly, prenatal diagnosis of congenital malformations of the brain, gemisferotomy, hemispherectomy