Vadim N. Shimansky

Surgical treatment of hemifacial spasm: a systematic review

Vadim N. Shimansky, L. A. Sidneva, Sergey V. Tanyashin, A.A. Ogurtsova et autres

The annual incidence of hemifacial spasm is 8-15 cases per 100.000. This disease is not life-threatening, but it significantly impacts the quality of life. Primary treatment is vascular decompression of the facial nerve. Thus, improvement of appropriate technique is crucial for higher …

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The use of intraoperative neurophysiological monitoring in the surgical treatment of hemifacial spasm

Vadim N. Shimansky, Larisa A. Sidneva, Sergei V. Tanyashin, Anna A. Ogurtsova et autres

BACKGROUND: Hemifacial spasm is not a life-threatening pathology, but it considerably reduces the quality of life of patients, leading to persistent social maladaptation in advanced cases. Microvascular decompression of the facial nerve root is the only treatment method aimed at eliminating the …

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Origins of trigeminal neuralgia surgery (standing on the shoulders of giants)

Vadim N. Shimansky, I. O. Kugushev, Sergey V. Tanyashin, M. V. Kolycheva et autres

Trigeminal neuralgia is a well-known disease characterized by excruciating, paroxysmal, piercing pain in the face. It is often provoked by facial expressions or eating. Physicians have attempted to describe this severe pain for the past two thousand years. They described cephalgia, but …

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Origins of trigeminal neuralgia surgery (era of microvascular decompression)

Vadim N. Shimansky, I. O. Kugushev, Sergey V. Tanyashin, M. V. Kolycheva et autres

Throughout history, physicians have attempted to alleviate suffering of patients with trigeminal neuralgia. However, treatment was ineffective because pathogenesis of disease was unclear. Nevertheless, history of neuralgia shows that pioneering observations made by experienced clinicians led to development of methods that at …

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Through centuries of pain. Historical milestones and innovations in surgical treatment of glossopharyngeal neuralgia

R. A. Sadykov, I. O. Kugushev, M. V. Kolycheva, Sergey V. Tanyashin et autres

Lingopharyngeal neuralgia (AGN) is a rare disease characterized by attacks of acute shooting pain in the pharynx, tonsils and root of the tongue, provoked by swallowing, speaking or eating. First described in 1910 by Weisenburg, YAGN remained a poorly understood pathology for …

Surgical treatment of lingopharyngeal nerve neuralgia (Sikar syndrome)

Vadim N. Shimansky, M. V. Kolycheva, R. A. Sadykov, L. A. Sidneva et autres

Glossopharyngeal neuralgia (GPN) is a rare disease (incidence of 16 cases per 10 000 000 population, i.e. about 50 times less frequent than trigeminal neuralgia). Glossopharyngeal neuralgia is characterised by recurrent stereotyped unilateral painful attacks in the area of the palatine tonsil, …

Differential diagnosis of neoplasms of the cerebellar bridge angle simulating cystic neuroma of the auditory nerve

Vadim N. Shimansky, I. O. Kugushev, A B Kadasheva, Sergey V. Tanyashin et autres

An auditory nerve neurinoma is a benign tumor that usually occurs in the inner auditory canal in the Obersteiner — Redlich zone of the upper vestibular nerve between oligodendrocytes and Schwann cells located 8–10 mm from the pial membrane of the lateral …

Bulbar disorders in surgery of benign tumors of the cerebellar angle. Literature review

A.H. Abdulgamidov, Elizaveta Vladimirovna Shelesko, Vadim N. Shimansky, Nadezhda Alekseevna Chernikova et autres

Surgical treatment of cerebellopontine angle tumors is a relevant and deeply studied topic of modern neurosurgery. Among brain tumors, cerebellopontine angle tumors account for 6–10 %. One of the important problems is dysfunction of the caudal group of nerves, which often occurs …

Abducens nerve schwannoma: a case report and literature review

Vadim N. Shimansky, I. O. Kugushev, A B Kadasheva, Sergey V. Tanyashin et autres

INTRODUCTION. Abducens nerve schwannoma are an extremely rare neurosurgical pathology. The peculiarity of these tumors is diagnostic difficulties at the preoperative stage, as often the neoplasms mimic schwannoma of the Gasser’s ganglion. Often persisting oculomotor disorders after surgery remain an unsolved problem. …

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To the origins of surgery for acoustic neuromas

Vadim N. Shimansky, I. O. Kugushev, A B Kadasheva, V. K. Poshataev et autres

Acoustic neuroma is one of the most common tumors of the posterior cranial fossa. Its removal is always a challenge for the neurosurgeon and the patient. The history of surgery for acoustic neuromas is inextricably linked with the history of neurosurgery in …

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Radiological characteristics of hydrocephalus due to idiopathic extraventricular cisternal obstruction

Konstantin V. Shevchenko, Vadim N. Shimansky, Sergey V. Tanyashin, Vasiliy V. Karnaukhov et autres

Initially, hydrocephalus was divided into communicanting and non-communicanting by W. Dandy. After that terms “intraventricular” and “extraventricular” obstruction were determined. Improvement of radiological technologies have allowed to determine the level of CSF obstruction exactly. In some situations, CSF-disorders combine signs of different …

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Endoscopic surgery of the patients with idiopathic hydrocephalus due to extraventricular cisternal obstruction

Konstantin V. Shevchenko, Vadim N. Shimansky, Sergey V. Tanyashin, Vasiliy V. Karnaukhov et autres

The possibility of developing hydrocephalus due to extraventricular cisternal obstruction was discovered in the 20th century. The development of neuroimaging and endoscopic techniques has made it possible to plan and perform minimally invasive surgeries in a narrow anatomical corridor with a good …

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