inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2541-9897-2024-9-3-125-130inovmed-890Research ArticleОБЗОРЫREVIEWSНейрохирургические вмешательства у пациентов с токсоплазмозом головного мозгаNeurosurgical Interventions in Patients With Cerebral Toxoplasmosishttps://orcid.org/0000-0001-6321-4557ШнякинП. Г.ShnyakinP. G.

Шнякин Павел Геннадьевич, д. м. н., профессор, заведующий кафедрой травматологии, ортопедии и нейрохирургии с курсом ПО; руководитель регионального сосудистого центра

Pavel G. Shnyakin, Dr. Sci. (Med.), Professor, Head of the Department of Traumatology, Orthopedics and Neurosurgery with the Postgraduate Education Course; Head of the Regional Vascular Center

https://orcid.org/0000-0001-6393-0430БотовА. В.BotovA. V.

Ботов Антон Витальевич, к. м. н., доцент кафедры травматологии, ортопедии и нейрохирургии с курсом ПО; заведующий отделением нейрохирургии № 2

Anton V. Botov, Cand. Sci. (Med.), Associate Professor at the Department of Traumatology, Orthopedics and Neurosurgery with the Postgraduate Education Course; Head of the Neurosurgery Unit No. 2

https://orcid.org/0009-0000-4511-5774ГавриловаА. О.GavrilovaA. O.

Гаврилова Анна Олеговна, студентка 5-го курса лечебного факультета

660022, Красноярск, ул. Партизана Железняка, 1

Anna O. Gavrilova, 5th Year Student, Faculty of Medicine

ulitsa Partizana Zheleznyaka 1, Krasnoyarsk, 660022

anna-gavrilova20@yandex.ruКрасноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого; Краевая клиническая больницаРоссияProfessor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Regional Clinical HospitalRussian FederationКрасноярский государственный медицинский университет им. проф. В.Ф. Войно-ЯсенецкогоРоссияProfessor V.F. Voino-Yasenetsky Krasnoyarsk State Medical UniversityRussian Federation20243009202403125130Copyright © Шнякин П.Г., Ботов А.В., Гаврилова А.О., 20242024Шнякин П.Г., Ботов А.В., Гаврилова А.О.Shnyakin P.G., Botov A.V., Gavrilova A.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/890

Токсоплазмоз головного мозга является актуальной проблемой и встречается в практике неврологов и нейрохирургов. Большинство пациентов с церебральным токсоплазмозом – это ВИЧ-инфицированные пациенты в стадии СПИД. При этом токсоплазмозный энцефалит может развиться у пациентов с любым иммунодефицитным состоянием, приводящим к реактивации токсоплазмозной инфекции в центральной нервной системе. Не являясь нейрохирургической патологией, тем не менее иногда пациентам с церебральным токсоплазмозом требуется нейрохирургическая помощь для выполнения диагностической биопсии, а иногда и удаления очага. Кроме того, регулярно публикуются клинические наблюдения удаления очагов токсоплазмоза, первично принятых за опухоль головного мозга. Как правило, это случается при неизвестном ВИЧ-статусе пациента и его тяжелом состоянии, не позволяющим провести полноценное дообследование.

В данной статье представлен обзор современных русскоязычных и иностранных публикаций по нейрохирургической активности у пациентов с церебральным токсоплазмозом. 

Toxoplasmosis of the brain is a pressing issue in the practice of neurologists and neurosurgeons. Most patients with cerebral toxoplasmosis are persons with AIDS. However, toxoplasmic encephalitis can develop in patients with any immunodeficiency conditions that lead to reactivation of toxoplasmosis infection in the central nervous system. Although cerebral toxoplasmosis is not a neurosurgical pathology, patients sometimes require neurosurgical interventions: diagnostic biopsy and lesion removal. Moreover, literature shows cases of removal of brain lesions initially mistaken for a brain tumor, which, as a rule, occurs when the patient’s HIV status is unknown and the severity of their condition does not allow for a comprehensive additional examination.

This article reviews Russian and foreign publications on neurosurgical interventions in patients with cerebral toxoplasmosis. 

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