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All Journal Asian Australasian Neuro and Health Science Journal (AANHS-J)
Chmutin, Gennady
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

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The Arteriovenous Malformation Rupture on Posterior Cranial Fossa:Management and Treatment of 9 Children Patients at Morozovskaya Children's Hospital: Arteriovenous Malformation Rupture on Posterior Cranial Fossa:Management Zokirjon Utkurovich, Zokhidov; Encarnacion-Santos, Daniel; Chmutin, Gennady; Gordon-Gullanyi, Ayisi; Chmutin, Egor; Livshits , Matvey Igorevich; Levov , Alexander Vyacheslavovich; Berdieva , Madina Golibovna; Shlepotina, Elizaveta Andreevna; Dovran, B. Nurmyradov; Mamatkulov , Sherbek Musakulovich
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 02 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v7i02.22492

Abstract

Abstract Background Posterior cranial fossa (PCF) arteriovenous malformations (AVM) in children are the least studied among vascular malformations. Mortality rates after hemorrhages from ruptured PCF AVM reach the range of up to 21-67%. The aim of this Evaluation of the treatment tactics of the arteriovenous malformation rupture in an area of the posterior cranial fossa in children. Materials and Methods The study includes 9 children admitted to the Morozovskaya Children’s City Clinical Hospital Moscow Healthcare department, Moscow, Russia, with PCF, AVM intracranial hemorrhage (ICH) during the period of 2015-2022. The age varies from 7 to 17 years old. All patients underwent clinical and neurological examination, CT, and MRI of the brain, as well as cerebral angiography. The volume of intracranial hematoma ranges from 5 to 41.1 mL. To decide on the further extent of surgical intervention, GCS, Greab, PedNIHSS, and H-H scales were used. Results The extent of surgical intervention was based on the time of the admission to the hospital, the severity of the patients’ condition, the size and location of the ICH, and its relationship to the med-stem structures. Type of operation: microsurgical intervention in 3 cases (33.3 %), endovascular embolization in 2 cases (22.2 %), combined treatment in 4 cases (44.5 %). Surgery was performed in the acute period in all patients. Conclusion Modern microsurgical and endovascular PCF AVM treatment methods allow for positive results in complete neurological symptom regression form. This considerably decreases disability rates and increases patients’ quality of life.
The Cervical Spinal Epiduritis, pertaining to Diagnosis, Treatment, and Outcomes: on severe spinal cord stenosis. A Case Report and a Literature Review: Cervical Spinal Epiduritis, pertaining to Diagnosis, Treatment, and Outcomes Encarnacion-Santos, Daniel; Shestov, Eugeny; Pachev, Murat; Chmutin, Gennady; Chmutin, Egor; Rubenovich-Chikava, Dmitriy; Axenova, Marina; Chaurasia, Bipin
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 03 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhs-j.v7i03.22830

Abstract

Abstract Background: Osteomyelitis coupled with immunocompromised people with drug or intravenous drug use produces infective endocarditis. Remember that atlantoaxial subluxation accompanied by infection of the pharynx or nearby tissues is termed Grisel syndrome. [2]. Epidural abscesses are sometimes surgical emergencies, depending on the type of neurological impairments. An upper cervical epidural abscess in the occiput at the level of C2 is highly rare and uncommon. At the level of the subaxial spine at C3-C6 OR C7-T1 is the cervicothoracic area. Case Presentation A 54-year-old female patient reported experiencing cough and catarrhal symptoms for three months due to a previous coronavirus infection, accompanied by shortness of breath and joint pain. The patient's neck pain intensified, radiating to the left arm (myelopathy); conservative treatment was ineffective. MRI of the cervical spine indicated purulent spondyloarthritis affecting the left C4-C6 facet joints, with severe spinal cord stenosis (Figure 1), accompanied by epiduritis in the adjacent segment and abscess formation in the posterior paravertebral muscles of the neck. The surgical intervention consisted of a left C5-C6 hemilaminectomy with a microdiscectomy with which a metal cage was placed after sanitation and drainage of the purulent epiduritis, approach to the spondyloarthritis in the C4-C6 segments, and management of an intermuscular abscess with a cage. Conclusion Our clinical case shows a cervical spinal epiduritis with spinal cord stenosis, confirmed by imaging; therefore, once the diagnosis was confirmed, the decision was to perform an eminent surgical intervention with a hemilaminectomy and microdiscectomy.
Co-Authors Axenova, Marina Berdieva , Madina Golibovna Chaurasia, Bipin Chmutin, Egor Dovran, B. Nurmyradov Encarnacion-Santos, Daniel Gordon-Gullanyi, Ayisi Levov , Alexander Vyacheslavovich Livshits , Matvey Igorevich Mamatkulov , Sherbek Musakulovich Pachev, Murat Rubenovich-Chikava, Dmitriy Shestov, Eugeny Shlepotina, Elizaveta Andreevna Zokirjon Utkurovich, Zokhidov