nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2022-11-1-96-103nmp-1344Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSПрименение транскраниальной магнитной стимуляции в нейрохирургииTranscranial magnetic stimulation in neurosurgeryhttps://orcid.org/0000-0002-7635-9701ДмитриевА. Ю.DmitrievA. Yu.

Дмитриев Александр Юрьевич - кандидат медицинских наук, врач-нейрохирург, нейрохирургическое отделение для лечения больных с сосудистыми заболеваниями головного мозга ГБУЗ «НИИ СП им. Н.В. Склифосовского ДЗМ», ассистент кафедры нейрохирургии и нейрореанимации ФГБОУ ВО «МГМСУ им. А.И. Евдокимова».

129090, Москва, Большая Сухаревская пл., д. 3; 127473, Москва, ул. Делегатская, д. 20, стр. 1

Aleksandr Yu. Dmitriev - Candidate of Medical Sciences, Neurosurgeon, Neurosurgical Department for the Treatment of Patients with Cerebral Vascular Diseases.

3 Bolshaya Sukharevskaya Square, Moscow 129090; 20, bldg 1 Delegatskaya St., Moscow 127473

dmitriev@neurosklif.ruhttps://orcid.org/0000-0002-5847-9435ДашьянВ. Г.DashyanV. G.

Дашьян Владимир Григорьевич - доктор медицинских наук, врач-нейрохирург, нейрохирургическое отделение ГБУЗ «НИИ СП им. Н.В. Склифосовского ДЗМ», профессор кафедры нейрохирургии и нейрореанимации ФГБОУ ВО «МГМСУ им. А.И. Евдокимова».

129090, Москва, Большая Сухаревская пл., д. 3; 127473, Москва, ул. Делегатская, д. 20, стр. 1

Vladimir G. Dashyan - Doctor of Medical Sciences, Neurosurgeon, Neurosurgical department of N.V. Sklifosovsky Research Institute for Emergency Medicine, Professor of the Department of Neurosurgery and Neuroresuscitation.

3 Bolshaya Sukharevskaya Square, Moscow 129090; 20, bldg 1 Delegatskaya St., Moscow 127473

v485@bk.ruГБУЗ Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ; ФГБОУ ВО Московский государственный медико-стоматологический университет им. А.И. Евдокимова МЗ РФРоссияN.V. Sklifosovsky Research Institute for Emergency Medicine; A.I. Yevdokimov Moscow State University of Medicine and DentistryRussian Federation20220804202211196103Copyright © Дмитриев А.Ю., Дашьян В.Г., 20222022Дмитриев А.Ю., Дашьян В.Г.Dmitriev A.Y., Dashyan V.G.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1344

Транскраниальная магнитная стимуляция (ТМС) является относительно новым диагностическим и лечебным методом. Ее широкое внедрение в нейрохирургическую практику началось с 2009 года. Метод применяют для неинвазивного обнаружения функционально значимых центров головного мозга. Сочетание с трактографией облегчает построение проводящих путей. В обзоре обобщены основные результаты применения ТМС при планировании нейрохирургических вмешательств. Рассмотрены принцип метода, его преимущества и недостатки, приведено сравнение с результатами прямой корковой стимуляции, являющейся «золотым стандартом» при обнаружении функционально значимых центров головного мозга.

Transcranial magnetic stimulation (TMS) is a relatively new diagnostic and therapeutic method. Its widespread introduction into neurosurgical practice began in 2009. The method is used for non-invasive detection of eloquent brain areas. The combination with tractography facilitates the projection of pathways. The review summarizes the main results of TMS in the planning of neurosurgical interventions. We described the principle of method, analyzed its benefi ts and shortcomings, compared it with direct cortical stimulation which is a “gold standart” in detection of eloquent brain centers.

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