sechenovSechenov Medical JournalСеченовский вестник2218-73322658-3348Сеченовский Университет10.47093/2218-7332.2024.15.4.4-18sechenov-1155Research ArticleNEUROSURGERYНЕЙРОХИРУРГИЯClassification of ophthalmic segment internal carotid artery aneurysms: a literature reviewКлассификация аневризм офтальмического сегмента внутренней сонной артерии: обзор литературыhttps://orcid.org/0009-0001-2039-7629СеверИ. Н.SeverIrina N.

Север Ирина Николаевна, аспирантка кафедры нервных болезней и нейрохирургии,

ул. Митрофана Седина, д. 4, г. Краснодар, 350063.

Irina N. Sever, postgraduate student, Department of Nervous Diseases and Neurosurgery,

4, Mitrofan Sedin str., Krasnodar, 350063.

https://orcid.org/0009-0009-4355-6301ГерасютаА. Е.GerasyutaAnna E.

Герасюта Анна Евгеньевна, врач-рентгенолог рентгенологического отделения,

ул. Митрофана Седина, д. 4, г. Краснодар, 350063;

ул. 1 Мая, д. 167, г. Краснодар, 350086.

Anna E. Gerasyuta, radiologist, Department of Radiology,

4, Mitrofan Sedin str., Krasnodar, 350063.

167, 1st May str., Krasnodar, 350086.

https://orcid.org/0000-0002-4831-1874ЛитвиненкоД. В.LitvinenkoDmitry V.

Литвиненко Дмитрий Викторович, канд. мед. наук, врач-нейрохирург нейрохирургического отделения № 2,

ул. 1 Мая, д. 167, г. Краснодар, 350086.

Dmitry V. Litvinenko, Cand. of Sci. (Medicine), neurosurgeon, Department of Neurosurgery No. 2,

167, 1st May str., Krasnodar, 350086.

dlmalit73@yandex.ruhttps://orcid.org/0000-0002-5600-329XТкачевВ. В.TkachevVyacheslav V.

Ткачев Вячеслав Валерьевич, д-р мед. наук, заведующий нейрохирургическим отделением № 2,

ул. Митрофана Седина, д. 4, г. Краснодар, 350063;

ул. 1 Мая, д. 167, г. Краснодар, 350086.

Vyacheslav V. Tkachev, Dr. of Sci. (Medicine), Head of the Department of Neurosurgery No. 2,

4, Mitrofan Sedin str., Krasnodar, 350063;

167, 1st May str., Krasnodar, 350086.

ФГБОУ ВО «Кубанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияKuban State Medical UniversityRussian FederationФГБОУ ВО «Кубанский государственный медицинский университет» Министерства здравоохранения Российской Федерации; ГБУЗ «НИИ – Краевая клиническая больница № 1 им. профессора С.В. Очаповского» Министерства здравоохранения Краснодарского краяРоссияKuban State Medical University; Scientific Research Institute – Regional Clinical Hospital No. 1 named after prof. S.V. OchapovskyRussian FederationГБУЗ «НИИ – Краевая клиническая больница № 1 им. профессора С.В. Очаповского» Министерства здравоохранения Краснодарского краяРоссияScientific Research Institute – Regional Clinical Hospital No. 1 named after prof. S.V. OchapovskyRussian Federation202407122024154Special Issue: Neurosurgery418Copyright © Sever I.N., Gerasyuta A.E., Litvinenko D.V., Tkachev V.V., 20242024Север И.Н., Герасюта А.Е., Литвиненко Д.В., Ткачев В.В.Sever I.N., Gerasyuta A.E., Litvinenko D.V., Tkachev V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sechenovmedj.com/jour/article/view/1155

Aneurysms of the ophthalmic segment of the internal carotid artery (ICA) have traditionally been considered complex, due to the peculiarities of their anatomy, difficult accessibility for open surgery and the risk of deterioration of visual functions. The high variability of the location of carotid-ophthalmic (paraclinoid) aneurysms is the main reason for the lack of a generally recognized clinical and anatomical classification of aneurysms of this localization. In turn, the lack of anatomical unification limits the communication between specialists involved in the diagnosis and treatment of such patients, as well as complicates the comparative analysis of clinical data and the results of microsurgical and intravascular operations. The proposed generalized classification scheme of aneurysms of the ophthalmic segment of the ICA can be used to systematize clinical material, study surgical algorithms in detail and develop optimal treatment tactics for patients with paraclinoid aneurysms.

Аневризмы офтальмического сегмента внутренней сонной артерии (ВСА) традиционно рассматриваются в качестве сложных в связи с особенностями их анатомического строения, труднодоступностью для открытой хирургии и наличием риска ухудшения зрительных функций. Высокая вариативность расположения каротидно-офтальмологических (параклиноидных) аневризм является основной причиной отсутствия общепризнанной клинико-анатомической классификации аневризм данной локализации. В свою очередь, отсутствие их анатомической унификации ограничивает коммуникацию специалистов, участвующих в диагностике и лечении таких пациентов, а также затрудняет сравнительный анализ клинических данных и результатов микрохирургических и внутрисосудистых операций. Предлагаемая обобщенная схема классификации аневризм офтальмического сегмента ВСА может применяться для систематизации клинического материала, детальной проработки хирургических алгоритмов и выработки оптимальной тактики лечения пациентов с аневризмами параклиноидной локализации.

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