rehabРеабилитологияJournal of Medical Rehabilitation2949-58732949-5881IRBIS LLC10.17749/2949-5873/rehabil.2024.16rehab-46Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESКлинические и реабилитационные аспекты ведения пациентов при менингиомах, шванномах, эпендимомах и гипофизарных нейроэндокринных опухоляхClinical and rehabilitation aspects of managing patients with meningiomas, schwannomas, ependymomas, and pituitary neuroendocrine tumorshttps://orcid.org/0000-0003-0190-3335ВасиленкоА. В.VasilenkoA. V.

Василенко Анна Владимировна, доцент

ул. Аккуратова, д. 2, Санкт-Петербург 197341

ул. Кирочная, д. 41, Санкт-Петербург 191015

Scopus Author ID: 35773656400

Anna V. Vasilenko, Assoc. Prof.

Scopus Author ID: 35773656400

2 Akkuratov Str., Saint Petersburg 197341

41 Kirochnaya Str., Saint Petersburg 191015

vasilenko_anna@list.ruhttps://orcid.org/0009-0001-8228-3213ЛаврикМ. Т.LavrikM. T.

Лаврик Мария Тимуровна

ул. Аккуратова, д. 2, Санкт-Петербург 197341

Maria T. Lavrik 

2 Akkuratov Str., Saint Petersburg 197341

https://orcid.org/0009-0003-7879-500XГригорьеваП. А.GrigorevaP. A.

Григорьева Полина Алексеевна

ул. Аккуратова, д. 2, Санкт-Петербург 197341

Polina A. Grigoreva 

2 Akkuratov Str., Saint Petersburg 197341

https://orcid.org/0000-0003-4057-5303ЧудиевичС. Н.ChudievichS. N.

Чудиевич Сергей Николаевич

ул. Аккуратова, д. 2, Санкт-Петербург 197341

Sergey N. Chudievich 

2 Akkuratov Str., Saint Petersburg 197341

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр им. В.А. Алмазова» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное учреждение «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research Center; Mechnikov North-Western State Medical UniversityRussian FederationФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр им. В.А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CenterRussian Federation20240402202523303–315Copyright © Василенко А.В., Лаврик М.Т., Григорьева П.А., Чудиевич С.Н., 20252025Василенко А.В., Лаврик М.Т., Григорьева П.А., Чудиевич С.Н.Vasilenko A.V., Lavrik M.T., Grigoreva P.A., Chudievich S.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rehabilitology.com/jour/article/view/46

Проблема реабилитационного лечения нейроонкологических больных весьма актуальна в связи с высокой частотой встречаемости опухолей головного мозга различной локализации и выраженности неврологических нарушений, снижающих качество жизни пациентов. Так, за последние десятилетия увеличилась частота поражения опухолевым процессом центральной нервной системы, причем в возрастной группе старше 65 лет – более чем в 2 раза. Нейроонкологические больные – сложный контингент пациентов, требующий длительного восстановительного лечения. Максимально ранняя реабилитация позволяет добиться восстановления нарушенных функций прежде, чем сформируются стойкие патологические установки. В статье рассмотрены методы нейрореабилитации на примере наиболее часто встречающихся доброкачественных опухолей головного мозга, к которым относятся менингиомы, шванномы, эпендимомы и нейроэндокринные опухоли гипофиза. В последние годы лечение данных видов опухолей головного мозга достигло значительного прогресса, в т.ч. благодаря комбинированным методам. Во всем мире признан факт необходимости междисциплинарного подхода в нейроонкологии. Однако потребности данной группы пациентов и их семей выходят далеко за пределы медицинской помощи и нуждаются в работе психологов, специалистов по трудотерапии, логопедов и социальных работников. Комплексное лечение, ранние восстановительные мероприятия и разработка новых методов нейрореабилитации позволят обеспечить персонализированный подход к пациентам с доброкачественными новообразованиями головного мозга, увеличивая их реабилитационный потенциал.

The rehabilitation of neurooncology patients represents a critical issue due to the high incidence of brain tumors of varying locations and the severity of associated neurological symptoms, which significantly reduce the patient’s quality of life. Over the past decades, the prevalence of central nervous system tumor has increased by more than twofold in individuals aged 65 and above. Neurooncology patients represent a complex group that requires long-term restorative treatment. The early initiation of rehabilitation facilitates the recovery of impaired functions prior to the formation of persistent pathological patterns. This article examines neurorehabilitation methods using the example of the most common benign brain tumors, which include meningiomas, schwannomas, ependymomas, and pituitary neuroendocrine tumors. Significant advancements have been made in the treatment of these tumors in recent years, particularly through combined treatment modalities. A multidisciplinary approach to neurooncology is becoming increasingly recognized as a key element in global healthcare. However, the needs of these patients and their families extend beyond medical care, necessitating the involvement of psychologists, occupational therapists, speech-language pathologists, and social workers. A comprehensive approach to treatment, early restorative interventions and the development of innovative neurorehabilitation methods can facilitate a personalized strategy for patients with benign brain tumors, thereby increasing their rehabilitation potential.

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