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The Specialised Scientific and Practical Centre of Neurosurgery and Neurorehabilitation at SamSMU has established surgical treatment of epilepsy

  On November 11, 2023, the director of the Federal Centre of Neurosurgery (Tyumen, Russian Federation), academician of the Russian Academy of Sciences, Doctor of Medical Sciences, professor A.A.Sufianov and the head of the department of pediatric neurosurgery of this centre, PhD, associate professor Y.A.Yakimov took part in the international scientific-practical seminar and master class at the Department of Neurosurgery of SamSMU. It should be noted that more than 4000 complex neurosurgical operations of different types are performed per year, covering all directions of neurosurgery in the Federal Centre of Neurosurgery, and this centre is one of the leading clinics in this respect.  The Department of Neurosurgery of SamSMU and Tyumen Federal Centre of Neurosurgery have several years of scientific and practical cooperation, and by mutual agreement young neurosurgeons of SamSMU undergo training and improve their qualification on the basis of the Centre in Tyumen.  In particular, in 2022 Z.T.Khusanov, assistant of the Department of Neurosurgery, underwent the advanced training programme in Tyumen Federal Centre of Neurosurgery on "Transnasal transsphenoidal neuroendoscopic surgery of pituitary tumours" and this type of surgery was introduced into the practice of our clinic.

  Epilepsy is one of the most urgent problems of modern neurosurgery and neurology, and the large number of people suffering from this disease in our country, reduction of their quality of life and ability to work due to this pathology increase the importance of this disease.  Currently, anticonvulsant (antiepileptic) drugs used in the treatment of epilepsy are effective in 80-85% of cases.  However, in the remaining 15-20% of patients, epileptic seizures continue even against the background of taking these drugs, and the ability to stop or reduce epilepsy is limited.  In medicine, this condition is called pharmacoresistant epilepsy, and such patients require surgical treatment.  In our country so far, epilepsy has been treated only conservatively, and surgical intervention for epilepsy has not been performed.

  There are several ways to treat epilepsy surgically," says Professor A.A.Sufianov and his team are among the world leaders in the experience of microsurgical treatment of epilepsy.  In the first part of the event, Professor Sufianov gave a scientific lecture on "Modern achievements and problems of epilepsy surgery".

  In the practical part of the event a master class was organised with participation of Tyumen specialists in order to get acquainted with the methods of surgical treatment of epilepsy in our country, in particular in Samarkand.  Within the framework of the event, for the first time in the country, a complex high-tech mini-invasive neuroendoscopic mini-invasive neuroendoscopic operation for surgical treatment of epilepsy was successfully performed on the basis of the Specialised Scientific and Practical Centre for Neurosurgery and Neurorehabilitation at Samarkand State Medical University, located in the Multidisciplinary Clinic of this university.

  Patient H.A., born in 2011, who had been suffering from epileptic seizures for many years despite taking several antiepileptic drugs, was selected for the operation.  The patient underwent all the necessary examinations, later discussed with the participation of Russian specialists, neurosurgeons of the department and clinic, anaesthesiologists-anesthesiologists and paediatricians.  No contraindications to the operation were found and the patient was scheduled for this surgical intervention.  During the operation Professor A.A.Sufianov and Associate Professor Y.A.Yakimov were assisted by the Head of the Department of Neurosurgery of SamSMU, Candidate of Medical Sciences, Associate Professor M.A.Aliev and Assistant Professor Z.T.Husanov.  By the decision of the Academic Council of SamSMU and at the direct initiative of the rector of the university, the neurosurgery clinic was equipped with modern high-tech neuroendoscopes and C-arm devices, with the help of which the operation was performed.

  The operation process was also broadcast online in the classrooms through 4K video cameras, and the members of the Student Scientific Society of Neurosurgeons were given the opportunity to fully observe the process.  The surgery took about 5 hours and was completed successfully.  The general condition of the patient after surgery was satisfactory, somatic organ activity was moderate, there was no neurological deficit, and no epileptic seizures were recorded.

     This complex technological operation became the first step in neurosurgery of our country in the treatment of epilepsy by neuroendoscopic surgery.  After the operation, the Department of Neurosurgery of SamSMU and the Federal Centre of Neurosurgery located in Tyumen (RF) agreed to cooperate in training personnel and establishing a base for epilepsy surgery at the Specialised Scientific and Practical Centre of Neurosurgery and Neurorehabilitation at SamSMU.