polenovjournalРоссийский нейрохирургический журнал имени профессора А. Л. ПоленоваRussian Neurosurgical Journal named after Professor A. L. Polenov2071-2693Семинары, Конференции и Форумы10.56618/2071-2693-2025-17-1-86UVADTNpolenovjournal-589Research ArticleОБЗОРЫ ЛИТЕРАТУРЫ И КЛИНИЧЕСКИЕ СЛУЧАИREVIEWS OF LITERATURE AND CLINICAL CASESАВМ-ассоциированная эпилепсия: современное состояние проблемыAVM-associated epilepsy: current state of the problemhttps://orcid.org/0000-0003-3263-6049РасуловЗ. М.RasulovZ. M.

Заур Махачевич Расулов – аспирант кафедры нейрохирургии Российского научно-исследовательского нейрохирургического института им. проф. А. Л. Поленова 

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

пр. Солидарности, д. 4, Санкт-Петербург, 193312 

Zaur M. Rasulov – Postgraduate Student at the Department of Neurosurgery 

2 Akkuratova street, St. Petersburg, 197341

4 Solidarity avenue, St. Petersburg, 193312  

zaurneuro@yandex.ruhttps://orcid.org/0000-0003-0190-3335ВасиленкоА. В.VasilenkoA. V.

Анна Владимировна Василенко – доцент кафедры нейрохирургии, заведующая учебной частью Национального медицинского исследовательского центра им. В. А. Алмазова; доцент кафедры неврологии им. акад. С. Н. Давиденкова Северо-Западного государственного медицинского университета им. И. И. Мечникова

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

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

Anna V. Vasilenko – Associate Professor at the Department of Neurosurgery, Head at the Educational Department, V. A. Almazov National Medical Research Center; Associate Professor at the  Department Davidenkov Chair of Neurology, NorthWestern State Medical University named after I. I. Mechnikov 

2 Akkuratova street, St. Petersburg, 197341 

41 Kirochnaya street, St. Petersburg,  191015 

vasilenko_anna@list.ruhttps://orcid.org/0000-0002-9596-6507РаджабовС. Д.RadjabovS. D.

Сайдахмед Джабраилович Раджабов – кандидат медицинских наук, доцент кафедры нейрохирургии, ведущий научный сотрудник НИЛ хирургии сосудов головного и спинного мозга, врач-нейрохирург высшей квалификационной категории Нейрохирургического отделения № 3 Российского научно-исследовательского нейрохирургического института им. проф. А. Л. Поленова – филиала Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени В. А. Алмазова»

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

Said D. Radjabov – Cand. of Sci. (Med.), Associate Professor at the Department of Neurosurgery, Leading Researcher at the Research Institute of Vascular Surgery of the Brain and Spinal Cord, Neurosurgeon of the Highest Qualification Category of the Neurosurgical Department No. 3, Polenov Neurosurgery Institute – the branch of V. A. Almazov National Medical Research Centre

2 Akkuratova street, St. Petersburg, 197341 

rad-said@yandex.ruhttps://orcid.org/0000-0003-0735-7822МитрофановаЛ. Б.MitrofanovaL. B.

Любовь Борисовна Митрофанова – доктор медицинских наук, доцент, заведующая НИЛ патоморфологии  

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

Lyubov B. Mitrofanova – Dr. of Sci. (Med.), Associate Professor, Head at the Department of Pathomorphology 

2 Akkuratova street, St. Petersburg, 197341 

lubamitr@yandex.ruhttps://orcid.org/0000-0002-8343-4917УлитинА. Ю.UlitinA. Yu.

Алексей Юрьевич Улитин – доктор медицинских наук, профессор, заслуженный врач Российской Федерации, врач-нейрохирург высшей квалификационной категории, заведующий Нейрохирургическим отделением № 4, заведующий кафедрой нейрохирургии Национального медицинского исследовательского центра им. В. А. Алмазов; профессор кафедры нейрохирургии им. проф. А. Л. Поленова Северо-Западного государственного медицинского университета им. И. И. Мечникова

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

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

Alexey Yu. Ulitin – Dr. of Sci. (Med.), Full Professor, Honored Doctor of Russian Federation, Neurosurgeon of the Highest Qualification Category, Head at the Department of Neurosurgery No 4, V. A. Almazov National Medical Research Center; Professor at the Department of Neurosurgery named after prof. A. L. Polenov, North-Western State Medical University named after I. I. Mechnikov

2 Akkuratova street, St. Petersburg, 197341

41 Kirochnaya street, St. Petersburg, 191015  

ulitin_ayu@almazovcentre.ruhttps://orcid.org/0009-0000-3420-3410ГоманП. Г.GomanP. G.

Павел Григорьевич Гоман – кандидат медицинских наук, врач-нейрохирург высшей квалификационной категории, заведующий Нейрохирургическим отделением № 1 

пр. Солидарности, д. 4, Санкт-Петербург, 193312 

Pavel G. Goman – Cand. of Sci. (Med.), Neurosurgeon of the Highest Qualification Category, Head at the Neurosurgical Department No. 1 

4 Solidarity avenue, St. Petersburg, 193312 

pavelgoman@mail.ruhttps://orcid.org/0009-0003-3420-3228ИсмаиловС. Г.IsmailovS. G.

Султан Гитиномагомедович Исмаилов – ординатор кафедры нейрохирургии Российского научно-исследовательского нейрохирургического института им. проф. А. Л. Поленова 

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

Sultan G. Ismailov – Resident at the Department of Neurosurgery, Polenov Neurosurgery Institute 

2 Akkuratova street, St. Petersburg, 197341 

ismailov.sultan99@mail.ruhttps://orcid.org/0009-0003-2376-3246ЛитвиноваД. Д.LitvinovaD. D.

Диана Даниловна Литвинова – студентка Лечебного факультета 

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

Diana D. Litvinova – Student at the Faculty of Medicine 

41 Kirochnaya street, St. Petersburg, 191015 

litvinova.diana.danilovna@mail.ruhttps://orcid.org/0009-0005-0429-9497ХамроевК. А.KhamroevK. A.

Карим Анварович Хамроев – студент Педиатрического факультета  

ул. Льва Толстого, д. 6-8, Санкт-Петербург, 197022 

Karim A. Khamroev – Student at the Faculty of Pediatrics 

6-8 Lva Tolstogo street, St. Petersburg, 197022 

arim_khamroev@mail.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской Федерации; Санкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская Александровская больница»РоссияAlmazov National Medical Research Centre; City Alexander HospitalRussian FederationФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное образовательное учреждение высшего образования Северо-Западный государственный медицинский университет имени И. И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research Centre; North-Western State Medical University named after I. I. MechnikovRussian FederationФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian FederationСанкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская Александровская больница»РоссияCity Alexander HospitalRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования Северо-Западный государственный медицинский университет имени И. И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияNorth-Western State Medical University named after I. I. MechnikovRussian FederationФедеральное государственное автономное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской ФедерацииРоссияPavlov UniversityRussian Federation2025020520251718697Copyright © Расулов З.М., Василенко А.В., Раджабов С.Д., Митрофанова Л.Б., Улитин А.Ю., Гоман П.Г., Исмаилов С.Г., Литвинова Д.Д., Хамроев К.А., 20252025Расулов З.М., Василенко А.В., Раджабов С.Д., Митрофанова Л.Б., Улитин А.Ю., Гоман П.Г., Исмаилов С.Г., Литвинова Д.Д., Хамроев К.А.Rasulov Z.M., Vasilenko A.V., Radjabov S.D., Mitrofanova L.B., Ulitin A.Y., Goman P.G., Ismailov S.G., Litvinova D.D., Khamroev K.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://polenovjournal.elpub.ru/jour/article/view/589

Эпилептические припадки наблюдаются у 20–25 % пациентов с церебральными артериовенозными мальформациями (АВМ) и часто характеризуются резистентностью как к хирургическим, так и к консервативным методам лечения. Представлен анализ современных данных, посвященных вопросам эпидемиологии, диагностики и лечения эпилептического синдрома у пациентов с АВМ головного мозга. В рамках исследования было проанализировано более 100 литературных источников, доступных в базах данных PubMed, eLibrary.ru, Medscape, Cochrane Library и Medical NDX. Для отражения наиболее актуальной информации основное внимание уделено данным, опубликованным в период с 2018 по 2023 г. Особое внимание уделено современным подходам к диагностике, включая использование нейровизуализации и электроэнцефалографии, а также новейшим методам лечения, таким как стереотаксическая радиохирургия, эндоваскулярные вмешательства и комбинированные терапевтические стратегии. Рассмотрены факторы, влияющие на эффективность лечения, включая локализацию и размеры АВМ, а также особенности клинического течения эпилептического синдрома. Показаны перспективы дальнейших исследований в данной области, направленных на улучшение качества жизни пациентов и снижение частоты рецидивов припадков.

Подчеркиваются необходимость междисциплинарного подхода к ведению пациентов с церебральными АВМ, а также важность индивидуализации лечения с учетом особенностей каждого клинического случая.

Epileptic seizures occur in 20–25 % of patients with cerebral arteriovenous malformations (AVMs) and are often resistant to both surgical and conservative treatment methods. This literature review provides an analysis of current data on the epidemiology, diagnosis, and treatment of epileptic syndrome in patients with cerebral arteriovenous malformations. Over 100 literature sources available in the PubMed, eLibrary.ru, Medscape, Cochrane Library, and Medical NDX databases were analyzed as part of the study. To reflect the most up-to-date information, primary focus was placed on data published between 2018 and 2023.

Special attention in the review is given to modern diagnostic approaches, including the use of neuroimaging and electroencephalography, as well as the latest treatment methods such as stereotactic radiosurgery, endovascular interventions, and combined therapeutic strategies. Factors influencing treatment effectiveness, including the location and size of the AVMs, as well as the clinical course of the epileptic syndrome, are discussed. The review highlights the prospects for further research in this field, aimed at improving patients’ quality of life and reducing the frequency of seizure recurrence. The review emphasizes the need for a multidisciplinary approach to managing patients with cerebral AVMs, as well as the importance of individualized treatment tailored to the specifics of each clinical case.

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