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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">nnp</journal-id><journal-title-group><journal-title xml:lang="en">Neurology, Neuropsychiatry, Psychosomatics</journal-title><trans-title-group xml:lang="ru"><trans-title>Неврология, нейропсихиатрия, психосоматика</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2711</issn><issn pub-type="epub">2310-1342</issn><publisher><publisher-name>"IMA-Press", LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/2074-2711-2026-1-83-90</article-id><article-id custom-type="elpub" pub-id-type="custom">nnp-2781</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>The little-studied anatomy of the convergence zones of the superficial and deep arteries of the brain – a new vector in clinical neurology</article-title><trans-title-group xml:lang="ru"><trans-title>Малоизученная анатомия зон конвергенции ветвей поверхностных и глубоких артерий головного мозга – новый вектор в клинической неврологии</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6033-3427</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Николенко</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikolenko</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Институт клинической медицины им. Н.В. Склифосовского; кафедра анатомии и гистологии человека; кафедра нормальной и топографической анатомии</p><p>125009; ул. Моховая, 11, стр. 10; 119991; Ломоносовский просп., 27, корп. 1; Москва</p></bio><bio xml:lang="en"><p>N.V. Sklifosovsky Institute of Clinical Medicine; Department of Human Anatomy and Histology; Department of Normal and Topographic Anatomy</p><p>125009; 11, Mokhovaya St., 11, Build. 10; 119991; 27, Lomonosovsky Prosp., Build. 1; Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9338-8168</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитина</surname><given-names>А. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitina</surname><given-names>A. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Арина Тимофеевна Никитина</p><p>Институт клинической медицины им. Н.В. Склифосовского; кафедра анатомии и гистологии человека</p><p>125009; ул. Моховая, 11, стр. 10; Москва</p></bio><bio xml:lang="en"><p>Arina Timofeevna Nikitina</p><p>N.V. Sklifosovsky Institute of Clinical Medicine; Department of Human Anatomy and Histology</p><p>125009; 11, Mokhovaya St., 11, Build. 10; Moscow</p></bio><email xlink:type="simple">arinia2000@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-2912-4277</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гуриелидзе</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Gurielidze</surname><given-names>L. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра нормальной и топографической анатомии</p><p>119991; Ломоносовский просп., 27, корп. 1; Москва</p></bio><bio xml:lang="en"><p>Department of Normal and Topographic Anatomy</p><p>119991; 27, Lomonosovsky Prosp., Build. 1; Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7829-0031</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павлив</surname><given-names>М. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Pavliv</surname><given-names>M. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Институт клинической медицины им. Н.В. Склифосовского; кафедра анатомии и гистологии человека</p><p>125009; ул. Моховая, 11, стр. 10; Москва</p></bio><bio xml:lang="en"><p>N.V. Sklifosovsky Institute of Clinical Medicine; Department of Human Anatomy and Histology</p><p>125009; 11, Mokhovaya St., 11, Build. 10; Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3439-7160</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гюльмагомедова</surname><given-names>Ф. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Gyulmagomedova</surname><given-names>F. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Институт клинической медицины им. Н.В. Склифосовского; кафедра анатомии и гистологии человека</p><p>125009; ул. Моховая, 11, стр. 10; Москва</p></bio><bio xml:lang="en"><p>N.V. Sklifosovsky Institute of Clinical Medicine; Department of Human Anatomy and Histology</p><p>125009; 11, Mokhovaya St., 11, Build. 10; Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-7934-7172</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беличенко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Belichenko</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Институт клинической медицины им. Н.В. Склифосовского; кафедра анатомии и гистологии человека</p><p>125009; ул. Моховая, 11, стр. 10; Москва</p></bio><bio xml:lang="en"><p>N.V. Sklifosovsky Institute of Clinical Medicine; Department of Human Anatomy and Histology</p><p>125009; 11, Mokhovaya St., 11, Build. 10; Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4033-1202</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ризаева</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Rizaeva</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Институт клинической медицины им. Н.В. Склифосовского; кафедра анатомии и гистологии человека; кафедра нормальной и топографической анатомии</p><p>125009; ул. Моховая, 11, стр. 10; 119991; Ломоносовский просп., 27, корп. 1; Москва</p></bio><bio xml:lang="en"><p>N.V. Sklifosovsky Institute of Clinical Medicine; Department of Human Anatomy and Histology; Department of Normal and Topographic Anatomy</p><p>125009; 11, Mokhovaya St., 11, Build. 10; 119991; 27, Lomonosovsky Prosp., Build. 1; Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5976-4967</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаврюшова</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gavryushova</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра терапевтической стоматологии</p><p>410012; ул. Большая Казачья, 112; Саратов</p></bio><bio xml:lang="en"><p>Department of Therapeutic Dentistry</p><p>410012; 112, Bolshaya Kazachya St.; Saratov</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6432-5179</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Оганесян</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Oganesyan</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Институт клинической медицины им. Н.В. Склифосовского; кафедра анатомии и гистологии человека; кафедра нормальной и топографической анатомии</p><p>125009; ул. Моховая, 11, стр. 10; 119991; Ломоносовский просп., 27, корп. 1; Москва</p></bio><bio xml:lang="en"><p>N.V. Sklifosovsky Institute of Clinical Medicine; Department of Human Anatomy and Histology; Department of Normal and Topographic Anatomy</p><p>125009; 11, Mokhovaya St., 11, Build. 10; 119991; 27, Lomonosovsky Prosp., Build. 1; Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет); ФГБОУ ВО «Московский государственный университет им. М.В. Ломоносова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); M.V. Lomonosov Moscow State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО «Московский государственный университет им. М.В. Ломоносова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>M.V. Lomonosov Moscow State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Саратовский государственный медицинский университет им. В.И. Разумовского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.I. Razumovsky Saratov State Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>22</day><month>02</month><year>2026</year></pub-date><volume>18</volume><issue>1</issue><fpage>83</fpage><lpage>90</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Nikolenko V.N., Nikitina A.T., Gurielidze L.M., Pavliv M.P., Gyulmagomedova F.R., Belichenko A.A., Rizaeva N.A., Gavryushova L.V., Oganesyan M.V., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Николенко В.Н., Никитина А.Т., Гуриелидзе Л.М., Павлив М.П., Гюльмагомедова Ф.Р., Беличенко А.А., Ризаева Н.А., Гаврюшова Л.В., Оганесян М.В.</copyright-holder><copyright-holder xml:lang="en">Nikolenko V.N., Nikitina A.T., Gurielidze L.M., Pavliv M.P., Gyulmagomedova F.R., Belichenko A.A., Rizaeva N.A., Gavryushova L.V., Oganesyan M.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://nnp.ima-press.net/nnp/article/view/2781">https://nnp.ima-press.net/nnp/article/view/2781</self-uri><abstract><p>   In neighbouring borderline arterial zones of the brain (watershed), infarcts are possible due to insufficient blood supply. With the gradual development of occlusive lesions of the cerebral arteries in these areas, branched anastomotic networks form, capable of compensating for hypoperfusion. This review compiles material highlighting the formation of two external networks: leptomeningeal and durocortical, as well as three internal parenchymal networks: subependymal (including epithalamic), intrathalamic, and intrastriatal. The leptomeningeal network includes anastomoses between the branches of the posterior and anterior, posterior and middle cerebral arteries. The durocortical network is formed by all the dural branches from the vertebrobasilar system, the external and internal carotid arteries. The subependymal network is formed by the anterior and posterior choroidal arteries, thalamoperforating arteries, and perforating branches of the posterior communicating artery. The intratalamic and intrastriatal networks are formed by anastomoses between the striatal arteries and thalamoperforating vessels. Identification of these networks can play an important role in determining the stage of the disease, selecting treatment methods, and predicting clinical outcomes, as well as in ruling out possible complications.</p></abstract><trans-abstract xml:lang="ru"><p>   В соседних пограничных артериальных зонах мозга (watershed) возможны инфаркты из-за недостаточного кровоснабжения. При постепенном развитии окклюзионного поражения церебральных артерий в этих зонах формируются разветвленные анастомотические сети, способные компенсировать гипоперфузию. В данном обзоре собран материал, выделяющий формирование двух наружных сетей: лептоменингеальной и дюрокортикальной, а также трех внутренних паренхиматозных сетей: субэпендимальной (включая эпиталамическую), интраталамической и интрастриарной. Лептоменингеальная сеть включает анастомозы между ветвями задней и передней, задней и средней мозговых артерий. Дурокортикальная сеть формируется всеми твердоменингеальными ветвями от вертебробазилярной системы, наружной и внутренней сонной артерий. Субэпендимальная сеть образована передними и задними сосудистыми артериями, таламоперфорирующими артериями и перфорантами задней соединительной артерии. Интраталамическая и интрастриарная сети формируются анастомозами между стриарными артериями и таламоперфорирующими сосудами. Идентификация этих сетей может играть важную роль в определении стадии заболевания, выборе методов лечения и прогнозировании клинических исходов, а также в исключении возможных осложнений.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>артериальные анастомозы пограничной зоны</kwd><kwd>коллатеральное кровоснабжение</kwd><kwd>лептоменингеальная сеть</kwd><kwd>дурокорковая сеть</kwd><kwd>субэпендимальная сеть</kwd><kwd>интраталамическая сеть</kwd></kwd-group><kwd-group xml:lang="en"><kwd>arterial anastomoses of the watershed zone</kwd><kwd>collateral blood supply</kwd><kwd>leptomeningeal network</kwd><kwd>durocortical network</kwd><kwd>subependymal network</kwd><kwd>intratalamic network</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование не имело спонсорской поддержки</funding-statement><funding-statement xml:lang="en">The investigation has not been sponsored</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Ginsberg MD. 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