Method to perform safety stereotactic procedures in children under 2 years of age
| Autor: | Roberto Jaimovich, Ramiro J. del Rio, Roberto O. Gonzalez |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Neurosurgical Procedures Stereotaxic Techniques 03 medical and health sciences Fixation (surgical) Imaging Three-Dimensional 0302 clinical medicine Biopsy medicine Humans medicine.diagnostic_test Brain Neoplasms business.industry Brain biopsy Infant General Medicine Surgery Fully developed Skull medicine.anatomical_structure 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Female Histopathology Neurology (clinical) Neurosurgery Tomography X-Ray Computed Complication business 030217 neurology & neurosurgery |
| Zdroj: | Child's Nervous System. 34:555-558 |
| ISSN: | 1433-0350 0256-7040 |
| DOI: | 10.1007/s00381-017-3624-6 |
| Popis: | Stereotactic procedures have been used in neurosurgery for many years. In children especially, care should be considered to avoid complication caused by fixation of the frame in a not fully developed skull bone. We present our method to adapt the frame in children under 2 years of age. Twelve procedures in patients under 24 months were performed between 2003 and 2015. Micromar frame was used. It was adapted with a small pillow made of gauss attached to the posterior part to hold the head, then four pins were fixed without adjustment. We analyze for each patient age, indication, histopathology, and complications. Eleven patients with a mean age of 13.5 months (range 9 to 22 months) underwent 12 stereotactic procedures. In all cases, biopsy samples were obtained, histopathology was positive in 11/12 cases. No complications occurred. Stereotactic frame procedures need special attention in small children where the skull bones are not fully developed. We present a simple method to perform this surgery in patients under 2 years of age. |
| Databáze: | OpenAIRE |
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