Infrared thermography brain mapping surveillance in vascular neurosurgery for anterior communicating artery aneurysm clipping
| Autor: | Ramón López López, Enrique de Font-Réaulx Rojas, Luis Guillermo López Díaz, Edith Elizabeth Martínez Ochoa |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Brain mapping 03 medical and health sciences 0302 clinical medicine Aneurysm medicine.artery Aneurysm clipping Anterior cerebral artery Medicine infrared thermography mapping Cortical cooling business.industry vascular neurosurgery real-time brain mapping Clipping (medicine) medicine.disease Anterior communicating artery Cerebral blood flow 030220 oncology & carcinogenesis infrared thermography Surgery Neurovascular: Technical Note Neurology (clinical) Neurosurgery Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 |
| DOI: | 10.4103/sni.sni_58_18 |
| Popis: | Background Infrared thermography (IT) is a noninvasive, real-time diagnostic method that requires no contact with the patient and has a broad spectrum of potential applications in neurosurgery. It has been previously demonstrated the high sensitivity and specificity that IT has to detect brain blood flow changes. Case description The case is based on a 64-year-old diabetic and hypertensive male, to whom an anterior communicating artery (ACoA) incidental aneurysm was discovered. We performed the basal infrared thermography mapping (ITM) and immediately after the transitory clip placement in both A1 segments of the anterior cerebral artery (A1-ACA), we performed a second ITM of the exposed brain cortex. After the definitive clip placement in the neck of the ACoA aneurysm, we removed the transitory clips of both A1-ACA and performed a third ITM of the cortical surface, without finding any cortical cooling or significative temperature differences (Ϫt) compared to the basal ITM. The postoperatory computed tomography (CT) and angio-CT did not show any ischemic damage and confirmed the accurate aneurysm clipping. Conclusions The ITM seems to be a real-time, safe, and useful brain mapping method to identify different temperature zones and temperature dispersion gradients in the human brain cortex. More studies are needed to evaluate the potential applications of IT mapping of the human brain and its use in neurosurgery and vascular neurosurgery. |
| Databáze: | OpenAIRE |
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