[Neuronavigation in the surgical planning of callosotomy]

Autor: Carlos, Valencia Calderón, Alfredo, Castro Cevallos, Ana, Calderón Valdiviezo, Roberto, Escobar Dávila, Fausto, Parra Rosales, Julio, Quispe Alcocer, Catalina, Vásquez Hahn
Rok vydání: 2015
Předmět:
Zdroj: Neurocirugia (Asturias, Spain). 27(4)
ISSN: 1130-1473
Popis: To describe the usefulness of 3D computer-assisted preoperative neuronavigation for stereoscopic location of the venous sinuses, arterial branches, and corpus callosum, to extrapolate anatomical landmarks on the surgical field and make decisions before the intervention.A prospective analysis was performed on patients with refractory epilepsy who underwent neuronavigation-assisted callosotomy (BRAIN LAB Dual).A total of 10 neuronavigation-assisted callosotomies were performed in the year 2014. The ages of the patients (4 males and 6 females) were between 4 and 13 years (mean 7; SD 3.02). The most common indication for callosotomy in our sample was Lennox Gastoux (5 patients). A right parasagittal craniotomy was performed in 8 patients. An anterior two-thirds callosotomy was performed in 8 patients and anterior three-quarters in 2 patients. The mean accuracy of the neuronavigation procedure was less than 2mm. In no cases were there significant intraoperative surgical complications.Callosotomy using frameless guided neuronavigation is an accurate and safe technique in patients with epilepsy refractory to surgical resection.
Databáze: OpenAIRE