- 期刊
- OpenAccess
Novel adaptation of the AxiEM electromagnetic neuronavigation system for intraoperative tracking of neuroendoscope during intraventricular surgery
摘要
Introduction: Endoscopic third ventriculostomy is a minimally invasive neurosurgical procedure which is the most commonly used to treat hydrocephalus via creating an opening in the floor of the third ventricle which allows excess cerebrospinal fluid to flow into surrounding basal cisterns by bypassing obstructions. Use of electromagnetic (AxiEM) neuronavigation to assess precise anatomical landmarks intraoperatively is gaining more importance to achieve accurate results. Endoscopic third ventriculostomy and neuroendoscopic intraventricular surgery overcome the persistent risk of infection and hardware failure associated with ventriculoperitoneal shunting for the treatment of hydrocephalus. However, the surgical technique is associated with endoscopic third ventriculostomy (ETV) risks neurovascular catastrophe. Case Series: The aim of this case series is to assess the safety and effectiveness in surgical outcomes of adding neuronavigation tracking to endoscopic visualization for intraventricular surgery. A retrospective chart review (case series) of adult and pediatric patients treated with neuronavigation-guided endoscopic third ventriculostomy (ETV) or intraventricular cyst fenestration for radiographically confirmed and clinically significant congenital or acquired hydrocephalus in university hospital setting between 2012-2014; n = 21 patients was performed. Herein, we present our surgical outcomes and complications with an average follow-up of 20 months. Conclusion: Intraoperative neuronavigation provides a safe corridor for neuroendoscopy and avoids the complications of skull fixation in both adult and pediatric patients. Adding image guidance to neuroendoscopy increases safety margins for targeting accuracy, especially for patients with challenging anatomic landmarks.
延伸閱讀
- Wang, Y. C., Kuo, J. S., & Lin, S. Z. (1998). The Effect of Trigeminal Neurotomy on the Alteration of Local Cerebral Blood Flow of Normotensive and Hypertensive Rats in Acute Cold Stress. The Chinese Journal of Physiology, 41(3), 167-173. https://www.airitilibrary.com/Article/Detail?DocID=03044920-199809-41-3-167-173-a
- 謝敏文、吳孟珈、李紳豪、林佳生、程言鼎、林俊彥、洪志宏、曾振淦（2010）。Evaluation of Stereotactic Localizer Box and Image Guided System for Patient Setup in Stereotactic Radiosurgery/Radiotherapy for Intracranial Lesions。放射治療與腫瘤學，17(3)，169-179。https://doi.org/10.6316/TRO/201017(3)169
- Liou, H. L., Chao, Y. F. C., Kuo, T. B., & Chen, H. I. (2008). Physiological, Psychological and Autonomic Responses to Pre-Operative Instructions for Patients Undergoing Cardiac Surgery. The Chinese Journal of Physiology, 51(5), 317-323. https://www.airitilibrary.com/Article/Detail?DocID=03044920-200810-51-5-317-323-a
- Li, A. J., Liu, J. Z., & Liu, C. Y. (2002). Anatomical and Functional Study of Localization of Originating Neurons of the Parasympathetic Nerve to Gallbladder in Rabbit Brain Stem. The Chinese Journal of Physiology, 45(1), 19-24. https://www.airitilibrary.com/Article/Detail?DocID=03044920-200203-45-1-19-24-a
- Chang, C. M. (2017). Quantitative Evaluation of the Surface Registration Accuracy of Navigation Systems – in Live Endoscopic Sinus Surgery [doctoral dissertation, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU201701967