Neuronavigation in the surgical planning of callosotomy
- Authors
- Valencia Calder?n, Carlos Justo
- Format
- Article
- Status
- publishedVersion
- Description
OBJECTIVE: 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. METHODS: A prospective analysis was performed on patients with refractory epilepsy who underwent neuronavigation-assisted callosotomy (BRAIN LAB Dual). RESULTS: 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. CONCLUSION: Callosotomy using frameless guided neuronavigation is an accurate and safe technique in patients with epilepsy refractory to surgical resection.
Hospital De Ni?os "Baca Ortiz"
http://www.ncbi.nlm.nih.gov/pubmed/26260206
- Publication Year
- 2016
- Language
- eng
- Topic
- CIRUGIA DE LA EPILEPSIA
CORPUS CALLOSUM
EPILEPSIA REFRACTARIA
NEURONAVIGATION
- Repository
- Repositorio SENESCYT
- Rights
- openAccess
- License
- restrictedAccess