Three-dimensional reconstruction and surgical navigation in pediatric epilepsy surgery

被引:25
作者
Chabrerie, A
Ozlen, F
Nakajima, S
Leventon, ME
Atsumi, H
Grimson, E
Keeve, E
Helmers, S
Riviello, J
Holmes, G
Duffy, F
Jolesz, F
Kikinis, R
Black, PM
机构
[1] Brigham & Womens Hosp, Childrens Hosp, Div Neurosurg, Boston, MA 02115 USA
[2] Brigham & Womens Hosp, Dept Radiol, Surg Planning Lab, Boston, MA 02115 USA
[3] Harvard Univ, Childrens Hosp, Sch Med, Dept Neurol, Boston, MA 02115 USA
[4] MIT, Artificial Intelligence Lab, Cambridge, MA 02139 USA
关键词
epilepsy surgery; magnetic resonance imaging; three-dimensional reconstruction; subdural grids and strips;
D O I
10.1159/000121275
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We have used MRI-based three-dimensional (3D) reconstruction and a realtime, frameless, stereotactic navigation device to facilitate the removal of seizure foci in children suffering from intractable epilepsy. Using this system, the location of subdural grid and strip electrodes is recorded on the 3D model to facilitate focus localization and resection. Ten operations were performed, including 2 girls and 8 boys ranging in age from 3 to 17, during which 3D reconstruction and surgical instrument tracking navigation was used. In all the cases, the patients tolerated the procedure well and showed no postoperative neurological deficits. We believe this to be a valuable tool for a complete and safe resection of seizure foci, thereby reducing the incidence of postoperative neurological deficits and significantly improving the overall quality of life of the patients.
引用
收藏
页码:304 / 310
页数:7
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