USE OF THE NEURONAVIGATIONAL SYSTEM AT THE DEPARTMENT OF NEUROSURGERY IN THE GENERAL HOSPITAL MARIBOR

  • Janez Ravnik Oddelek za nevrokirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Matej Lipovšek Oddelek za nevrokirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Vojin Milojković Oddelek za nevrokirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Tadej Strojnik Oddelek za nevrokirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Tomaž Šeruga Oddelek za radiologijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Marko Vinter Oddelek za radiologijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Gorazd Bunc Oddelek za nevrokirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
Keywords: neurosurgery, neurogravitation, brain tumors

Abstract

Background. Neuronavigational system is a computerised system for intraoperative planning and guidance of neurosurgical procedures using interactive image presentation. The application of such system is denoted as neuronavigation. There are many neuronavigational systems with different technical solutions for intraoperative guidance.

Methods. From June 2002 till April 2003 fourteen patients (mean age 52 years) were operated using of neuronavigational system on department of neurosurgery in Maribor General Hospital. We used neuronavigational system based on infrared light detection and intraoperative guidance with the help CT imaging in three-planes.

Results. The system was used in four cases of biopsy, four cases of lesion reduction and six cases of total lesion removal. 11 brain lesion were situated subcorticaly or deeper, two were cortical and one was osteolitic lesion of the skull bone. Lesions mean diameter was 3.5 cm. Calculated accuracy of interactive image-guidance was good in all 14 cases.

Conclusions. Neuronavigational system which we used is simple and quite accurate. Its usage improves speed, safety and accuracy of most neurosurgical procedures.

Downloads

Download data is not yet available.

References

Liu CY, Apuzzo MLJ. The genesis of neurosurgery and the evolution of the neurorugical operative environment: Part I – Prehistory to 2003. Neurosurgery 2003; 52: 3–19.

Horsley V, Clarke RH. The structure and the function of the cerebellum examined by a new method. Brain 1908; 31: 45–124.

Spiegel EA, Wycis HT, Marks M, Lee AJ. Stereotactic apparatus for operations on the human brain. Science 1947; 106: 349–50.

Sore U, Alberti O, Petermeyer M, Becker R, Bertalanffy H. Advanced imageguided skull base surgery. Surg Neurol 2000; 53: 563–72.

Roberts DW, Strohbein JW, Hatch JF, Murray W, Kettenberger H. A frameless stereotactic integration of computerized tomographic imaging and the operating microscope. J Neurosurg 1986; 65: 545–9.

Watanabe E, Mayanagi Y, Kosugi Y, Manaka S, Takatura K. Open surgery assisted by the Navigator, a stereotactic articulated, sensitive arm. Neurosurgery 1991; 28: 792–800.

Spetzger U, Laborde G, Gilsbach JM. Frameless neuronavigation in modern neurosurgery. Minim Invasive Neurosurg 1995; 38: 163–6.

Suess O, Kombos T, Kurth R, Suess S, Mularski S, Hammersen S, Brock M. Intracranial image-guided neurosurgery: Experience with a new electromagnetic navigation system. Acta Neurochir (Wien) 2001; 143: 927–34.

Dornward NL, Alberti O, Velani B, Gerritsen FA, Harkness WFJ, Kitchen ND, Thomas DGT. Postimaging brain distortion: Magnitude, correlates and impact on neuronavigation. J Neurosurg 1998; 88: 656–62.

Sutherland GR, Kaibara T, Louw D, Hoult DI, Tomanek B, Saunders J. A mobile high-field magnetic resonance system for neurosurgery. J Neurosurg 1999; 91: 804–13.

Bonsanto MM, Staubert A, Wirtz CR, Tronnier V, Kunze S. Initial experience with an ultrasound-integrated single-rack neuronavigation system. Acta Neurochir (Wien) 2001; 143: 1127–32.

Unsgaard G, Ommedal S, Muller T, Gronningsaeter A, Nagelhus-Hernes TA. Neuronavigation by intraoperative three-dimensional ultrasound: Initial experience during brain tumor resection. Neurosurgery 2002; 50: 804–12.

Gumprecht HK, Widenka D, Lumenta C. BrainLab Vector Vision neuronavigation system: Technology and clinical experiences in 131 cases. Neurosurgery 1999; 44: 97–105.

Jannin P, Morandi X, Fleig OJ, Le Rumeur E, Toulouse P, Gibaud B, Scarabin JM. Integration of sulcal and functional information for multimodal neuronavigation. J Neurosurg 2002; 96: 713–23.

Eisner W, Burtscher J, Bale R et al. Use of neuronavigation and electrophysiology in surgery of subcortically located lesions in the sensimotor strip. J Neurol Neurosurg Psychiatry 2002; 72: 378–81.

Grunert P, Espinosa J, Busert C, Gunthner M, Filippi R, Farag S, Hopf N. Stereotactic biopsies guided by an optical navigation system: technique and clinical experience. Minim Invasive Neurosurg 2002; 45: 11–5.

Broggi G, Ferroli P, Franzini A, Dones L, Marras C, Marchetti M, Maccagnano E. CT–guided neurosurgery: preliminary experience. Acta Neurochir 2003; 85: 101–4.

Nimsky C, Ganslandt O, Hastreiter P, Fahlbusch R. Intraoperative compensation for brain shift. Surg Neurol 2001; 56: 354–7.

Gil Z, Siomin V, Bani-Adani L, Sira B, Constantini S. Ventricular catheter placement in children with hydrocephalus and small ventricles: the use of a frameless neuronavigation system. Childs Nerv Syst 2002; 18: 26–9.

Alberti O, Riegel T, Hellwig D, Bertalanffy H. Frameless navigation and endoscopy. J Neurosurg 2001; 95: 541–3.

Steinmeier R, Rachinger J, Kaus M, Ganslandt O, Huk W, Fahlbusch R. Factors influencing the application accurancy of neuronavigation systems. Stereotact Funct Neurosurg 2000; 75: 188–202.

Gumprecht H, Ebel GK, Auer DP, Lumenta CB. Neuronavigation and functional MRI for surgery in patients with lesion in eloquent areas. Minim Invasiv Neurosurg 2002; 45: 151–3.

How to Cite
1.
Ravnik J, Lipovšek M, Milojković V, Strojnik T, Šeruga T, Vinter M, Bunc G. USE OF THE NEURONAVIGATIONAL SYSTEM AT THE DEPARTMENT OF NEUROSURGERY IN THE GENERAL HOSPITAL MARIBOR. TEST ZdravVestn [Internet]. 1 [cited 5Aug.2024];73(9). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/2351
Section
Professional Article