Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2002-3-26
pubmed:abstractText
We assessed the clinical value of MR ventriculoscopy (virtual endoscopy, VE) combined with image-guided frameless stereotaxy for endoscopic surgery of occlusive hydrocephalus and intracranial cysts. VE was obtained in 20 patients with hydrocephalus and three with intracranial cysts. All surgical operations were endoscopic. The path of the rigid endoscope to the target point was planned using neuronavigation. VE was carried out along the same trajectory retrospectively in 20 cases and prospectively in three. The results were analysed for demonstration of anatomical landmarks and structures at risk. VE was successful in all patients. Possible obstacles to endoscopic access to the lamina terminalis and the basal cisterns and structures at risk, such as the basilar artery, were clearly shown in relation to the direction of the endoscope. However, the floor of the third ventricle and septum pellucidum were not clearly seen and possible abnormalities could therefore not be appreciated. VE can provide realistic simulation of endoscopic third ventriculostomy and cystostomy. The appropriate trepanation point and trajectory of the endoscope can be assessed with regard to the size of the foramen of Monro and the position of vulnerable structures. This simulated trajectory can be adapted to the field of operation by image-guided neuronavigation. This regime may potentially reduce the risk of damage to intracranial structures.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0028-3940
pubmed:author
pubmed:issnType
Print
pubmed:volume
44
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
279-85
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11914801-Adolescent, pubmed-meshheading:11914801-Adult, pubmed-meshheading:11914801-Aged, pubmed-meshheading:11914801-Brain Diseases, pubmed-meshheading:11914801-Cerebral Ventricles, pubmed-meshheading:11914801-Child, pubmed-meshheading:11914801-Child, Preschool, pubmed-meshheading:11914801-Cysts, pubmed-meshheading:11914801-Endoscopy, pubmed-meshheading:11914801-Female, pubmed-meshheading:11914801-Humans, pubmed-meshheading:11914801-Hydrocephalus, pubmed-meshheading:11914801-Imaging, Three-Dimensional, pubmed-meshheading:11914801-Infant, pubmed-meshheading:11914801-Intraoperative Period, pubmed-meshheading:11914801-Magnetic Resonance Imaging, pubmed-meshheading:11914801-Male, pubmed-meshheading:11914801-Middle Aged, pubmed-meshheading:11914801-Stereotaxic Techniques, pubmed-meshheading:11914801-User-Computer Interface
pubmed:year
2002
pubmed:articleTitle
Virtual endoscopy combined with intraoperative neuronavigation for planning of endoscopic surgery in patients with occlusive hydrocephalus and intracranial cysts.
pubmed:affiliation
Department of Diagnostic Radiology, University of Technology, Pauwelsstrasse 30, 52070 Aachen, Germany. krombach@rad.rwth-aachen.de
pubmed:publicationType
Journal Article