Intraoperative high‐field magnetic resonance imaging, multimodal neuronavigation, and intraoperative electrophysiological monitoring‐guided surgery for treating supratentorial cavernomas

Chronic Diseases and Translational Medicine - Tập 2 - Trang 181-188 - 2016
Fang-ye Li1, Xiao-lei Chen1, Bai-nan Xu1
1Department of Neurosurgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China

Tóm tắt

AbstractObjectiveTo determine the beneficial effects of intraoperative high‐field magnetic resonance imaging (MRI), multimodal neuronavigation, and intraoperative electrophysiological monitoring‐guided surgery for treating supratentorial cavernomas.MethodsTwelve patients with 13 supratentorial cavernomas were prospectively enrolled and operated while using a 1.5 T intraoperative MRI, multimodal neuronavigation, and intraoperative electrophysiological monitoring. All cavernomas were deeply located in subcortical areas or involved critical areas. Intraoperative high‐field MRIs were obtained for the intraoperative “visualization” of surrounding eloquent structures, “brain shift” corrections, and navigational plan updates.ResultsAll cavernomas were successfully resected with guidance from intraoperative MRI, multimodal neuronavigation, and intraoperative electrophysiological monitoring. In 5 cases with supratentorial cavernomas, intraoperative “brain shift” severely deterred locating of the lesions; however, intraoperative MRI facilitated precise locating of these lesions. During long‐term (>3 months) follow‐up, some or all presenting signs and symptoms improved or resolved in 4 cases, but were unchanged in 7 patients.ConclusionsIntraoperative high‐field MRI, multimodal neuronavigation, and intraoperative electrophysiological monitoring are helpful in surgeries for the treatment of small deeply seated subcortical cavernomas.

Tài liệu tham khảo

10.3171/foc.1998.4.4.11 10.1159/000099896 10.1016/S1042-3680(18)30396-6 Nimsky C., 2003, Preliminary experience in glioma surgery with intraoperative high‐field MRI, Acta Neurochir Suppl, 88, 21 10.1159/000068046 10.3171/jns.2001.95.3.0381 10.1007/s003810000344 10.1007/978-3-211-99651-5_8 10.1227/NEU.0b013e318237a807 10.1097/00006123-200204000-00044 10.1055/s-2003-39338 10.1055/s-0028-1124104 10.1002/ana.22399 10.1007/s10143-011-0336-3 10.1227/NEU.0b013e3182274841 10.1016/j.neuroimage.2005.11.001 10.1044/jshd.4503.308 10.1111/j.1085-9489.2005.0010206.x 10.1093/brain/awr318 10.3171/jns.1994.80.3.0422 10.1227/01.NEU.0000346269.59554.DB 10.1016/j.jocn.2011.01.025 10.1136/jnnp.66.5.561 10.1016/j.seizure.2011.01.002 10.1007/978-3-211-99651-5_15 10.1097/RMR.0b013e3181934a09 10.1093/neuonc/nor133 10.1227/NEU.0b013e318225ea6b 10.1007/978-3-211-99651-5_32 10.1016/j.jocn.2011.03.041 10.1093/brain/118.3.677 10.3171/2011.7.JNS11536 10.1227/01.NEU.0000346648.03272.07
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Chronic Diseases and Translational Medicine

Tập 2

181-188

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