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Clínica de Epilepsia | Trabalhos na Íntegra

Frameless stereotaxy for surgery of the epilepsies: preliminary experience Technical note

André Olivier, M.D., Ph.D., F.R.C.S.(C), Isabelle M. Germano, M.D., Arthur Cukiert, M.D., and Terry Peters, Ph.D., F.C.C.P.M.

Department of Neurological Surgery, Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada; and Department of Neurological Surgery, Mount Sinai School of Medicine, New York, New York Address reprint requests to: Isabelle Germano, M.D., Department of Neurological Surgery, Box 1136, Mount Sinai Medical Center, One Gustav L. Levy Place, New York, New York 10029–6574.

Abstract

Frameless stereotactic techniques used in conjunction with three-dimensional images allow accurate planning and performance of a variety of neurosurgical procedures. The authors have used the frameless stereotactic Allegro Viewing Wand system to provide real-time correlation of the operating field and computerized images in 42 neurosurgical operations, including 31 epilepsy procedures. The system consists of an image-processing computer that creates three-dimensional and triplanar images; a mobile computer to display reformatted magnetic resonance images; and a hand-guided, articulated, position-sensing arm with a probe. At the start of the operation, the probe identifies the patient's facial and scalp features and correlates these with the computerized images. The position-sensing arm can then guide the operation and locate anatomical structures and lesions of interest. This system can be used to advantage in performing smaller craniotomies and intraoperatively locating anatomical structures and lesions to be removed. Postoperative magnetic resonance images demonstrate that this technique was accurate to within 3 mm in measuring the anteroposterior resection of fixed structures, such as hippocampus and corpus callosum. Disadvantages include longer preoperative preparation for data analysis and lack of both real-time computer analysis of tissue removal and angiographic data display. Preliminary experience suggests that the viewing wand system's advantages outweigh the disadvantages, and it is most helpful as an adjunctive navigational device in the microsurgical treatment of epilepsy.

Cited by

  1. Federico Melani, Rina Zelmann, Francesco Mari, Jean Gotman. (2013) Continuous High Frequency Activity: A peculiar SEEG pattern related to specific brain regions. Clinical Neurophysiology 124:8, 1507-1516. Online publication date: 1-Aug-2013. [CrossRef]
  2. Luciana Andrade-Valença, Francesco Mari, Julia Jacobs, Maeike Zijlmans, André Olivier,Jean Gotman, François Dubeau. (2011) Interictal high frequency oscillations (HFOs) in patients with focal epilepsy and normal MRI. Clinical Neurophysiology. Online publication date: 1-Jul-2011. [CrossRef]
  3. Julia Jacobs, Katsuhiro Kobayashi, Jean Gotman. (2011) High-frequency changes during interictal spikes detected by time-frequency analysis. Clinical Neurophysiology 122:1, 32-42. Online publication date: 1-Jan-2011. [CrossRef]
  4. Chandan G. Reddy, M.D., Nader S. Dahdaleh, M.D., Gregory Albert, M.D., Fangxiang Chen,M.D., Daniel Hansen, M.D., Kirill Nourski, M.D., Ph.D., Hiroto Kawasaki, M.D., Hiroyuki Oya,M.D., and Matthew A. Howard III, M.D.. (2010) A method for placing Heschl gyrus depth electrodes. Journal of Neurosurgery 112:6, 1301-1307. Online publication date: 1-Jun-2010. Abstract | Full Text | PDF (12947 KB)
  5. Julia Jacobs, Maeike Zijlmans, Rina Zelmann, André Olivier, Jeffery Hall, Jean Gotman,François Dubeau. (2010) Value of electrical stimulation and high frequency oscillations (80-500 Hz) in identifying epileptogenic areas during intracranial EEG recordings. Epilepsia51:4, 573-582. Online publication date: 1-Apr-2010. [CrossRef]
  6. Julia Jacobs, Maeike Zijlmans, Rina Zelmann, Claude-Édouard Chatillon, Jeffrey Hall,AndrĂ© Olivier, François Dubeau, Jean Gotman. (2010) High-frequency electroencephalographic oscillations correlate with outcome of epilepsy surgery. Annals of Neurology 67:2, 209-220. Online publication date: 1-Feb-2010. [CrossRef]
  7. Katsuhiro Kobayashi, Julia Jacobs, Jean Gotman. (2009) Detection of changes of high-frequency activity by statistical time-frequency analysis in epileptic spikes. Clinical Neurophysiology 120:6, 1070-1077. Online publication date: 1-Jun-2009. [CrossRef]
  8. J. Jacobs, P. LeVan, C.-E. Chatillon, A. Olivier, F. Dubeau, J. Gotman. (2008) High frequency oscillations in intracranial EEGs mark epileptogenicity rather than lesion type. Brain 132:4, 1022-1037. Online publication date: 21-May-2008. [CrossRef]
  9. Marc Schönwiesner, Robert J. Zatorre. (2008) Depth electrode recordings show double dissociation between pitch processing in lateral Heschl’s gyrus and sound onset processing in medial Heschl’s gyrus. Experimental Brain Research 187:1, 97-105. Online publication date: 1-May-2008. [CrossRef]
  10. Elena Urrestarazu, Jeffrey D. Jirsch, Pierre LeVan, Jeffery Hall. (2006) High-Frequency Intracerebral EEG Activity (100?500 Hz) Following Interictal Spikes. Epilepsia 47:9, 1465-1476. Online publication date: 1-Sep-2006. [CrossRef]
  11. Terry M Peters. (2006) Image-guidance for surgical procedures. Physics in Medicine and Biology 51:14, R505-R540. Online publication date: 21-Jul-2006. [CrossRef]
  12. Narendra Nathoo, M Cenk ??avu??o??lu, Michael A. Vogelbaum, Gene H. Barnett. (2005) In Touch with Robotics: Neurosurgery for the Future. Neurosurgery 56:3, 421-433. Online publication date: 1-Mar-2005. [CrossRef]
  13. N NATHOO, T PESEK, G BARNETT. (2003) Robotics and neurosurgery. Surgical Clinics of North America 83:6, 1339-1350. Online publication date: 1-Dec-2003. [CrossRef]
  14. Yasushi Miyagi, Fumio Shima, Katsuya Ishido, Takehisa Araki, Yoshihide Taniwaki, IkuOkamoto, Kazufumi Kamikaseda. (2003) Inferior Temporal Sulcus Approach for Amygdalohippocampectomy Guided by a Laser Beam of Stereotactic Navigator.Neurosurgery1117-1124. Online publication date: 1-May-2003. [CrossRef]
  15. Leonardo Frighetto, M.D., Antonio A. F. De Salles, M.D., Ph.D., Eric Behnke, B.S., Zachary A.Smith, B.A., and Dennis Chute, M.D.. (2003) Frameless image-guided stereotactic biopsy of parasellar lesions. Journal of Neurosurgery 98:4, 920-925. Online publication date: 1-Apr-2003. Abstract | Full Text | PDF (175 KB)
  16. Ronald Benveniste, M.D., and Isabelle M. Germano, M.D.. (2003) Evaluation of factors predicting accurate resection of high-grade gliomas by using frameless image-guided stereotactic guidance. Neurosurgical FOCUS 14:2, 1-4. Online publication date: 1-Feb-2003. Abstract | PDF (49 KB) | PDF Plus (64 KB)
  17. Theodore H. Schwartz, David Marks, Jayoung Pak, James Hill, David E. Mandelbaum,Andrei I. Holodny, Michael Schulder. (2002) Standardization of Amygdalohippocampectomy with Intraoperative Magnetic Resonance Imaging: Preliminary Experience. Epilepsia 43:4, 430-436. Online publication date: 1-Apr-2002. [CrossRef]
  18. Roger P. Woods. 2002. Statistics II. , 633-659. [CrossRef]
  19. P Jannin, C Grova, B Gibaud. (2001) Fusion de données en imagerie médicale: revue méthodologique basée sur le contexte clinique. ITBM-RBM 22:4, 196-215. Online publication date: 1-Aug-2001. [CrossRef]
  20. Henry W. S. Schroeder, M.D., Wolfgang Wagner, M.D., Wolfgang Tschiltschke, and Michael R. Gaab, M.D., Ph.D.. (2001) Frameless neuronavigation in intracranial endoscopic neurosurgery. Journal of Neurosurgery 94:1, 72-79. Online publication date: 1-Jan-2001.Abstract | Full Text | PDF (340 KB)
  21. Christopher R. Mascott. (2000) The Cygnus PFS Image-guided System. Neurosurgery235-238. Online publication date: 1-Jan-2000. [CrossRef]
  22. Andreas R. Gunkel, Michael Vogele, Arno Martin, Reto J. Bale, Walter F. Thumfart, WolfgangFreysinger. (1999) Computer-Aided Surgery in the Petrous Bone. The Laryngoscope109:11, 1793-1799. Online publication date: 1-Nov-1999. [CrossRef]
  23. D.W. Gross, J. Gotman. (1999) Correlation of high-frequency oscillations with the sleep–wake cycle and cognitive activity in humans. Neuroscience 94:4, 1005-1018. Online publication date: 1-Nov-1999. [CrossRef]
  24. R. G. Bittar, F. Andermann, A. Olivier, F. Dubeau, S. O. Dumoulin, G. B. Pike, D. C. Reutens. (1999) Interictal Spikes Increase Cerebral Glucose Metabolism and Blood Flow: A PET Study. Epilepsia 40:2, 170-178. Online publication date: 1-Feb-1999. [CrossRef]
  25. D. King, G. H. Baltuch. (1998) Magnetic resonance imaging and temporal lobe epilepsy.Acta Neurologica Scandinavica 98:4, 217-223. Online publication date: 1-Oct-1998.[CrossRef]
  26. Isabelle M. Germano, Joseph V. Queenan. (1998) Clinical Experience with Intracranial Brain Needle Biopsy Using Frameless Surgical Navigation. Computer Aided Surgery 3:1, 33-39. Online publication date: 1-Jan-1998. [CrossRef]
  27. L. Klimek, R. Mösges, G. Schlöndorff, W. Mann. (1998) Development of Computer-Aided Surgery for Otorhinolaryngology. Computer Aided Surgery 3:4, 194-201. Online publication date: 1-Jan-1998. [CrossRef]
  28. K. Roessler, K. Ungersboeck, W. Dietrich, M. Aichholzer, K. Hittmeir, Ch. Matula, Th. Czech,W. Th. Koos. (1997) Frameless stereotactic guided neurosurgery: Clinical experience with an infrared based pointer device navigation system. Acta Neurochirurgica 139:6, 551-559. Online publication date: 1-Jun-1997. [CrossRef]
  29. Andreas RĂŒdiger Gunkel, Wolfgang Freysinger, Walter Franz Thumfart. (1997) Computer-Assisted Surgery in the Frontal and Maxillary Sinus. The Laryngoscope 107:5, 631-633. Online publication date: 1-May-1997. [CrossRef]
  30. Reto J. Bale, Michael Vogele, Wolfgang Freysinger, Andreas R. Gunkel, Arno Martin, KlausBumm, Walter F. Thumfart. (1997) Minimally Invasive Head Holder to Improve the Performance of Frameless Stereotactic Surgery. The Laryngoscope 107:3, 373-377. Online publication date: 1-Mar-1997. [CrossRef]
  31. C. Rainer Wirtz, Mario M. Bonsanto, Michael Knauth, Volker M. Tronnier, Fritz K. Albert,Andreas Staubert, Stefan Kunze. (1997) Intraoperative Magnetic Resonance Imaging to Update Interactive Navigation in Neurosurgery: Method and Preliminary Experience.Computer Aided Surgery 2:3-4, 172-179. Online publication date: 1-Jan-1997. [CrossRef]
  32. M. Sam. Eljamel. (1997) Accuracy, Efficacy, and Clinical Applications of the Radionics Operating Arm System. Computer Aided Surgery 2:5, 292-297. Online publication date: 1-Jan-1997. [CrossRef]
  33. M. Aichholzer, K. Ungersböck, K. Rössler, H. Görzer, W. T. Koos. (1997) Computer-assisted navigated resection of brain tumours. Minimally Invasive Therapy & Allied Technologies6:5-6, 496-500. Online publication date: 1-Jan-1997. [CrossRef]
  34. Isabelle M. Germano, M.D.. (1996) Transsulcal approach to mesiotemporal lesions.Neurosurgical FOCUS 1:5, E6. Online publication date: 1-Nov-1996. Abstract | PDF (193 KB)| PDF Plus (197 KB)
  35. Jeffrey V. Rosenfeld. (1996) MINIMALLY INVASIVE NEUROSURGERY. ANZ Journal of Surgery 66:8, 553-559. Online publication date: 1-Aug-1996. [CrossRef]
  36. Ali R. Rezai, Margret Hund, Eugene Kronberg, Marty Zonenshayn, Joshua Cappell, UrsRibary, Bruce Kall, Rodolfo Llin??s, Patrick J. Kelly. (1996) The Interactive Use of Magnetoencephalography in Stereotactic Image-guided Neurosurgery. Neurosurgery 39:1, 92-102. Online publication date: 1-Jul-1996. [CrossRef]
  37. Eric P. Sipos, Scot A. Tebo, S. James Zinreich, Donlin M. Long, Henry Brem. (1996) In Vivo Accuracy Testing and Clinical Experience with the ISG Viewing Wand. Neurosurgery 39:1, 194-204. Online publication date: 1-Jul-1996. [CrossRef]
  38. Isabelle M. Germano. (1995) The NeuroStation System for Image-Guided, Frameless Stereotaxy. Neurosurgery 37:2, 348-350. Online publication date: 1-Aug-1995. [CrossRef]
  39. I Fried. (1995) Magnetic resonance imaging and epilepsy: Neurosurgical decision making.Magnetic Resonance Imaging 13:8, 1163-1170. Online publication date: 1-Jan-1995.[CrossRef]
  40. Antonio A.F. De Salles, Alessandra Gorgulho. Stereotactic Surgery. . [CrossRef]