Robot-assisted navigated neuroendoscopy.

Abstract:

OBJECTIVE:Major steps in the evolution of advanced neurosurgical techniques include microneurosurgery, neuroendoscopy and its minimally invasive variations, neuronavigation, and advanced intraoperative imaging. With traditional neuroendoscopic techniques (e.g., freehand endoscopy or the use of mechanical arms), definitive controlled movement of the endoscope within the brain depends on the experience and skill of the individual neurosurgeon. METHODS:With the Evolution 1 precision robot (Universal Robot Systems, Schwerin, Germany), a new neurosurgical tool has become available for the precise steering of instruments within the cranium. After preclinical anatomic and precision studies, the system was used for neuronavigated endoscopic procedures for three patients. RESULTS:All robot-assisted, navigated, endoscopic procedures were successfully completed. The time for the registration procedure and setup of the robot decreased from 60 minutes for the first patient to 30 minutes for the third patient. The time for the surgical part of the endoscopic procedure ranged from 17 to 65 minutes. No complications occurred during any procedure. CONCLUSION:The use of robotic technology for neuroendoscopic procedures is a major advance for controlled movement of the endoscope within the cranium. The start-up procedure and calibration of the robot are still time-consuming, but the actual operation time is comparable to that of freehand neuroendoscopic procedures. Steering of the endoscope is facilitated, and the precision of the endoscopic movements is noteworthy.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Zimmermann M,Krishnan R,Raabe A,Seifert V

keywords:

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

1446-51; discussion 1451-2

issue

6

eissn

0148-396X

issn

1524-4040

journal_volume

51

pub_type

杂志文章
  • Treatment of recurrent brain stem gliomas and other central nervous system tumors with 5-fluorouracil, CCNU, hydroxyurea, and 6-mercaptopurine.

    abstract::Twenty-one patients with recurrent malignant central nervous system gliomas were treated with a combination of 5-fluorouracil, CCNU, hydroxyurea, and 6-mercaptopurine. Thirteen patients had brain stem gliomas, 3 patients had spinal cord gliomas, 3 patients had thalamic gliomas, and 2 patients had cerebellar astrocytom...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198804000-00012

    authors: Rodriguez LA,Prados M,Fulton D,Edwards MS,Silver P,Levin V

    更新日期:1988-04-01 00:00:00

  • Effect of early optic canal unroofing on the outcome of visual functions in surgery for meningiomas of the tuberculum sellae and planum sphenoidale.

    abstract:OBJECTIVE:The aim of this study was to evaluate the effect of early optic canal unroofing on visual function in patients with meningiomas of the tuberculum sellae and planum sphenoidale. METHODS:We retrospectively reviewed the clinical records of 20 consecutive patients with tuberculum sellae meningiomas and two patie...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000318169.75095.cb

    authors: Nozaki K,Kikuta K,Takagi Y,Mineharu Y,Takahashi JA,Hashimoto N

    更新日期:2008-04-01 00:00:00

  • Management of bilateral locked facets of the cervical spine.

    abstract::The management of 15 cases of bilateral locked facets of the cervical spine is reviewed. The C-6, C-7 interspace was the most common interspace involved. There were 4 females and 11 males who were 16 to 63 years old (average, 26 years). Thirteen patients had a complete spinal cord lesion with loss of function below th...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198102000-00002

    authors: Sonntag VK

    更新日期:1981-02-01 00:00:00

  • Quality of British and American Nationwide Quality of Care and Patient Safety Benchmarking Programs: Case Neurosurgery.

    abstract:BACKGROUND:Multiple nationwide outcome registries are utilized for quality benchmarking between institutions and individual surgeons. OBJECTIVE:To evaluate whether nationwide quality of care programs in the United Kingdom and United States can measure differences in neurosurgical quality. METHODS:This prospective obs...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy380

    authors: Reponen E,Tuominen H,Korja M

    更新日期:2019-10-01 00:00:00

  • Microtrauma in the lumbar spine: a cause of low back pain.

    abstract::Excessive mechanical stress on the intervertebral disc may be one of the causes of low back pain. Most studies testing this thesis, however, have been based on quantification of the mechanical response of functional units at failure. Typically, radiography is used to demonstrate trauma to the vertebral body at the fai...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198808000-00006

    authors: Yoganandan N,Maiman DJ,Pintar F,Ray G,Myklebust JB,Sances A Jr,Larson SJ

    更新日期:1988-08-01 00:00:00

  • Pituitary adenomas with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings.

    abstract::We present 25 pituitary adenomas that were confirmed surgically to have invaded the cavernous sinus space. The surgical results are compared with the preoperative magnetic resonance imaging findings. For comparable radiological criteria, we classified parasellar growth into five grades. This proposed classification is...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199310000-00008

    authors: Knosp E,Steiner E,Kitz K,Matula C

    更新日期:1993-10-01 00:00:00

  • Angles between A1 and A2 segments of the anterior cerebral artery visualized by three-dimensional computed tomographic angiography and association of anterior communicating artery aneurysms.

    abstract:OBJECTIVE:The angle of arteries at bifurcations, as well as the blood flow, are factors of hemodynamic stress on the apical region, where aneurysms often develop. Using images obtained with three-dimensional computed tomographic angiography, we sought to determine the angles between the A1 and A2 segments of the anteri...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006123-199907000-00021

    authors: Kasuya H,Shimizu T,Nakaya K,Sasahara A,Hori T,Takakura K

    更新日期:1999-07-01 00:00:00

  • Cystic meningioma: report of three patients.

    abstract::Three patients with cystic meningioma are reported. The computed tomographic scans or magnetic resonance images of these tumors resembled those of a glial or metastatic tumor with cystic or necrotic changes. There is no definitive method for preoperatively differentiating cystic meningiomas from the more common malign...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199206000-00023

    authors: Odake G

    更新日期:1992-06-01 00:00:00

  • Alexia without agraphia in a musician after transcallosal removal of a left intraventricular meningioma.

    abstract::After a meningioma situated in the trigone of the left lateral ventricle was excised by the transcallosal approach of Kempe and Blaylock, a right-handed musician with a right hemianopsia developed alexia without agraphia. In contrast to previously reported cases of this syndrome arising from other etiologies, he was u...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197902000-00011

    authors: Levin HS,Rose JE

    更新日期:1979-02-01 00:00:00

  • Changing Therapeutic Landscape for Melanoma With Multiple Brain Metastases.

    abstract::Over 90 000 people are expected to be diagnosed with melanoma in the United States this year. The development of brain metastases is particularly difficult to manage. Over the past few years, melanoma patients with multiple unresectable brain metastases for which stereotactic surgery might also not be a viable option ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyaa076

    authors: Jiang C,Wallington DG,Anker CJ,Lawson DH,Yushak ML,Kudchadkar RR,Tarhini A,Khan MK

    更新日期:2020-09-01 00:00:00

  • De novo large fusiform posterior circulation intracranial aneurysm presenting with subarachnoid hemorrhage 7 years after therapeutic internal carotid artery occlusion: case report and review of the literature.

    abstract:BACKGROUND AND IMPORTANCE:Although the use of proximal artery occlusion, or hunterian ligation, for the treatment of intracranial aneurysms has decreased greatly over the past decades, this approach still finds use for certain giant and complex aneurysms. The main risks of artery sacrifice are ischemic complications bu...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e31825fd169

    authors: Arnaout OM,Rahme RJ,Aoun SG,Daou MR,Batjer HH,Bendok BR

    更新日期:2012-09-01 00:00:00

  • Thoracoscopically guided transaxillary resection of adjoining intercostal plexiform neurofibromas: review of mosaicism in neurofibromatosis: technical note.

    abstract:OBJECTIVE AND IMPORTANCE:The present article describes a rare presentation of Type I neurofibromatosis (NFI) involving adjoining intercostal plexiform neurofibromas, as well as the novel use of thoracoscopy to guide surgical resection. This presentation highlights the manner in which NFI may affect selective regions of...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000176707.44598.53

    authors: Salazar F,Machado A,Murthy S,Boulis NM

    更新日期:2005-10-01 00:00:00

  • Symptomatic Adjacent Level Disease Requiring Surgery: Analysis of 10-Year Results From a Prospective, Randomized, Clinical Trial Comparing Cervical Disc Arthroplasty to Anterior Cervical Fusion.

    abstract:BACKGROUND:Ten-year follow-up data from the US Food and Drug Administration investigational device exemption trial comparing BRYAN® Cervical Disc (Medtronic, Dublin, Ireland) arthroplasty to anterior cervical discectomy and fusion (ACDF) demonstrated that disc arthroplasty maintained range of motion and improvements in...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/neuros/nyy118

    authors: Ghobrial GM,Lavelle WF,Florman JE,Riew KD,Levi AD

    更新日期:2019-02-01 00:00:00

  • Predictive value of temporary external lumbar drainage in normal pressure hydrocephalus.

    abstract::In a prospective study on the effect of shunting, 22 patients diagnosed as suffering from normal pressure hydrocephalus (NPH) were investigated by means of temporary external lumbar drainage (ELD). Five patients had to be excluded from the study because of complications of ELD or definitive shunting. ELD correctly pre...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198802000-00020

    authors: Haan J,Thomeer RT

    更新日期:1988-02-01 00:00:00

  • 116 years (1889-2005) of neurosurgical practice and education at Gulhane Military Medical Academy.

    abstract::Modern medical education in the Ottoman Empire began with the founding of the School of Medicine and Surgery in 1827. This was a military school established to provide military physicians for the army. The first neurosurgical interventions at this school were initiated by Cemil Pasha in 1889. This school has gradually...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1227/01.NEU.0000197488.65065.C3

    authors: Timurkaynak E,Izci Y,Acar F

    更新日期:2006-03-01 00:00:00

  • Neurosurgical Practice in Transition: A Review.

    abstract::Neurosurgery is experiencing a period of acute change driven by 2 forces: (1) the perception that the healthcare system in the United States is wasteful and that patients are receiving low "value" care, (2) the belief that quality and long-term outcomes can be measured accurately. We believe 3 important shifts will em...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyx008

    authors: Kim DH,Dagi TF,Bean JR

    更新日期:2017-04-01 00:00:00

  • Unruptured cerebral aneurysms do not shrink when they rupture: multicenter collaborative aneurysm study group.

    abstract:BACKGROUND:The International Study of Intracranial Aneurysms found that for patients with no previous history of subarachnoid hemorrhage, small (< 7 mm) anterior circulation and posterior circulation aneurysms had a 0% and 2.5% risk of subarachnoid hemorrhage over 5 years, respectively. OBJECTIVE:To determine whether ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0b013e3181ff357c

    authors: Rahman M,Ogilvy CS,Zipfel GJ,Derdeyn CP,Siddiqui AH,Bulsara KR,Kim LJ,Riina HA,Mocco J,Hoh BL

    更新日期:2011-01-01 00:00:00

  • Immunohistochemical detection of intracranial vasa vasorum: a human autopsy study.

    abstract::The existence of intracranial vasa vasorum supplying the larger vessels of the circle of Willis has long been debated. Much of this debate results from contradictory findings of microanatomic studies in a variety of nonprimate species. Recently, however, a growing body of evidence seems to suggest that in certain path...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Connolly ES Jr,Huang J,Goldman JE,Holtzman RN

    更新日期:1996-04-01 00:00:00

  • Development of a unique phantom to assess the geometric accuracy of magnetic resonance imaging for stereotactic localization.

    abstract:OBJECTIVE:To test the spatial accuracy of coordinates generated from magnetic resonance imaging (MRI) scans, using the Brown-Roberts-Wells head frame and localizer system (Radionics, Inc., Burlington, MA). METHODS:An anthropomorphic head phantom, consisting of a two-dimensional lattice of acrylic spheres (4-mm diamete...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199912000-00030

    authors: Orth RC,Sinha P,Madsen EL,Frank G,Korosec FR,Mackie TR,Mehta MP

    更新日期:1999-12-01 00:00:00

  • Surgical treatment of recurrent Cushing's disease.

    abstract:OBJECTIVE:The aim of this study was to evaluate the role of transsphenoidal selective adenomectomy alone or in combination with adjuvant therapy in treatment of recurrent Cushing's disease. METHODS:A total of 16 patients with recurrent Cushing's disease underwent reoperation, 15 via a transsphenoidal approach and one ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000215945.26764.92

    authors: Hofmann BM,Hlavac M,Kreutzer J,Grabenbauer G,Fahlbusch R

    更新日期:2006-06-01 00:00:00

  • A survey to determine the understanding of the conceptual basis and diagnostic tests used for brain death by neurosurgeons in Canada.

    abstract:OBJECTIVE:To determine the understanding of the conceptual basis and diagnostic tests used for brain death (BD) by neurosurgeons in Canada. METHODS:Between February and June 2006, a previously developed survey was mailed to every neurosurgeon in Canada. RESULTS:Of 223 surveys mailed, 147 (66%) were returned; of these...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000303200.84994.ae

    authors: Joffe AR,Anton N,Mehta V

    更新日期:2007-11-01 00:00:00

  • Traumatic venous varix causing sciatic neuropathy: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Sciatic neuropathy rarely presents in nonpenetrating trauma because of protection of the nerve by the pelvis, the gluteal muscles, and the tissues in the posterior thigh. We present the case of a patient who fell and subsequently developed a traumatic venous varix of the inferior gluteal vein t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000142354.54603.35

    authors: Maniker A,Thurmond J,Padberg FT Jr,Blacksin M,Vingan R

    更新日期:2004-11-01 00:00:00

  • Superficial femoral vein invasion by a benign neurofibroma in a non-neurofibromatosis patient: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Neurofibromas are benign neural sheath tumors arising from intraneural supporting cells. Such tumors are characteristic of neurofibromatosis Type I (von Recklinghausen disease) but also occur sporadically. Vascular involvement by neurofibromata is rare, but has been described in the past in the...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000210293.67328.A7

    authors: Châtillon CE,Guiot MC,Corriveau MM,Jacques L

    更新日期:2006-05-01 00:00:00

  • Antisense expression of protein kinase C alpha inhibits the growth and tumorigenicity of human glioblastoma cells.

    abstract::To investigate the role of protein kinase C (PKC) in the growth of astrocytic brain tumors, human glioblastoma cell line U-87 was stably transfected with the antisense complementary deoxyribonucleic acid encoding PKC alpha. The effect of selectively down-regulating the alpha isoform on other PKC isoforms, as well as s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199411000-00015

    authors: Ahmad S,Mineta T,Martuza RL,Glazer RI

    更新日期:1994-11-01 00:00:00

  • Surgical mortality at 30 days and complications leading to recraniotomy in 2630 consecutive craniotomies for intracranial tumors.

    abstract:BACKGROUND:In order to weigh the risks of surgery against the presumed advantages, it is important to have specific knowledge about complication rates. OBJECTIVE:To study the surgical mortality and rate of reoperations for hematomas and infections after intracranial surgery for brain tumors in a large, contemporary, s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31820c0441

    authors: Lassen B,Helseth E,Rønning P,Scheie D,Johannesen TB,Mæhlen J,Langmoen IA,Meling TR

    更新日期:2011-05-01 00:00:00

  • Techniques of posterior C1-C2 stabilization.

    abstract::Instability of the atlantoaxial complex may result from inflammatory, traumatic, congenital, neoplastic, or degenerative disorders and often requires surgical stabilization. Initial dorsal wiring techniques allow safe fixation but require rigid external immobilization and have been associated with high fusion failure ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000249220.50085.E4

    authors: Menendez JA,Wright NM

    更新日期:2007-01-01 00:00:00

  • Stenting and secondary coiling of intracranial internal carotid artery aneurysm: technical case report.

    abstract:OBJECTIVE AND IMPORTANCE:Endovascular stents have been successfully used in the treatment of fusiform and dissecting aneurysms of the peripheral circulation and extracranial carotid and vertebral arteries. Technical limitations related to the inability to navigate the stent and the delivery system through tortuous vasc...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199811000-00130

    authors: Mericle RA,Lanzino G,Wakhloo AK,Guterman LR,Hopkins LN

    更新日期:1998-11-01 00:00:00

  • Evaluation of vasospasm after subarachnoid hemorrhage by use of multislice computed tomographic angiography.

    abstract:OBJECTIVE:Multislice computed tomographic angiography (CTA) can provide clearer vascular images, even of the peripheral arteries, than conventional CTA. Multislice CTA was compared with digital subtraction angiography (DSA) for the detection of cerebral vasospasm in patients with acute aneurysmal subarachnoid hemorrhag...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200210000-00015

    authors: Otawara Y,Ogasawara K,Ogawa A,Sasaki M,Takahashi K

    更新日期:2002-10-01 00:00:00

  • Persistent headache after supratentorial craniotomy.

    abstract:OBJECTIVE:Although the incidence, possible causes, and treatment of persistent headache after suboccipital craniotomy have been discussed extensively, few data have been published regarding persistent headache after supratentorial craniotomy. METHODS:We retrospectively analyzed the senior author's patient series of 14...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200009000-00020

    authors: Kaur A,Selwa L,Fromes G,Ross DA

    更新日期:2000-09-01 00:00:00

  • Anterior cervical microforaminotomy for spondylotic cervical myelopathy: part 2.

    abstract:OBJECTIVE:Anterior microforaminotomy for spondylotic cervical myelopathy is reported with surgical results. METHODS:A retrospective study was performed for 40 patients with spondylotic cervical myelopathy who had been surgically treated with anterior microforaminotomy at the University of Pittsburgh between April 1994...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Jho HD,Kim MH,Kim WK

    更新日期:2002-11-01 00:00:00