Abstract：
BACKGROUND:The standard freehand method for the insertion of external ventricular drains (EVDs) is associated with high rates of incorrect placement. Use of neuronavigation has been shown to reduce the rates of inaccurately positioned EVDs. We present a novel neuronavigation-based approach for EVD placement using flat panel detector computed tomography (FDCT) imaging. METHODS:Four cadaveric heads were used for neuronavigated placement of EVDs using the BrainLAB reference headband in combination with laser surface registration and the precalibrated disposable stylet. In 2 cases, conventional multislice CT imaging was performed to reference neuronavigation. In the other 2 cases, preprocedural imaging was performed with FDCT. After inserting the EVDs, all heads were examined again with the identical imaging method as used before the procedure, followed by evaluation of catheter position. RESULTS:Our data demonstrate that FDCT imaging provides adequate image quality for referencing neuronavigation and performing navigated neurosurgery. All EVDs showed an optimal position in the ipsilateral frontal horn. Use of a BrainLAB reference headband combined with laser surface registration and the precalibrated disposable stylet affords the advantage of not requiring rigid fixation in a clamp. CONCLUSIONS:Our presented method is fast, accurate, and easy to use. Furthermore, this study is the first to demonstrate that navigated neurosurgery can be performed on the basis of FDCT imaging.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Feulner J,Lang S,Buder T,Struffert T,Buchfelder M,Brandner Sdoi
10.1016/j.wneu.2018.04.192subject
Has Abstractpub_date
2018-07-01 00:00:00pages
324-328eissn
1878-8750issn
1878-8769pii
S1878-8750(18)30912-4journal_volume
115pub_type
杂志文章abstract：:Acute lymphoblastic lymphoma is a malignant hematologic disease in childhood but rarely initially involves epidural compartment in adults. A 20-year-old male presented with progressive osphyalgia with constipation. Contrasted magnetic resonance imaging showed multiple vertebrae of hypointense T1 signals and an intrasp...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.09.130
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Recurrent trigeminal neuralgia after successful microvascular decompression is not rare. CASE DESCRIPTION:A 72-year-old woman who presented with typical right trigeminal neuralgia had been successfully treated by microvascular decompression with transposition of the superior cerebellar artery. However, she ...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.08.200
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:The craniocervical junction permits a certain amount of mobility for the cervical spine. The biomechanical properties of occipital bone-atlas joint mainly depend on the bony structure, and atlas-axis joint biomechanical properties mainly depend on ligamentous structure. The underlying etiologic factor of Chia...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.05.072
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:To deduce structural trends in neurosurgery in Germany by comparison of data derived from polls conducted by the Deutsche Gesellschaft für Neurochirurgie (DGNC) in 1997, 2003 and 2008. METHODS:The questionnaires of the different polls probed a comparable set of issues. The data from the responding sample wer...
journal_title：World neurosurgery
pub_type： 历史文章,杂志文章
doi：10.1016/j.wneu.2011.05.060
更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:Trigeminal ganglion stimulation can be effective for trigeminal neuralgia. For patients who respond well to neurostimulation delivered percutaneously through the foramen ovale but require extensive revision and removal of instrumentation, a subtemporal approach for stimulation of the trigeminal ganglion is a...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.11.034
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND:Brain abscesses are well-known to neurologic surgeons with well-recognized presentations, which include seizures, neurologic deficit, and headache. Rare symptoms may lead to a delay in diagnosis, which can be life threatening in the setting of a brain abscess. CASE DESCRIPTION:We present the case of a 46-ye...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.01.139
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND:The rationale of only fixation without any kind of bone, ligament, disc, or osteophyte decompression as a treatment for single- or multiple-level cervical spinal degeneration was analyzed. The concept was based on the understanding that muscle weakness-related spinal instability is the cause of spinal degene...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.03.104
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Spinal extradural arachnoid cysts are relatively uncommon. Rarely, large cysts presented with spinal cord compression requiring surgical intervention. CASE DESCRIPTION:We report a patient with a progressively enlarging spinal extradural arachnoid cyst causing worsening right S1 radiculopathy and gastrocnemi...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.10.003
更新日期：2018-01-01 00:00:00
abstract：:Pituicytomas are rare low-grade glial lesions of neurohypophysis or adenohypophysis. They are often misdiagnosed as adenomas due to their similar morphology. Previous reports have underlined their nonspecific aspect. In our experience, presence of flow voids on magnetic resonance, which usually indicate hypervasculari...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.10.036
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.08.047
更新日期：2018-11-01 00:00:00
abstract：BACKGROUND:This manuscript discusses the case of huge presacral Tarlov cysts (TCs) and the substantial neurologic recovery noted in the patient following spontaneous rupture of the most prominent cyst. Perineural or TCs are nerve root cysts, which are usually incidental findings on magnetic resonance imaging (MRI) and ...
journal_title：World neurosurgery
pub_type：
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更新日期：2021-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.12.023
更新日期：2020-05-01 00:00:00
abstract：OBJECTIVE:Ventriculoperitoneal (VP) shunt surgery is the predominant mode of therapy for patients with hydrocephalus. However, it has potential complications that may require multiple surgical procedures during a patient's lifetime. The objective of this study is to review our long-term experience and evaluate the risk...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2013.01.096
更新日期：2014-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.06.022
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:We describe our experience in the endoscopic treatment of cervical spondylosis. We present a "hybrid" technique that is similar to an open anterior cervical discectomy with fusion but is performed endoscopically. We also analyzed data from studies on endoscopic cervical discectomies published in the past 2 d...
journal_title：World neurosurgery
pub_type： 杂志文章,meta分析
doi：10.1016/j.wneu.2019.07.122
更新日期：2019-11-01 00:00:00
abstract：BACKGROUND:Hemispherectomy is a successful and well-described treatment option for pediatric patients with hemispheric ictal onset, but adult outcomes have been far less studied. We describe the outcomes in adult patients with medically refractory epilepsy and hemispheric disease and the relationship to cerebral pedunc...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.03.034
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:Myelocystoceles, which are classified as closed neural tube defects, are usually covered by skin and rarely complicated by hydrocephalus. We encountered an unusual case of a terminal myelocystocele with hydrocephalus with clinical characteristics of a myelomeningocele. CASE DESCRIPTION:Severe hydrocephalus ...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2018.07.247
更新日期：2018-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2017.10.104
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Proximal junctional kyphosis (PJK) is a well-recognized complication following surgery for adult spinal deformity (ASD); however, definitions for PJK and its clinical implications can significantly vary by study. This study compares multiple definitions of PJK and describes incidence and clinical significanc...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.10.034
更新日期：2020-10-20 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.06.228
更新日期：2020-10-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.10.009
更新日期：2020-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2014.06.009
更新日期：2014-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.04.138
更新日期：2018-07-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2019.09.157
更新日期：2020-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2018.07.129
更新日期：2018-10-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.02.105
更新日期：2017-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.11.212
更新日期：2019-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2020.05.108
更新日期：2020-07-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.06.052
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:Extreme lateral interbody fusion (ELIF) is a powerful tool for interbody fusion and coronal deformity correction. However, evidence regarding the success of ELIF in decompressing foraminal, lateral recess, and central canal stenosis is lacking. We performed a systematic review of current literature on the po...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2017.01.080
更新日期：2017-05-01 00:00:00
