1. Frameless Stereotactic Insertion of Viewsite Brain Access System with Microscope-Mounted Tracking Device for Resection of Deep Brain Lesions: Technical Report
- Author
-
John A. Boockvar, Rohan R Lall, Timothy G White, David J. Langer, Shamik Chakraborty, and Andrew A. Fanous
- Subjects
medicine.medical_specialty ,Microscope ,business.industry ,General Engineering ,Neurosurgery ,deep brain lesions ,viewsite brain access system ,medicine.disease ,Tracking (particle physics) ,law.invention ,Resection ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,law ,030220 oncology & carcinogenesis ,Glioma ,Deep Lesion ,Medicine ,Brain lesions ,Radiology ,business ,Stereotactic neurosurgery ,stereotactic neurosurgery ,030217 neurology & neurosurgery - Abstract
The surgical management of deep brain tumors is often challenging due to the limitations of stereotactic needle biopsies and the morbidity associated with transcortical approaches. We present a novel microscopic navigational technique utilizing the Viewsite Brain Access System (VBAS) (Vycor Medical, Boca Raton, FL, USA) for resection of a deep parietal periventricular high-grade glioma as well as another glioma and a cavernoma with no related morbidity. The approach utilized a navigational tracker mounted on a microscope, which was set to the desired trajectory and depth. It allowed gentle continuous insertion of the VBAS directly to a deep lesion under continuous microscopic visualization, increasing safety by obviating the need to look up from the microscope and thus avoiding loss of trajectory. This technique has broad value for the resection of a variety of deep brain lesions.
- Published
- 2017