期刊导航
期刊开放获取
河南省图书馆
退出
期刊文献
+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息
检索
高级检索
期刊导航
共找到
1
篇文章
<
1
>
每页显示
20
50
100
已选择
0
条
导出题录
引用分析
参考文献
引证文献
统计分析
检索结果
已选文献
显示方式：
文摘
详细
列表
相关度排序
被引量排序
时效性排序
应用微型机器人装置对难治性癫痫患者进行脑深部电极植入（英文）
被引量：
5
1
作者
Dorfer C
m
inchev G
+6 位作者
Czech T
Stefanits H
feucht m
Pataraia E
Bau
m
gartner C
Kronreif G
Wolfsberger S
《中华神经外科疾病研究杂志》
CAS
2016年第4期308-308,共1页
关键词
癫痫
精确度
深度电极
机器人
下载PDF
职称材料
题名
应用微型机器人装置对难治性癫痫患者进行脑深部电极植入（英文）
被引量：
5
1
作者
Dorfer C
m
inchev G
Czech T
Stefanits H
feucht m
Pataraia E
Bau
m
gartner C
Kronreif G
Wolfsberger S
机构
Department of Neurosurgery
Departments of Pediatrics and Adolescence Medicine
Department of Neurology
Second Neurological Department
Austrian Center of Medical Innovation and Technology (ACMIT)
出处
《中华神经外科疾病研究杂志》
CAS
2016年第4期308-308,共1页
关键词
癫痫
精确度
深度电极
机器人
Keywords
OBJECTIVE The authors＇group recently published a novel technique for a navigation-guided frameless stereotactic approach for the placement of depth electrodes in epilepsy patients. To improve the accuracy of the trajectory and enhance the procedural workflow, the authors implemented the iSysl miniature robotic device in the present study into this routine. METHODS As a first step, a preclinical phantom study was performed using a human skull model, and the accuracy and timing between 5 electrodes implanted with the manual technique and 5 with the aid of the robot were compared. After this phantom study showed an increased accuracy with robot-as- sisted electrode placement and confirmed the robot ability to maintain stability despite the rotational forces and the leverage effect from drilling and screwing, patients were enrolled and analyzed for robot-assisted depth electrode placement at the anthors＇institntion from Janu- ary 2014 to December 2015. All procedures were performed with the $7 Surgical Navigation System with Synergy Cranial software and the iSysl miniature robotic device. RESULTS Ninety-three electrodes were implanted in 16 patients （median age 33 years, range 3 -55 years
9 females, 7 males）. The authors saw a significant increase in accuracy compared with their manual technique, with a median deviation from the planned entry and target points of 1.3 mm （ range 0.1 - 3.4 mm） and 1.5 mm （ range 0.3 - 6.7 mm）, respectively. For the last 5 patients （ 31 electrodes） of this series the authors modified their technique in placing a guide for implantation of depth electrodes （GIDE） on the bone and saw a significant further increase in the accuracy at the entry point to 1.18 ± 0.5 mm （mean ：1： SD） compared with 1.54 ± 0.8 mm for the first 11 patients （ P = 0.021 ）. The median length of the trajectories was 45.4 mm （ range 19 ± 102.6 mm）. The mean duration of depth electrode placement from the start of trajectory alignment to fixation of the electrode was 15.7 minutes （range 8.5 -26.6 minutes）, which was significantly faster than with the manual technique. In 12 patients, depth electrode placement was combined with subdural electrode placement. The procedure was well tolerated in all patients. The authors did not encounter any case of hemorrhage or neurological deficit related to the electrode placement. In 1 patient with a psoriasis vulgaris, a superficial wound infection was encountered. Adequate physiological recordings were obtained from all electrodes. No additional electrodes had to be implanted because of misplacement. CONCLUSIONS The iSysl robotic device is a versatile and easy to use tool for frameless implantation of depth electrodes for the treatment ofepilepsy. It increased the accuracy of the authors＇manual technique by 60% at the entry point and over 30% at the target. It further enhanced and expedited the authors＇procedural workflow.
分类号
R741 [医药卫生—神经病学与精神病学]
下载PDF
职称材料
题名
作者
出处
发文年
被引量
操作
1
应用微型机器人装置对难治性癫痫患者进行脑深部电极植入（英文）
Dorfer C
m
inchev G
Czech T
Stefanits H
feucht m
Pataraia E
Bau
m
gartner C
Kronreif G
Wolfsberger S
《中华神经外科疾病研究杂志》
CAS
2016
5
下载PDF
职称材料
已选择
0
条
导出题录
引用分析
参考文献
引证文献
统计分析
检索结果
已选文献
上一页
1
下一页
到第
页
确定
用户登录
登录
IP登录
使用帮助
返回顶部
