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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
Minchev G
+6 位作者
Czech T
Stefanits H
Feucht M
Pataraia E
Baumgartner 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
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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
Minchev G
Czech T
Stefanits H
Feucht M
Pataraia E
Baumgartner 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
increas
e 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
implant
ation of
depth
electrodes
(GIDE) on the bone and saw a significant further
increas
e 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
procedur
e was well tolerated in all
patients.
The
authors
did not encounter any case of hemorrh
age
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 mis
placement
. CONCLUSIONS The
isysl
robotic
device
is a versatile and easy to use tool for
frameless
implant
ation of
depth
electrodes
for the treatment of
epilepsy
. It
increased
the
accuracy
of the
authors'
manual
technique
by 60% at the entry point and over 30% at the target. It further
enhance
d and expedited the
authors'
procedural
workflow
.
分类号
R741 [医药卫生—神经病学与精神病学]
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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
Minchev G
Czech T
Stefanits H
Feucht M
Pataraia E
Baumgartner C
Kronreif G
Wolfsberger S
《中华神经外科疾病研究杂志》
CAS
2016
5
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