非侵入性电磁神经导航在小儿裂隙脑室综合征和复杂性脑积水治疗中的应用
The use of noninvasive electromagnetic neuronavigation for slit ventricle syndrome and complex hydrocephalus in a pediatric population.
作者信息
Clark Simon, Sangra Meharpal, Hayhurst Caroline, Kandasamy Jothi, Jenkinson Michael, Lee Maggie, Mallucci Conor
机构信息
Department of Pediatric Neurosurgery, Royal Liverpool Children's NHS Trust, Walton Centre for Neurology and Neurosurgery, Liverpool, United Kingdom.
出版信息
J Neurosurg Pediatr. 2008 Dec;2(6):430-4. doi: 10.3171/PED.2008.2.12.430.
OBJECT
The aim of this study was to prospectively evaluate the use of noninvasive electromagnetic neuronavigation in children, in particular its use in complex hydrocephalus and slit ventricle syndrome.
METHODS
Prospective data was collected from all pediatric patients undergoing insertion of ventriculoperitoneal shunts using electromagnetic frameless neuronavigation from January 2006 to November 2007.
RESULTS
Twenty-three patients fulfilled the study criteria. All ventricles were cannulated on the first pass. There were no immediate or early postprocedural complications. All but 1 patient had resolution of symptoms (mainly chronic headache) on follow-up (median 7 months, range 1-17 months). The proximal revision rate was 9% (2 of 23 patients). One patient required distal catheter revision. Infection occurred in 1 patient.
CONCLUSIONS
Electromagnetic neuronavigation using a frameless and pinless system is especially suited for pediatric patients. The authors hypothesize that successful placement of ventricular catheters will reduce morbidity and improve shunt longevity.
目的
本研究旨在前瞻性评估无创电磁神经导航在儿童中的应用，尤其是其在复杂脑积水和裂隙脑室综合征中的应用。
方法
收集2006年1月至2007年11月期间所有使用电磁无框架神经导航进行脑室腹腔分流术的儿科患者的前瞻性数据。
结果
23例患者符合研究标准。所有脑室均在首次穿刺时成功插管。术后无即刻或早期并发症。随访（中位时间7个月，范围1 - 17个月）时，除1例患者外，所有患者症状（主要是慢性头痛）均得到缓解。近端分流管翻修率为9%（23例患者中有2例）。1例患者需要远端导管翻修。1例患者发生感染。
结论
使用无框架、无针系统的电磁神经导航特别适合儿科患者。作者推测，脑室导管的成功置入将降低发病率并提高分流管使用寿命。
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