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使用机器人引导立体定向放置脑内电极来研究局灶性癫痫:英国的初步经验。

Use of robot-guided stereotactic placement of intracerebral electrodes for investigation of focal epilepsy: initial experience in the UK.

作者信息

Abhinav Kumar, Prakash Savithru, Sandeman David R

机构信息

Department of Neurosurgery, Institute of Clinical Neurosciences, Frenchay Hospital, Bristol, UK.

出版信息

Br J Neurosurg. 2013 Oct;27(5):704-5. doi: 10.3109/02688697.2013.798859. Epub 2013 Jun 28.

DOI:10.3109/02688697.2013.798859
PMID:23808680
Abstract

We describe the operative technique and our preliminary experience with use of the Renishaw neuromate(®) stereotactic robot to implant depth electrodes for investigation of focal epilepsy in the UK. Conventional electrocorticography involving a craniotomy and implantation of grids of electrodes directly onto the brain surface is invasive and carries a high risk of major complications such as acute subdural haematoma and infection. Robot-guided depth electrodes implantation for stereotactic electroencephalography is a less invasive technique that allows accurate implantation of multiple deep brain electrodes along predefined trajectories, and has not been associated with any major surgical complications in our initial experience.

摘要

我们描述了在英国使用雷尼绍神经伴侣(Renishaw neuromate®)立体定向机器人植入深度电极以研究局灶性癫痫的手术技术和初步经验。传统的皮质脑电图检查需要开颅并将电极网格直接植入脑表面,具有侵入性,且存在急性硬膜下血肿和感染等严重并发症的高风险。用于立体定向脑电图的机器人引导深度电极植入是一种侵入性较小的技术,它能够沿着预先确定的轨迹精确植入多个深部脑电极,并且在我们的初步经验中尚未出现任何严重的手术并发症。

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