Zhang Guangming, Chen Guoqiang, Meng Dawei, Liu Yanwu, Chen Jianwei, Shu Lanmei, Liu Wenbo
Department of Neurosurgery, Epilepsy Center, Aviation General Hospital, China Medical University Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.
Medicine (Baltimore). 2017 Jun;96(23):e7106. doi: 10.1097/MD.0000000000007106.
This study aimed to introduce a new stereoelectroencephalography (SEEG) system based on Leksell stereotactic frame (L-SEEG) as well as Neurotech operation planning software, and to investigate its safety, applicability, and reliability.L-SEEG, without the help of navigation, includes SEEG operation planning software (Neurotech), Leksell stereotactic frame, and corresponding surgical instruments. Neurotech operation planning software can be used to display three-dimensional images of the cortex and cortical vessels and to plan the intracranial electrode implantation. In 44 refractory epilepsy patients, 364 intracranial electrodes were implanted through the L-SEEG system, and the postoperative complications such as bleeding, cerebral spinal fluid (CSF) leakage, infection, and electrode-related problems were also investigated.All electrodes were implanted accurately as preoperatively planned shown by postoperative lamina computed tomography and preoperative lamina magnetic resonance imaging. There was no severe complication after intracranial electrode implantation through the L-SEEG system. There were no electrode-related problems, no CSF leakage and no infection after surgery. All the patients recovered favorably after SEEG electrode implantation, and only 1 patient had asymptomatic frontal lateral ventricle hematoma (3 mL).The L-SEEG system with Neurotech operation planning software can be used for safe, accurate, and reliable intracranial electrode implantation for SEEG.
本研究旨在引入一种基于Leksell立体定向框架(L-SEEG)以及Neurotech手术规划软件的新型立体定向脑电图(SEEG)系统,并研究其安全性、适用性和可靠性。L-SEEG在无导航辅助的情况下,包括SEEG手术规划软件(Neurotech)、Leksell立体定向框架及相应手术器械。Neurotech手术规划软件可用于显示皮质和皮质血管的三维图像,并规划颅内电极植入。在44例难治性癫痫患者中,通过L-SEEG系统植入了364根颅内电极,并对术后出血、脑脊液漏、感染及电极相关问题等并发症进行了研究。术后薄层计算机断层扫描和术前薄层磁共振成像显示,所有电极均按术前规划准确植入。通过L-SEEG系统植入颅内电极后未出现严重并发症。术后无电极相关问题、无脑脊液漏及感染。所有患者在SEEG电极植入后恢复良好,仅1例患者出现无症状的额叶侧脑室血肿(3毫升)。带有Neurotech手术规划软件的L-SEEG系统可用于安全、准确且可靠地进行SEEG颅内电极植入。
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