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基于Leksell立体定向框架和Neurotech手术规划软件的立体定向脑电图。

Stereoelectroencephalography based on the Leksell stereotactic frame and Neurotech operation planning software.

作者信息

Zhang Guangming, Chen Guoqiang, Meng Dawei, Liu Yanwu, Chen Jianwei, Shu Lanmei, Liu Wenbo

机构信息

Department of Neurosurgery, Epilepsy Center, Aviation General Hospital, China Medical University Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.

出版信息

Medicine (Baltimore). 2017 Jun;96(23):e7106. doi: 10.1097/MD.0000000000007106.


DOI:10.1097/MD.0000000000007106
PMID:28591055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5466233/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/5466233/92ff628b6bfd/medi-96-e7106-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/5466233/4904d230850e/medi-96-e7106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/5466233/722beb0d2bc8/medi-96-e7106-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/5466233/c128ad997c07/medi-96-e7106-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/5466233/92ff628b6bfd/medi-96-e7106-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/5466233/4904d230850e/medi-96-e7106-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/5466233/722beb0d2bc8/medi-96-e7106-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/5466233/c128ad997c07/medi-96-e7106-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/5466233/92ff628b6bfd/medi-96-e7106-g004.jpg

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引用本文的文献

[1]
Stereoelectroencephalography for drug resistant epilepsy: precision and complications in stepwise improvement of frameless implantation.

Acta Neurochir (Wien). 2025-3-17

[2]
Trends and hotspots of stereoelectroencephalogram from 2002 to 2023: a bibliometric analysis.

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[3]
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[4]
Stereoelectroencephalography versus Subdural Electrode Implantation to Determine Whether Patients with Drug-resistant Epilepsy Are Candidates for Epilepsy Surgery.

Neurol Med Chir (Tokyo). 2021-6-15

[5]
VarioGuide® frameless neuronavigation-guided stereoelectroencephalography in adult epilepsy patients: technique, accuracy and clinical experience.

Acta Neurochir (Wien). 2021-5

本文引用的文献

[1]
A novel miniature robotic device for frameless implantation of depth electrodes in refractory epilepsy.

J Neurosurg. 2016-8-5

[2]
A Frameless Stereotactic Implantation Technique for Depth Electrodes in Refractory Epilepsy Using Intraoperative Magnetic Resonance Imaging.

World Neurosurg. 2016-10

[3]
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Neurosurg Clin N Am. 2016-1

[4]
Technique, Results, and Complications Related to Robot-Assisted Stereoelectroencephalography.

Neurosurgery. 2016-2

[5]
Cerebral Angiography for Multimodal Surgical Planning in Epilepsy Surgery: Description of a New Three-Dimensional Technique and Literature Review.

World Neurosurg. 2015-8

[6]
A novel method for implementation of frameless StereoEEG in epilepsy surgery.

Neurosurgery. 2014-12

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The stereotactic approach for mapping epileptic networks: a prospective study of 200 patients.

J Neurosurg. 2014-11

[8]
A personalized stereotactic fixture for implantation of depth electrodes in stereoelectroencephalography.

Stereotact Funct Neurosurg. 2014

[9]
Stereotactic placement of depth electrodes in medically intractable epilepsy.

J Neurosurg. 2014-1-3

[10]
Stereoelectroencephalography: surgical methodology, safety, and stereotactic application accuracy in 500 procedures.

Neurosurgery. 2013-3

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