Paranathala Menaka Pasangy, Ferguson Leon, Bowers Richard, Mukerji Nitin
Department of Neurosurgery, James Cook University Hospital, Middlesbrough, United Kingdom of Great Britain and Northern Ireland.
Department of Neuroanaesthesia, James Cook University Hospital, Middlesbrough, United Kingdom of Great Britain and Northern Ireland.
Br J Neurosurg. 2018 Dec;32(6):657-660. doi: 10.1080/02688697.2018.1504882. Epub 2018 Oct 8.
One of the challenges faced by the modern-day NHS is workplace shortages, and experienced radiographers for intra-operative neurosurgical imaging is one such scenario. We describe our method for Percutaneous Retrogasserian Glycerol Rhizotomy (PRGR) using frameless neuronavigation which can be used effectively in such scenarios. Stealth neuronavigation is used for needle placement within the foramen ovale and injection of glycerol, under sedation. In our experience of ten procedures, it is accurate, safe and effective. Good results were obtained on all occasions. It can be repeated as often as necessary using the same Stealth CT scan and reduces exposure for staff and patients, where repeated injections are required. This simple modification of PRGR technique is effective and safe provided the surgeon has previous experience in undertaking this procedure.
现代英国国民医疗服务体系（NHS）面临的挑战之一是工作场所人员短缺，术中神经外科成像缺乏经验丰富的放射技师就是这样一种情况。我们描述了使用无框架神经导航进行经皮半月神经节甘油切断术（PRGR）的方法，该方法可在此类情况下有效使用。在镇静状态下，使用隐形神经导航将针放置在卵圆孔内并注射甘油。根据我们进行十例手术的经验，该方法准确、安全且有效。每次都取得了良好的效果。如果需要重复注射，可以使用相同的隐形CT扫描按需多次重复进行，减少了工作人员和患者的辐射暴露。只要外科医生有进行该手术的经验，对PRGR技术的这种简单改进就是有效且安全的。
