Silva Danilo, Belsuzarri Telmo, Barnett Gene H
Department of Neurosurgery, Phelps Hospital, Northwell Health, New York, NY, United States.
Department of Neurosurgery, Pontifical Catholic University of Campinas, Campinas, Brazil.
Handb Clin Neurol. 2020;170:201-207. doi: 10.1016/B978-0-12-822198-3.00040-9.
Image-guided surgery (IGS-neuronavigation) has revolutionized the field of neurosurgery over the past few decades. Although commonly used for the diagnosis and resection of intracranial gliomas and metastases, IGS is also useful for meningioma surgery, particularly for accessing deep tumors, creating an optimal craniotomy for superficial lesions, and for showing the location of critical neurovascular structures deep to the tumor in skull base surgery. An additional bonus in meningioma surgery is that so-called brain shift is minimal or nonexistent, allowing for ongoing accurate navigation during the surgical procedure.
在过去几十年里，图像引导手术（IGS-神经导航）彻底改变了神经外科领域。虽然IGS通常用于颅内胶质瘤和转移瘤的诊断及切除，但它对脑膜瘤手术也很有用，特别是在切除深部肿瘤、为浅表病变创建最佳开颅切口以及在颅底手术中显示肿瘤深部关键神经血管结构的位置方面。脑膜瘤手术的另一个好处是所谓的脑移位极小或不存在，这使得在手术过程中能够持续进行精确导航。
