Tabourel Gaston, Le Turnier Paul, Buffenoir Kevin, Roualdes Vincent
Neurosurgery Department, Nantes University Hospital, Nantes, France.
Infectious Diseases Department, Nantes University Hospital, Nantes, France.
Acta Neurochir (Wien). 2022 Mar;164(3):845-851. doi: 10.1007/s00701-021-04955-4. Epub 2021 Aug 19.
We report a case of multiple brain abscesses' puncture, employing the ROSA™ Brain surgical robot (Zimmer Biomet) and the O-arm® O2 Imaging System (Medtronic). A 51-year-old man was diagnosed with multiple supratentorial ring enhancing cystic lesions consistent with brain abscesses. A neurological deterioration occurred despite broad spectrum antibiotic therapy, due to mass effect of the abscesses. Stereotactic aspiration was performed using the described technique, allowing a single stage puncture of the cerebral lesions. In this case, the robot-assisted and image-guided procedure permitted an accurate, quick, and efficient targeting of the multiple abscesses for drainage.
我们报告了一例使用ROSA™脑外科手术机器人（捷迈邦美）和O-arm® O2成像系统（美敦力）进行多脑脓肿穿刺的病例。一名51岁男性被诊断为幕上多发环形强化囊性病变，符合脑脓肿表现。尽管进行了广谱抗生素治疗，但由于脓肿的占位效应，仍出现了神经功能恶化。采用所述技术进行了立体定向抽吸，实现了对脑病变的单阶段穿刺。在该病例中，机器人辅助和图像引导手术能够准确、快速且高效地定位多个脓肿以进行引流。
