Scherschinski Lea, McNeill Ian T, Schlachter Leslie, Shuman William H, Oemke Holly, Yaeger Kurt A, Bederson Joshua B
Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York; and.
Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.
J Neurosurg Case Lessons. 2022 Jun 20;3(25):CASE21135. doi: 10.3171/CASE21135.
BACKGROUND: Arteriovenous malformations (AVMs) of the brain are vessel conglomerates of feeding arteries and draining veins that carry a risk of spontaneous and intraoperative rupture. Augmented reality (AR)-assisted neuronavigation permits continuous, real-time, updated visualization of navigation information through a heads-up display, thereby potentially improving the safety of surgical resection of AVMs. OBSERVATIONS: The authors report a case of a 37-year-old female presenting with a 2-year history of recurrent falls due to intermittent right-sided weakness and increasing clumsiness in the right upper extremity. Magnetic resonance imaging, magnetic resonance angiography, and cerebral angiography of the brain revealed a left parietal Spetzler-Martin grade III AVM. After endovascular embolization of the AVM, microsurgical resection using an AR-assisted neuronavigation system was performed. Postoperative angiography confirmed complete obliteration of arteriovenous shunting. The postsurgical course was unremarkable, and the patient remains in excellent health. LESSONS: Our case describes the operative setup and intraoperative employment of AR-assisted neuronavigation for AVM resection. Application of this technology may improve workflow and enhance patient safety.
J Neurosurg Case Lessons. 2022-6-20
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