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Augmented reality-assisted microsurgical resection of brain arteriovenous malformations: illustrative case.

作者信息

Scherschinski Lea, McNeill Ian T, Schlachter Leslie, Shuman William H, Oemke Holly, Yaeger Kurt A, Bederson Joshua B

机构信息

Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York; and.

Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Berlin, Germany.

出版信息

J Neurosurg Case Lessons. 2022 Jun 20;3(25):CASE21135. doi: 10.3171/CASE21135.


DOI:10.3171/CASE21135
PMID:35733837
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9210269/
Abstract

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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a6/9210269/218a801ba005/CASE21135f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a6/9210269/89c0245a0201/CASE21135f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a6/9210269/31245b9b48f8/CASE21135f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a6/9210269/218a801ba005/CASE21135f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a6/9210269/89c0245a0201/CASE21135f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a6/9210269/31245b9b48f8/CASE21135f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a6/9210269/218a801ba005/CASE21135f3.jpg

相似文献

[1]
Augmented reality-assisted microsurgical resection of brain arteriovenous malformations: illustrative case.

J Neurosurg Case Lessons. 2022-6-20

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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[1]
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Brain Sci. 2025-7-8

[2]
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[3]
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Asian J Neurosurg. 2024-7-8

[4]
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[5]
Intraoperative Augmented Reality in Microsurgery for Intracranial Arteriovenous Malformation: A Case Report and Literature Review.

Brain Sci. 2023-4-13

[6]
Researching the application of virtual reality in medical education: one-year follow-up of a randomized trial.

BMC Med Educ. 2023-1-3

[7]
Augmented and virtual reality usage in awake craniotomy: a systematic review.

Neurosurg Rev. 2022-12-19

[8]
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Brain Spine. 2022-8-17

本文引用的文献

[1]
Presurgical and Intraoperative Augmented Reality in Neuro-Oncologic Surgery: Clinical Experiences and Limitations.

World Neurosurg. 2019-5-17

[2]
The future of open vascular neurosurgery: perspectives on cavernous malformations, AVMs, and bypasses for complex aneurysms.

J Neurosurg. 2019-5-1

[3]
Augmented reality guidance in cerebrovascular surgery using microscopic video enhancement.

Healthc Technol Lett. 2018-9-18

[4]
Augmented Reality with Virtual Cerebral Aneurysms: A Feasibility Study.

World Neurosurg. 2018-11

[5]
Augmented reality in neurosurgery.

Arch Med Sci. 2018-4

[6]
Video-Assisted Navigation for Adjustment of Image-Guidance Accuracy to Slight Brain Shift.

Oper Neurosurg (Hagerstown). 2015-12-1

[7]
Navigation-Linked Heads-Up Display in Intracranial Surgery: Early Experience.

Oper Neurosurg (Hagerstown). 2018-8-1

[8]
Augmented Reality in Neurosurgery: A Review of Current Concepts and Emerging Applications.

Can J Neurol Sci. 2017-5

[9]
Brain arteriovenous malformations.

Nat Rev Dis Primers. 2015-5-28

[10]
Augmented reality in neurosurgery: a systematic review.

Neurosurg Rev. 2017-10

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