Tonchev Nikolay, Neyazi Belal, Stein Klaus-Peter, Sandalcioglu I Erol, Rashidi Ali
Department of Neurosurgery, University Hospital of Magdeburg, 39120 Magdeburg, Germany.
Medicina (Kaunas). 2025 Jan 11;61(1):101. doi: 10.3390/medicina61010101.
Spinal dural arteriovenous fistulas (sDAVFs) are rather uncommon lesions of the spine. In sDAVFs, which represent the most frequent form of vascular malformations of the spine, operative treatment remains the most common treatment modality. In operative surgery, visualization and pathology detection have a key impact on the results of the neurosurgical treatment of an sDAVF. The exoscope is one of the most recent imaging devices developed alongside the microscope and endoscope. The exoscope is being increasingly applied in neurosurgical procedures as an alternative to operative microscopes due to various advantages, such as its non-space-occupying camera, excellent visualization of the anatomical details and the perfect teaching possibilities it thus provides. In this publication, we present our experience in the treatment of a patient with an sDAVF, where surgery was performed exclusively with an ORBEYE-exoscope for the entire duration of the procedure. This report outlines the workflow and some of the technical pitfalls involved in managing this vascular pathology using the exoscopic technique.
脊髓硬脊膜动静脉瘘（sDAVF）是一种较为罕见的脊柱病变。在sDAVF中，它是脊柱血管畸形最常见的形式，手术治疗仍然是最常用的治疗方式。在手术中，可视化和病理检测对sDAVF神经外科治疗的结果有着关键影响。外视镜是与显微镜和内窥镜一起开发的最新成像设备之一。由于其具有不占空间的摄像头、对解剖细节的出色可视化以及由此提供的完美示教可能性等各种优势，外视镜在神经外科手术中作为手术显微镜的替代品正越来越多地得到应用。在本出版物中，我们介绍了治疗一名sDAVF患者的经验，在整个手术过程中仅使用ORBEYE外视镜进行手术。本报告概述了使用外视镜技术处理这种血管病变的工作流程和一些技术难点。
