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利用虚拟现实技术切除复发性腹侧、髓外颈段脑膜瘤。

Utilizing virtual reality for resection of recurrent ventral, extramedullary cervical meningioma.

作者信息

Rajendran Rithikaa, Cazorla-Morales Ilona, Shekhtman Yevgenia

机构信息

Department of Neuroscience, Rutgers University, Piscataway, Nutley, New Jersey, United States.

Department of Neurosurgery, Hackensack Meridian School of Medicine, Nutley, New Jersey, United States.

出版信息

Surg Neurol Int. 2025 Apr 4;16:117. doi: 10.25259/SNI_148_2025. eCollection 2025.

DOI:10.25259/SNI_148_2025
PMID:40353154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12065512/
Abstract

BACKGROUND

Virtual reality (VR) platforms are an emerging tool in neurosurgical planning, offering immersive, patient-specific 3D visualization to optimize surgical strategy and intraoperative navigation. Here, VR-assisted mapping was used to remove a recurrent cervical meningioma.

METHODS

A 43-year-old female with a recurrent C5-C6 ventral, intradural meningioma presented with newly progressive myelopathy due to recurrent meningioma and worsening multiple limb paresis. Using intraoperative neuronavigation and VR-assisted mapping, the patient underwent a C4-C7 hemilaminotomy for recurrent tumor resection, followed by a C3-T2 fusion.

RESULTS

Postoperatively, the patient had significant neurological improvement, and follow-up studies showed no tumor recurrence.

CONCLUSION

This case highlights the utility of VR in presurgical planning and intraoperative guidance for complex recurrent cervical spinal tumors.

摘要

背景

虚拟现实（VR）平台是神经外科手术规划中一种新兴的工具，可提供沉浸式、针对患者的三维可视化，以优化手术策略和术中导航。在此，VR辅助绘图被用于切除复发性颈段脑膜瘤。

方法

一名43岁女性，患有复发性C5-C6腹侧硬膜内脑膜瘤，因复发性脑膜瘤和多肢轻瘫加重出现新的进行性脊髓病。使用术中神经导航和VR辅助绘图，患者接受了C4-C7半椎板切除术以切除复发性肿瘤，随后进行了C3-T2融合术。

结果

术后，患者神经功能有显著改善，随访研究显示无肿瘤复发。

结论

该病例突出了VR在复杂复发性颈段脊柱肿瘤的术前规划和术中指导中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/50665474f5d6/SNI-16-117-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/0580357acbc5/SNI-16-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/61201c9d328c/SNI-16-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/3b35cbdbae05/SNI-16-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/32dd7a9add7f/SNI-16-117-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/84f6d5726a61/SNI-16-117-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/a949873eb464/SNI-16-117-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/50665474f5d6/SNI-16-117-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/0580357acbc5/SNI-16-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/61201c9d328c/SNI-16-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/3b35cbdbae05/SNI-16-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/32dd7a9add7f/SNI-16-117-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/84f6d5726a61/SNI-16-117-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/a949873eb464/SNI-16-117-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90fa/12065512/50665474f5d6/SNI-16-117-g007.jpg

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本文引用的文献

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Front Surg. 2024 Jul 16;11:1427844. doi: 10.3389/fsurg.2024.1427844. eCollection 2024.
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Patient-specific virtual reality technology for complex neurosurgical cases: illustrative cases.
用于复杂神经外科病例的患者特异性虚拟现实技术：实例
J Neurosurg Case Lessons. 2021 Jun 7;1(23):CASE21114. doi: 10.3171/CASE21114.
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