The third dimension in pediatric neurosurgery. A preliminary report.

Three-dimensional computerized imaging with current advanced software (Cemax) has resulted in superior visual ergonomics and rapid data acquisition utilizing standard computed tomography (CT) or magnetic resonance imaging. Consequently, within 15-20 min of a standard CT scan, the information is available to be employed for operative planning, allowing this useful tool to be practical in emergency situations, such as trauma. The advanced lifelike imaging permits excellent preoperative planning due to correct demonstration of the surgical anatomy. We present three patients to illustrate the applications of this technology: one with a skull base tumor, another with a complex ethmoidal encephalocele, and a third with severe craniofacial trauma. We have found this technique to have a significant impact on the management of pediatric neurosurgery patients with complex pathology.