Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23116
Miguel Sáez-Alegre, Christian I. Rios-Vicil, Keaton Piper, Edinson Najera, Walter C Jean
Keyhole approaches, performed with the endoscope, microscope, or exoscope, aim to minimize tissue traumatization while maximizing surgical view. The exoscope can provide better ergonomics than the microscope without restricting the space inside of the keyhole, as when using the endoscope. However, a frequently quoted reason for intraoperative exoscope-to-microscope conversion is the absence of sufficient light. In this video, the authors present 4 patients who underwent posterior fossa keyhole surgery without intraoperative conversion. The surgical objective was achieved in all patients without associated morbidity. After adequate adaptation, the exoscope allows sufficient light in the surgical field to perform safe keyhole surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23116
{"title":"Feasibility of exoscopic keyhole surgery: case series","authors":"Miguel Sáez-Alegre, Christian I. Rios-Vicil, Keaton Piper, Edinson Najera, Walter C Jean","doi":"10.3171/2023.10.focvid23116","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23116","url":null,"abstract":"Keyhole approaches, performed with the endoscope, microscope, or exoscope, aim to minimize tissue traumatization while maximizing surgical view. The exoscope can provide better ergonomics than the microscope without restricting the space inside of the keyhole, as when using the endoscope. However, a frequently quoted reason for intraoperative exoscope-to-microscope conversion is the absence of sufficient light. In this video, the authors present 4 patients who underwent posterior fossa keyhole surgery without intraoperative conversion. The surgical objective was achieved in all patients without associated morbidity. After adequate adaptation, the exoscope allows sufficient light in the surgical field to perform safe keyhole surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23116","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139126756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23118
A. M. Auricchio, Francesco Calvanese, M. Lehecka
Extradural anterior clinoidectomy is a resourceful technique to decompress the optic nerve as well as increase exposure of the parasellar region during extensive approaches. Despite requiring adjunctive epidural bone work, this technique allows safe optic nerve mobilization and early devascularization for anterior clinoidal meningioma resection. This 2D operative video describes right optic nerve decompression by extradural anterior clinoidectomy and subsequent resection of a right Al-Mefty type III clinoid meningioma under exoscope magnification. The patient was a 50-year-old woman with a 1-year history of right visual acuity impairment and papillary atrophy. The exoscope allows a 360° view around the anterior clinoid, improving maneuverability. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23118
{"title":"Exoscopic extradural anterior clinoidectomy","authors":"A. M. Auricchio, Francesco Calvanese, M. Lehecka","doi":"10.3171/2023.10.focvid23118","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23118","url":null,"abstract":"Extradural anterior clinoidectomy is a resourceful technique to decompress the optic nerve as well as increase exposure of the parasellar region during extensive approaches. Despite requiring adjunctive epidural bone work, this technique allows safe optic nerve mobilization and early devascularization for anterior clinoidal meningioma resection. This 2D operative video describes right optic nerve decompression by extradural anterior clinoidectomy and subsequent resection of a right Al-Mefty type III clinoid meningioma under exoscope magnification. The patient was a 50-year-old woman with a 1-year history of right visual acuity impairment and papillary atrophy. The exoscope allows a 360° view around the anterior clinoid, improving maneuverability. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23118","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"32 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139129127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23157
Grant Arzumanov, Seung W. Jeong, Bhavika Gupta, Rocco Dabecco, Jose Sandoval, Richard Williamson, Alexander Yu
Superior hypophyseal artery (SHA) aneurysms are rare paraclinoid aneurysms with a mortality rate as high as 3%–6%. Surgical clipping of these aneurysms is technically challenging due to the surrounding anatomy. The large size and complicated surrounding anatomy make endovascular coiling very difficult. Here we present the case of a ruptured right SHA aneurysm. The authors present technical nuances of the clipping using an exoscope rather than a traditional microscope. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23157
{"title":"Frontotemporal craniotomy with orbital osteotomy for superior hypophyseal artery aneurysm clipping","authors":"Grant Arzumanov, Seung W. Jeong, Bhavika Gupta, Rocco Dabecco, Jose Sandoval, Richard Williamson, Alexander Yu","doi":"10.3171/2023.10.focvid23157","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23157","url":null,"abstract":"Superior hypophyseal artery (SHA) aneurysms are rare paraclinoid aneurysms with a mortality rate as high as 3%–6%. Surgical clipping of these aneurysms is technically challenging due to the surrounding anatomy. The large size and complicated surrounding anatomy make endovascular coiling very difficult. Here we present the case of a ruptured right SHA aneurysm. The authors present technical nuances of the clipping using an exoscope rather than a traditional microscope. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23157","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"23 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139129468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23155
A. Mallela, Tritan J. Plute, Hussam Abou-Al-Shaar, David T. Fernandes Cabral, Constantinos G. Hadjipanayis
The supracerebellar infratentorial (SCIT) approach is a well-described corridor to lesions in the quadrigeminal cistern, pineal gland, and dorsal midbrain. It can be performed in the prone or sitting position. The sitting position offers the benefit of gravity retraction of the cerebellum but comes at the expense of nonergonomic hand positioning and the potential risk of air embolism. The 3D exoscope is an alternative to the operating microscope and permits the SCIT approach in the prone position with excellent visualization. This video demonstrates exoscope-based SCIT approach for resection of a pineal meningioma in the prone position. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23155
{"title":"Exoscope-based supracerebellar infratentorial approach for a pineal meningioma in the prone position","authors":"A. Mallela, Tritan J. Plute, Hussam Abou-Al-Shaar, David T. Fernandes Cabral, Constantinos G. Hadjipanayis","doi":"10.3171/2023.10.focvid23155","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23155","url":null,"abstract":"The supracerebellar infratentorial (SCIT) approach is a well-described corridor to lesions in the quadrigeminal cistern, pineal gland, and dorsal midbrain. It can be performed in the prone or sitting position. The sitting position offers the benefit of gravity retraction of the cerebellum but comes at the expense of nonergonomic hand positioning and the potential risk of air embolism. The 3D exoscope is an alternative to the operating microscope and permits the SCIT approach in the prone position with excellent visualization. This video demonstrates exoscope-based SCIT approach for resection of a pineal meningioma in the prone position. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23155","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"55 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139127975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23135
Alejandra Rodas, Edoardo Porto, J. R. Revuelta Barbero, Jackson Vuncannon, Youssef M. Zohdy, Biren Khimji Patel, Gustavo Pradilla, C. Solares
Skull base malignancies arising from the parotid gland, skin, or external auditory canal (EAC) can potentially involve the temporal bone. Management of these invasive tumors represents a true challenge considering the critical neurovascular relationships. Exoscope-assisted temporal bone resection (TBR) plays a crucial role in addressing such malignancies. The extent of disease is evaluated using the Pittsburgh staging system, which then guides the boundaries of resection. Lateral TBR (LTBR) relies on removal of the EAC and lateral ossicles and is generally appropriate for stage T1 and T2 tumors. Total TBR (TTBR) is reserved for high-grade tumors involving the petrous apex. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23135
{"title":"Exoscope-assisted temporal bone resection: operative videos of the lateral and total techniques","authors":"Alejandra Rodas, Edoardo Porto, J. R. Revuelta Barbero, Jackson Vuncannon, Youssef M. Zohdy, Biren Khimji Patel, Gustavo Pradilla, C. Solares","doi":"10.3171/2023.10.focvid23135","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23135","url":null,"abstract":"Skull base malignancies arising from the parotid gland, skin, or external auditory canal (EAC) can potentially involve the temporal bone. Management of these invasive tumors represents a true challenge considering the critical neurovascular relationships. Exoscope-assisted temporal bone resection (TBR) plays a crucial role in addressing such malignancies. The extent of disease is evaluated using the Pittsburgh staging system, which then guides the boundaries of resection. Lateral TBR (LTBR) relies on removal of the EAC and lateral ossicles and is generally appropriate for stage T1 and T2 tumors. Total TBR (TTBR) is reserved for high-grade tumors involving the petrous apex. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23135","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"141 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139128345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23140
Arpan A. Patel, Erion Júnior de Andrade, Shaarada R Srivatsa, P. Recinos
The authors present an operative video of a supraorbital craniotomy for resection of a suprasellar, supradiaphragmatic craniopharyngioma. The patient is a 62-year-old female who presented with 3 months of blurry vision secondary to a 2.5-cm suprasellar mass causing compression on the optic nerve. Supraorbital craniotomy was selected due to the supradiaphragmatic location of the tumor and the subsequent disadvantages, including CSF leakage, of other approaches such as the endoscopic endonasal approach. The operative video emphasizes optimizing operating room (OR) setup to improve surgeon ergonomics and comfort. The patient underwent an uncomplicated gross-total resection with subsequent discharge home the day after surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23140
{"title":"Exoscopic supraorbital approach for a suprasellar craniopharyngioma","authors":"Arpan A. Patel, Erion Júnior de Andrade, Shaarada R Srivatsa, P. Recinos","doi":"10.3171/2023.10.focvid23140","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23140","url":null,"abstract":"The authors present an operative video of a supraorbital craniotomy for resection of a suprasellar, supradiaphragmatic craniopharyngioma. The patient is a 62-year-old female who presented with 3 months of blurry vision secondary to a 2.5-cm suprasellar mass causing compression on the optic nerve. Supraorbital craniotomy was selected due to the supradiaphragmatic location of the tumor and the subsequent disadvantages, including CSF leakage, of other approaches such as the endoscopic endonasal approach. The operative video emphasizes optimizing operating room (OR) setup to improve surgeon ergonomics and comfort. The patient underwent an uncomplicated gross-total resection with subsequent discharge home the day after surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23140","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"2 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139129005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23149
J. Herta, Karl Rössler, C. Dorfer
For microvascular decompression surgery, adequate visualization of the trigeminal nerve root is essential. Several visualization techniques with operating microscopes, endoscopes, a combination of both, and exoscopes have been described. In this video, the authors use a 4K 3D exoscope (ORBEYE) as it offers superb optical image quality with a high degree of magnification and illumination in the cerebellopontine angle. Other advantages are surgeon ergonomics, a very good depth of field for the entire operating team, and potentially evolving visualization technologies like narrow-band imaging—essential points for microvascular decompression surgery where the aim is to create the best possible visibility in a narrow corridor. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23149
对于微血管减压手术来说，充分观察三叉神经根是至关重要的。已经介绍了几种使用手术显微镜、内窥镜、两者结合以及外窥镜的可视化技术。在本视频中，作者使用的是 4K 3D 外窥镜（ORBEYE），因为它具有极佳的光学图像质量、高放大率和小脑角照明。其他优势还包括外科医生的人体工程学设计、为整个手术团队提供了非常好的景深，以及潜在的可视化技术（如窄带成像）--这对于微血管减压手术至关重要，因为手术的目的是在狭窄的走廊中创造尽可能好的可视性。视频请点击： https://stream.cadmore.media/r10.3171/2023.10.FOCVID23149
{"title":"Use of a 3D exoscope in microvascular decompression of the trigeminal nerve root","authors":"J. Herta, Karl Rössler, C. Dorfer","doi":"10.3171/2023.10.focvid23149","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23149","url":null,"abstract":"For microvascular decompression surgery, adequate visualization of the trigeminal nerve root is essential. Several visualization techniques with operating microscopes, endoscopes, a combination of both, and exoscopes have been described. In this video, the authors use a 4K 3D exoscope (ORBEYE) as it offers superb optical image quality with a high degree of magnification and illumination in the cerebellopontine angle. Other advantages are surgeon ergonomics, a very good depth of field for the entire operating team, and potentially evolving visualization technologies like narrow-band imaging—essential points for microvascular decompression surgery where the aim is to create the best possible visibility in a narrow corridor. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23149","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"49 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139127064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23150
J. Khalifeh, Ali Karim Ahmed, Wataru Ishida, J. Materi, Anita L Kalluri, D. Lubelski, T. Witham, Nicholas Theodore, Debraj Mukherjee, Judy Huang
The extracorporeal telescope (exoscope) presents a novel digital camera system as a versatile alternative to traditional optical microscopy for microsurgery and minimally invasive neurosurgical operations. Recent innovations in exoscope technology offer 4K-definition multiscreen outputs, pneumatic robot arms, 3-dimensional depth perception, and greater illumination, focus, and magnification powers for enhanced intraoperative visualization. The authors present their initial institutional experience using a robotic arm–enabled 4K 3D exoscope in a variety of cranial and spinal neurosurgical operations, namely Chiari decompression, microvascular decompression for trigeminal neuralgia, anterior cervical discectomy, and lumbar decompressions. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23150
体外显微镜（exoscope）是一种新型数字摄像系统，是显微外科和微创神经外科手术中传统光学显微镜的多功能替代品。外窥镜技术的最新创新提供了 4K 清晰度多屏输出、气动机械臂、三维深度感知以及更强的照明、聚焦和放大能力，从而增强了术中可视化。作者介绍了他们在各种颅脑和脊柱神经外科手术中使用机器人手臂支持的 4K 3D 外窥镜的初步机构经验，这些手术包括 Chiari 减压术、三叉神经痛微血管减压术、前路颈椎椎间盘切除术和腰椎减压术。视频请点击：https://stream.cadmore.media/r10.3171/2023.10.FOCVID23150
{"title":"Initial institutional experience using a robotic arm–enabled 4K 3D exoscope in neurosurgical operations","authors":"J. Khalifeh, Ali Karim Ahmed, Wataru Ishida, J. Materi, Anita L Kalluri, D. Lubelski, T. Witham, Nicholas Theodore, Debraj Mukherjee, Judy Huang","doi":"10.3171/2023.10.focvid23150","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23150","url":null,"abstract":"The extracorporeal telescope (exoscope) presents a novel digital camera system as a versatile alternative to traditional optical microscopy for microsurgery and minimally invasive neurosurgical operations. Recent innovations in exoscope technology offer 4K-definition multiscreen outputs, pneumatic robot arms, 3-dimensional depth perception, and greater illumination, focus, and magnification powers for enhanced intraoperative visualization. The authors present their initial institutional experience using a robotic arm–enabled 4K 3D exoscope in a variety of cranial and spinal neurosurgical operations, namely Chiari decompression, microvascular decompression for trigeminal neuralgia, anterior cervical discectomy, and lumbar decompressions. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23150","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"55 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139127704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23158
Sanjeev Sreenivasan, Danielle Golub, Karen Black, Michael Schulder
An exoscope strengthens the armamentarium of a neurosurgeon by improving visualization and surgeon ergonomics, reducing surgeon discomfort, and improving coordination among the surgical team. A 23-year-old male patient developed focal seizures and weakness affecting his right arm that was attributable to a recurrent left frontal lesion. Despite two craniotomies at an 8-year interval, chemotherapy, and radiation, the tumor continued to progress. In this video, the authors demonstrate resection of a recurrent left frontal pilocytic astrocytoma with the assistance of an exoscope, neuronavigation, and neuromonitoring. The exoscope can enhance surgical resectability while smoothening the surgical workflow. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23158
{"title":"Exoscope-assisted resection of a recurrent left frontal pilocytic astrocytoma","authors":"Sanjeev Sreenivasan, Danielle Golub, Karen Black, Michael Schulder","doi":"10.3171/2023.10.focvid23158","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23158","url":null,"abstract":"An exoscope strengthens the armamentarium of a neurosurgeon by improving visualization and surgeon ergonomics, reducing surgeon discomfort, and improving coordination among the surgical team. A 23-year-old male patient developed focal seizures and weakness affecting his right arm that was attributable to a recurrent left frontal lesion. Despite two craniotomies at an 8-year interval, chemotherapy, and radiation, the tumor continued to progress. In this video, the authors demonstrate resection of a recurrent left frontal pilocytic astrocytoma with the assistance of an exoscope, neuronavigation, and neuromonitoring. The exoscope can enhance surgical resectability while smoothening the surgical workflow. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23158","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"53 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139127727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.3171/2023.10.focvid23105
Jia Xu Lim, W. Seow, Zhi Min Ng, Sharon Y. Y. Low
Selective dorsal rhizotomy (SDR) is an established neurosurgical technique for children with spastic diplegia secondary to cerebral palsy. Meticulous intraoperative testing of individual nerve roots with electromyography in tandem with the on-site neurorehabilitation team is recommended for good clinical outcomes. The standard approach requires the neurosurgeons to spend extended time under the traditional operating microscope. In this video, the authors describe the use of a 3D exoscope system for SDR. Overall, the 3D exoscope improves ergonomics and reduces musculoskeletal fatigue for the operating neurosurgeons. Furthermore, it provides excellent visualization of important structures, allowing safe and efficient completion of the procedure. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23105
{"title":"Selective dorsal rhizotomy using a 3D high definition exoscope","authors":"Jia Xu Lim, W. Seow, Zhi Min Ng, Sharon Y. Y. Low","doi":"10.3171/2023.10.focvid23105","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23105","url":null,"abstract":"Selective dorsal rhizotomy (SDR) is an established neurosurgical technique for children with spastic diplegia secondary to cerebral palsy. Meticulous intraoperative testing of individual nerve roots with electromyography in tandem with the on-site neurorehabilitation team is recommended for good clinical outcomes. The standard approach requires the neurosurgeons to spend extended time under the traditional operating microscope. In this video, the authors describe the use of a 3D exoscope system for SDR. Overall, the 3D exoscope improves ergonomics and reduces musculoskeletal fatigue for the operating neurosurgeons. Furthermore, it provides excellent visualization of important structures, allowing safe and efficient completion of the procedure. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23105","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"14 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139127743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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