神经导航技术应用于三叉神经痛经皮球囊压迫的技术失败最小化。

ISRN Neurology Pub Date : 2014-03-09 eCollection Date: 2014-01-01 DOI:10.1155/2014/630418
Miltiadis Georgiopoulos, John Ellul, Elisabeth Chroni, Constantine Constantoyannis
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引用次数: 21

摘要

未标记的:目的。经皮球囊压缩术(PBC)是治疗难治性三叉神经痛的一种安全有效的方法。然而,在某些情况下,仅使用透视技术无法对卵圆孔(FO)进行插管是一个重大问题。在本文中,我们建议术中导航,以避免在透视下由于先前技术上的失败而再次手术。方法。自2003年以来,共有174例患者接受了PBC治疗TN。在9个案例中,FO的穿透没有完成。其中5例患者于2012年3月至2012年9月再次行导航手术。手术技术:术前,进行头部计算机断层扫描(CT),并将获取的图像导入导航系统。术中,将一个小的参考框架固定在患者的前额上,对CT图像进行配准,在导航系统的引导下进行插管。结果。所有患者手术均顺利完成。此外,所有患者均报告术后疼痛立即完全缓解,总体无并发症记录。结论。我们建议在PBC技术故障的情况下使用神经导航。该技术涉及的技术具有显著的优势,有助于成功地插管FO,似乎更有效和更安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Minimizing technical failure of percutaneous balloon compression for trigeminal neuralgia using neuronavigation.

Unlabelled: Objective. Percutaneous balloon compression (PBC) is an effective and safe management for medically refractory trigeminal neuralgia; however, technical failure to cannulate the foramen ovale (FO) using only fluoroscopy is a significant problem in some cases. In this paper, we suggest the use of intraoperative navigation, in cases of reoperation due to prior technical failure to cannulate the FO under fluoroscopy. Methods. A total of 174 patients underwent PBC for TN since 2003. In 9 cases the penetration of the FO was not accomplished. Five of those patients were reoperated on for PBC using navigation from March 2012 to September 2012.

Surgical technique: preoperatively, a head Computed Tomography (CT) scan is performed and the acquired images are imported into the navigation system. Intraoperatively, a small reference frame is strapped firmly to the patient's forehead, the CT images are registered, and cannulation is performed under the guidance of the navigation system. Results. In all patients, the operation overall was completed successfully. Moreover, all patients reported complete pain relief immediately postoperatively and no complications were recorded overall. Conclusions. We suggest the use of neuronavigation in cases of technical failure of PBC. That technique involves technology with significant advantages helping the successful cannulation of the FO and seems more efficient and safer.

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