NEURONAVIGATION: A REVOLUTIONARY STEP OF NEUROSURGERY AND ITS EDUCATION

Abstract

Abtract Neuronavigation provides intraoperative orientation to the surgeon and helps in planning a precise surgical approach to the targetted lesion and defines the surrounding neurovascular structures. Incorporation of the functional data provided by computed tomography and magnetic resonance imaging or ultrasound with neuronavigation renders neurosergeons to avoid the eloquent areas of the brain during surgery. An intraoperative images enable radical resection of the lesions, the possibility of immediate control for tumor remnants and updates of neuronavigation with these data to compensate for brain shift. This study reviews the pointer and microscope based navigational systems and also highlights the role and to show its indispensibility for a clean surgery with minimal morbidity

Keywords

• Brain imaging
• neuronavigation
• neurosurgery

NEURONAVIGATION: A REVOLUTIONARY STEP OF NEUROSURGERY AND ITS EDUCATION

Abstract

Neuronavigation provides intraoperative orientation to the surgeon and helps in planning a precise surgical
approach to the targetted lesion and defines the surrounding neurovascular structures. Incorporation of the
functional data provided by computed tomography and magnetic resonance imaging or ultrasound with
neuronavigation renders neurosergeons to avoid the eloquent areas of the brain during surgery. An intraoperative
images enable radical resection of the lesions, the possibility of immediate control for tumor remnants and
updates of neuronavigation with these data to compensate for brain shift. This study reviews the pointer and
microscope based navigational systems and also highlights the role and to show its indispensibility for a clean
surgery with minimal morbidity.
Key words: Brain imaging, neuronavigation, neurosurgery

Keywords

• Brain imaging
• neuronavigation
• neurosurgery

References

1. - Ganslandt O, Behari S, Gralla J, Fahlbusch R, Nimsky C. Neuronavigation : concept,
2. techniques and applications. Neurol India 2002;50:244
3. - Nimsky C, Ganslandt O, Kober H et al. Integration of functional magnetic resonance
4. imaging supported by magnetoencephalography in functional neuronavigation.
5. Neurosurgery 1999; 44: 1249-1256.
6. - Ganslandt O, Fahlbusch R, Nimsky C et al. Functional neuronavigation with
7. magnetoencephalography outcome in 50 patients with lesions around the motor cortex.
8. J Neurosurg 1999; 91: 73-79.

9. - Black P McL, Alexender E III, Martin C et al. Craniotomy for tumor treatment in an
10. intraoperative magnetic resonance imaging unit. Neurosurgery 1999; 45 : 423-433.
11. - Kamada K, Takeuchi F, Kuriki S et al. Functional neurosurgical stimulation with brain
12. surface magnetic resononce imaging and magnetoencephalography. Neurosurgery
13. ; 33: 269-273.
14. - Nimsky C, Ganslandt O, Fahlbusch R et al. Intraoperative use of the Magnetom Open
15. in neurosurgery Electromedica 1999; 67: 2-8.
16. - Nimsky C, Ganslandt O, Cerny S et al. Quantification of, visualization of, and
17. compensation for brain shift using intraoperative magnetic resonance imaging .
18. Neurosurgery 2000; 47: 1070-1080.
19. - Golfinos JG, Fitzpatrick BC, Smith LR et al. Clinical use of a frameless stereotactic
20. arm: results of 325 cases. J Neurosurg 1995; 83: 197-205
21. - Laborde G, Klimek L, Harder A et al. Frameless stereotactic drainage of intracranial
22. abscesses. Surg Neurol 1993; 40: 16-21.
23. - Nimsky C, Ganslandt O, Kober H et al. Intraoperative magnetic resonance imaging
24. combined with neuronavigation: a new concept. Neurosurgery 2001; 48: 1082-1091
25. - Zinreich SJ, Tebo SA, Long DM et aL. Frameless stereotaxic integration of CT
26. imaging data: accuracy and initial applications. Radiology 1993; 188: 735-742.
27. - Black P McL, Alexender E III, Martin C et al. Craniotomy for tumor treatment in an
28. intraoperative magnetic resonance imaging unit. Neurosurgery 1999; 45: 423-433.
29. - Nabavi A, Black PM, Gering DL et al. Serial intraoperative magnetic resonance
30. imaging of brain shift. Neurosurgery 2001; 48: 787-798
31. - Sekhar LN, Chanda A. Comments on: Sure U, Alberti O, Petermeyer M, et al:
32. Advanced image-guided skull base surgery. Surg Neurol 2000; 53: 563-572.
33. - Bucholz RD, Yeh DD, Trobaugh J et al. The correction of stereotactic inaccuracy
34. caused by brain shift using an intraoperative ultrasound device. In: Medicine and
35. Medical Robotics and Computer-assisted Surgery, Grenoble, France 1997, Troccaz J,
36. Grimson E, Mosges R (eds): Springer-Verlag, Berlin 1997; 459-466.
37. - Watanabe E, Watanabe T, et al. Threedimensional digitizer (neuronavigator). New
38. equipment for computer tomography-guided stereotactic surgery. Surg Neurol 1987;
39. : 543-547.