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Minim Invasive Neurosurg 2004; 47(1): 24-28
DOI: 10.1055/s-2003-812537
Original Article
© Georg Thieme Verlag Stuttgart · New York

Cavernous Malformations - Navigational Supported Surgery

D.  Winkler1 , D.  Lindner1 , C.  Trantakis1 , G.  Strauss2 , A.  Richter3 , R.  Schober4 , J.  Meixensberger1
  • 1Department of Neurosurgery, University of Leipzig, Germany
  • 2Department of ENT, University of Leipzig, Germany
  • 3Department of Radiology, University of Leipzig, Germany
  • 4Department of Neuropathology, University of Leipzig, Germany
Further Information

Publication History

Publication Date:
20 April 2004 (online)

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Abstract

Objective: Navigational supported surgery of intracranial lesions is expected to be associated with a lower rate of brain traumatization as well as an avoidance of additional neurological deficits and surgical morbidity. In our study we used the computer-assisted image guidance for resection of cerebral cavernous malformations.

Methods: In all patients the planning procedure for the following image-guided surgery was realized using preoperative MRl data sets and a neuronavigation system (STP 4.0, SNN). In cases in which the cavernoma was situated near functional eloquent regions, functional MR images were fused preoperatively.

Results: During the last 24 months, 21 patients were surgically treated for cerebral cavernoma. No patient was operated twice. The mean size of cavernoma was 18.3 mm, ranging from 5 to 60 mm, the mean distance between cortical surface and cavernoma was 26 mm, ranging from 5 to 50 mm. The surgical procedure lasted in the median 180 min. All patients showed an identical or better neurological outcome.

Conclusions: Neuronavigation allows an accurate definition of the intraoperative target, a correct approach and a safe surgery. With the help of neuronavigation the surgical approach and the extirpation of cavernous malformations were realized in a comfortable and safe way and allowed a minimization of tissue manipulation.

Key words

Cavernous malformation - minimal invasive surgery - neuronavigation

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Dirk Winkler,M. D. 

Klinik für Neurochirurgie · Universität Leipzig

Johannisallee 34

04103 Leipzig

Germany

Fax: + 49-341-971-2009

Phone: + 49-341-971-2000

Email: wind@server3.medizin.uni-Ieipzig.de

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