Intra-operative localisation of skull base tumours. A case report using the ISG viewing wand in the management of trigeminal neuroma.
Deep-seated skull base tumours provide as much a challenge to the surgeons' skills of localisation as to his technical abilities during the resection. These lesions are frequently inaccessible and lie adjacent to vital structures requiring extensive cerebral retraction for adequate exposure and direct visualisation. The ISG viewing wand is a newly developed image guidance system to aid direction of the operative approach and localisation of intracerebral pathology. We discuss its use in the management of a trigeminal neuroma.
Gough-Cooper Department of Neurological Surgery, National Hospital for Neurology and Neurosurgery, London, UK.
A W
AW
McEvoy
D G
DG
Porter
R
R
Bradford
A
A
Wright
D003390:Cranial Nerve Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009463:Neuroma / Q000473:pathology / Q000601:surgery*; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed; D014276:Trigeminal Nerve