Neuronavigation for the resection of cavernous angiomas.
OBJECTIVE
To introduce the use of the StealthStation neuronavigator combined with preoperative computerized tomography (CT) in resection of intracranial cavernous angiomas (CAs).


METHODS
The StealthStation neuronavigator was used to provide a realtime correlation of the operating field and the computerized images in 6 patients with CAs. All patients suffered from epileptic seizures. Four patients underwent keyhole surgery and 2 underwent small skin-flap craniotomy. The mean follow-up was 4.5 months.


RESULTS
With the guidance of neuronavigator, lesionectomy associated with removal of hemosiderin deposition, gliosis and calcification was performed precisely. The mean fiducial error was from 1.65 mm to 4.53 mm, the predicted accuracy at 10 cm was between 1.82 mm and 3.28 mm, and the sustained accuracy ranged from 0.50 mm to 3.45 mm.


CONCLUSIONS
The StealthStation neuronavigator is reliable and accurate in the resection of CAs.
Du
G
G
Department of Neurosurgery, Huashan Hospital, Shanghai Medical University, Shanghai 200040, China. dghong@online.sh.cn
Zhou
L
L
D000293:Adolescent; D000328:Adult; D001932:Brain Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006392:Hemangioma, Cavernous / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013238:Stereotaxic Techniques