[The use of frameless neuronavigation in the surgery of hemorrhagic stroke].
The application of CT-navigation in emergency neurosurgery for the calculation of surgery assets in 42 patients with hypertensive intracranial hemorrhages is presented. The relative simplicity and high precision of navigation (on average 2,2 +/- 1 mm) made it possible to use the method in emergency surgery of deep intracranial hematomas. The application of CT navigation in combination with neuroendoscopy and local fibrinolysis of hemorrhages allowed to decrease the post-surgery brain trauma and reduce the volume of intervention due to the high precision of calculation that resulted in the improvement of surgical outcome. The total post-operative mortality was 24%. In 94% of survived patients positive changes in neurological status were observed in 2-4 weeks after the surgery.
Krylov
V V
VV
Dash'ian
V G
VG
Shaklunov
A A
AA
Burov
S A
SA
D000328:Adult; D000368:Aged; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D004724:Endoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D038361:Neuronavigation / Q000379:methods*; D019635:Neurosurgical Procedures / Q000379:methods*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D055815:Young Adult