Frameless Stereotactic Insertion of Viewsite Brain Access System with Microscope-Mounted Tracking Device for Resection of Deep Brain Lesions: Technical Report.
The surgical management of deep brain tumors is often challenging due to the limitations of stereotactic needle biopsies and the morbidity associated with transcortical approaches. We present a novel microscopic navigational technique utilizing the Viewsite Brain Access System (VBAS) (Vycor Medical, Boca Raton, FL, USA) for resection of a deep parietal periventricular high-grade glioma as well as another glioma and a cavernoma with no related morbidity. The approach utilized a navigational tracker mounted on a microscope, which was set to the desired trajectory and depth. It allowed gentle continuous insertion of the VBAS directly to a deep lesion under continuous microscopic visualization, increasing safety by obviating the need to look up from the microscope and thus avoiding loss of trajectory. This technique has broad value for the resection of a variety of deep brain lesions.
Department of Neurosurgery, Hofstra Northwell School of Medicine.
Tim
T
White
Brain Tumor Center, Department of Neurosurgery, Hofstra Northwell School of Medicine.
Shamik
S
Chakraborty
Brian Tumor Center, Department of Neurosurgery, Hofstra Northwell School of Medicine.
Rohan
R
Lall
Neurosurgery, State University of New York at Buffalo.
Andrew A
AA
Fanous
Brain Tumor Center, Department of Neurosurgery, Hofstra Northwell School of Medicine.
John
J
Boockvar
Brain Tumor Center, Department of Neurosurgery, Hofstra Northwell School of Medicine.
David J
DJ
Langer
deep brain lesions; stereotactic neurosurgery; viewsite brain access system