Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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The Usefulness of Electromagnetic Neuronavigation in the Pediatric Neuroendoscopic Surgery

  • Choi, Ki Young (Department of Neurosurgery, Chonnam National University Hospital and Medical School) ;
  • Seo, Bo Ra (Department of Neurosurgery, Chonnam National University Hospital and Medical School) ;
  • Kim, Jae Hyoo (Department of Neurosurgery, Chonnam National University Hospital and Medical School) ;
  • Kim, Soo Han (Department of Neurosurgery, Chonnam National University Hospital and Medical School) ;
  • Kim, Tae Sun (Department of Neurosurgery, Chonnam National University Hospital and Medical School) ;
  • Lee, Jung Kil (Department of Neurosurgery, Chonnam National University Hospital and Medical School)
  • Received : 2012.09.17
  • Accepted : 2013.02.25
  • Published : 2013.03.28
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Abstract

Objective : Neuroendoscopy is applied to various intracranial pathologic conditions. But this technique needs informations for the anatomy, critically. Neuronavigation makes the operation more safe, exact and lesser invasive procedures. But classical neuronavigation systems with rigid pinning fixations were difficult to apply to pediatric populations because of their thin and immature skull. Electromagnetic neuronavigation has used in the very young patients because it does not need rigid pinning fixations. The usefulness of electromagnetic neuronavigation is described through our experiences of neuroendoscopy for pediatric groups and reviews for several literatures. Methods : Between January 2007 and July 2011, nine pediatric patients were managed with endoscopic surgery using electromagnetic neuronavigation (AxiEM, Medtronics, USA). The patients were 4.0 years of mean age (4 months-12 years) and consisted of 8 boys and 1 girl. Totally, 11 endoscopic procedures were performed. The cases involving surgical outcomes were reviewed. Results : The goal of surgery was achieved successfully at the time of surgery, as confirmed by postoperative imaging. In 2 patients, each patient underwent re-operations due to the aggravation of the previous lesion. And one had transient mild third nerve palsy due to intraoperative manipulation and the others had no surgery related complication. Conclusion : By using electromagnetic neuronavigation, neuroendoscopy was found to be a safe and effective technique. In conclusion, electromagnetic neuronavigation is a useful adjunct to neuroendoscopy in very young pediatric patients and an alternative to classical optical neuronavigation.

Keywords

References

  1. Abtin K, Thompson BG, Walker ML : Basilar artery perforation as a complication of endoscopic third ventriculostomy. Pediatr Neurosurg 28 : 35-41, 1998 https://doi.org/10.1159/000028616
  2. Aldana PR, Kestle JR, Brockmeyer DL, Walker ML : Results of endoscopic septal fenestration in the treatment of isolated ventricular hydrocephalus. Pediatr Neurosurg 38 : 286-294, 2003 https://doi.org/10.1159/000070412
  3. Barszcz S, Roszkowski M, Daszkiewicz P, Jurkiewicz E, Maryniak A : Accuracy of intraoperative registration during electromagnetic neuronavigation in intracranial procedures performed in children. Neurol Neurochir Pol 41 : 122-127, 2007
  4. Beems T, Grotenhuis JA : Long-term complications and definition of failure of neuroendoscopic procedures. Childs Nerv Syst 20 : 868-877, 2004 https://doi.org/10.1007/s00381-004-0945-z
  5. Buxton N, Macarthur D, Mallucci C, Punt J, Vloeberghs M : Neuroen doscopy in the premature population. Childs Nerv Syst 14 : 649-652, 1998 https://doi.org/10.1007/s003810050291
  6. Cinalli G, Spennato P, Ruggiero C, Aliberti F, Trischitta V, Buonocore MC, et al. : Complications following endoscopic intracranial procedures in children. Childs Nerv Syst 23 : 633-644, 2007 https://doi.org/10.1007/s00381-007-0333-6
  7. Clark S, Sangra M, Hayhurst C, Kandasamy J, Jenkinson M, Lee M, et al. : The use of noninvasive electromagnetic neuronavigation for slit ventricle syndrome and complex hydrocephalus in a pediatric population. J Neurosurg Pediatr 2 : 430-434, 2008 https://doi.org/10.3171/PED.2008.2.12.430
  8. Hamada H, Hayashi N, Kurimoto M, Endo S : Endoscopic aqueductal stenting via the fourth ventricle under navigating system guidance : technical note. Neurosurgery 56 (1 Suppl) : E206; discussion E206, 2005
  9. Hayhurst C, Byrne P, Eldridge PR, Mallucci CL : Application of electromagnetic technology to neuronavigation : a revolution in image-guided neurosurgery. J Neurosurg 111 : 1179-1184, 2009 https://doi.org/10.3171/2008.12.JNS08628
  10. Hopf NJ, Grunert P, Darabi K, Busert C, Bettag M : Frameless neuronavigation applied to endoscopic neurosurgery. Minim Invasive Neurosurg 42 : 187-193, 1999 https://doi.org/10.1055/s-2008-1053396
  11. Lancon JA, Killough KR, Dhillon G, Parent AD : Interventional magnetic resonance imaging guided aspiration and biopsy of a cystic midbrain tumor. Pediatr Neurosurg 30 : 151-156, 1999 https://doi.org/10.1159/000028784
  12. Mascott CR : Comparison of magnetic tracking and optical tracking by simultaneous use of two independent frameless stereotactic systems. Neurosurgery 57 (4 Suppl) : 295-301; discussion 295-301, 2005 https://doi.org/10.1227/01.NEU.0000176411.55324.1E
  13. McMillen JL, Vonau M, Wood MJ : Pinless frameless electromagnetic image-guided neuroendoscopy in children. Childs Nerv Syst 26 : 871-878, 2010 https://doi.org/10.1007/s00381-009-1074-5
  14. Navarro R, Gil-Parra R, Reitman AJ, Olavarria G, Grant JA, Tomita T. Endoscopic third ventriculostomy in children : early and late complications and their avoidance. Childs Nerv Syst 22 : 506-513, 2006 https://doi.org/10.1007/s00381-005-0031-1
  15. Rosenow JM, Sootsman WK. Application accuracy of an electromagnetic field-based image-guided navigation system. Stereotact Funct Neurosurg 85 : 75-81, 2007 https://doi.org/10.1159/000097922
  16. Roth J, Beni-Adani L, Biyani N, Constantini S : Classical and real-time neuronavigation in pediatric neurosurgery. Childs Nerv Syst 22 : 1065-1071, 2006 https://doi.org/10.1007/s00381-006-0103-x
  17. Sangra M, Clark S, Hayhurst C, Mallucci C : Electromagnetic-guided neuroendoscopy in the pediatric population. J Neurosurg Pediatr 3 : 325-330, 2009 https://doi.org/10.3171/2008.12.PEDS0888
  18. Scholz M, Hardenack M, Konen W, Fricke B, von During M, Heuser L, et al. : Navigation in neuroendoscopy. Minim Invasive Ther Allied Tech 8 : 309-316, 1999 https://doi.org/10.3109/13645709909153180
  19. Schroeder HW, Oertel J, Gaab MR : Incidence of complications in neuroendoscopic surgery. Childs Nerv Syst 20 : 878-883, 2004 https://doi.org/10.1007/s00381-004-0946-y
  20. Schroeder HW, Wagner W, Tschiltschke W, Gaab MR : Frameless neuronavigation in intracranial endoscopic neurosurgery. J Neurosurg 94 : 72-79, 2001 https://doi.org/10.3171/jns.2001.94.1.0072
  21. Sieskiewicz A, tyson T, Mariak Z, Rogowski M : [Neuronavigation in transnasal endoscopic paranasal sinuses and cranial base surgery : comparison of the optical and electromagnetic systems]. Otolaryngol Pol 63 : 256-260, 2009 https://doi.org/10.1016/S0030-6657(09)70118-0
  22. Teo C, Rahman S, Boop FA, Cherny B : Complications of endoscopic neurosurgery. Childs Nerv Syst 12 : 248-253; discussion 253, 1996
  23. Wagner W, Gaab MR, Schroeder HW, Sehl U, Tschiltschke W : Experiences with cranial neuronavigation in pediatric neurosurgery. Pediatr Neurosurg 31 : 231-236, 1999 https://doi.org/10.1159/000028868

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