Summary
In neuroendoscopy orientation and localisation of the endoscope’s tip is crucial. Additionally the endoscopic view can be obscured by solid structures or membranes.
To surpass these restrictions we attempted to combine the localisation quality of our neuronavigation system with the visualization capabilities of neuroendoscopy. We designed a handle to attach our endoscope (Aesculap) to our frameless neuronavigation system (ISG Viewing Wand). With this combination the localisation of the endoscope’s tip is shown on-line as the crosshair’s centre on a computer display. This displays the exact location of the endoscope’s tip in stereotactic space in preoperative images. The endoscope’s mobility is preserved, and therefore it has a broader range of application than if combined with a rigid stereotactic frame.
We tested the applicability in 10 patients with peri- and intraventricular lesions and loculated hydrocephalus. The assembly is easy. Especially in infant ventricular, cystic malformations this method is of great value. This simple attachment enables us to combine endoscopes with frameless stereotaxy. The precise localisation in stereotactic space as well as flexibility and excellent visualization broaden the applicability of neuroendoscopy and neuroendoscopic-assisted microneurosurgery.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Bauer BL, Hellwig D (1994) Minimally invasive endoscopic neurosurgery - a survey. Acta Neurochir Suppl (Wien) 61:1–12
Caemaert J, Abdullah J (1993) Diagnostic and therapeutic stereotactic cerebral endoscopy. Acta Neurochir (Wien) 124:11–13
Cohen AR, Perneczky A, Rodziewicz GS, Gingold SI (1995) Endoscope-assisted craniotomy: approach to the rostral brain stem. Neurosurgery 36: 1128–1130
Drake JM (1993) Ventriculostomy for treatment of hydrocephalus. Neurosurg Clin N Am 4: 657–666
Drake JM, Rutka JT, Hoffman Hj (1994) ISG viewing wand system. Neurosurgery 34:1094–1097
Grunert P, Perneczky A, Resch K (1994) Endoscopic procedures through the foramen interventriculare of Monro under stereotactical conditions. Minim Invasive Neurosurg 37(1):2-8
Hellwig D, Bauer BL (1991) Endoscopic procedures in stereo-tactic neurosurgery. Acta Neurochir Suppl (Wien) 52(1): 30–32
Lewis AI, Keiper GL Jr, Crone KR (1995) Endoscopic treatment of loculated hydrocephalus. J Neurosurg 82(5): 780-785
Maciunas RJ (ed) Interactive image-guided neurosurgery. Neurosurgical topics. AANS Publications
Manwaring KH (1993) Intraoperative Microendoscopy. In: Maciunas RJ (ed) Interactive image-guided neurosurgery. Neurosurgical topics. AANS Publication, pp 217–232
Zamorano L, Chavantes C, Moure F (1994) Endoscopic stereotactic interventions in the treatment of brain lesions. Acta Neurochir Suppl (Wien) 61:92–97
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Nabavi, A., Behnke, A., Petersen, B., Klinge, H., Mehdorn, H.M. (1998). Neuronavigation and Neuroendoscopy. In: Hellwig, D., Bauer, B.L. (eds) Minimally Invasive Techniques for Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58731-3_34
Download citation
DOI: https://doi.org/10.1007/978-3-642-58731-3_34
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-63701-8
Online ISBN: 978-3-642-58731-3
eBook Packages: Springer Book Archive