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Repetitive transcranial magnetic stimulation enhanced by neuronavigation in the treatment of depressive disorder and schizophrenia

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World Journal of Psychiatry 2024年第11期14卷 1618-1622页

作者： Xian-Yang Wang Yuan-Bei Zhang Rong-Xue Mu Long-Biao Cui Hua-Ning Wang Schizophrenia Imaging Laboratory Xijing 986 HospitalFourth Military Medical UniversityXi’an 710054Shaanxi ProvinceChina Simon Fraser University Vancouver V5A1S6British ColumbiaCanada Shaanxi Provincial Key Laboratory of Clinic Genetics Fourth Military Medical UniversityXi’an 710032Shaanxi ProvinceChina Department of Radiology The First Affiliated Hospital of Xi’an Jiaotong UniversityXi’an 710061Shaanxi ProvinceChina Department of Psychiatry Xijing HospitalFourth Military Medical UniversityXi’an 710032Shaanxi ProvinceChina

This editorial assesses the advancements in neuronavigation enhanced repetitive transcranial magnetic stimulation for depressive disorder and schizophrenia *** repetitive transcranial magnetic stimulation faces challenges due to the intricacies of brain anatomy and patient *** offers innovative solutions by integrating neuroimaging with three-dimensional localization to pinpoint brain regions and refine therapeutic *** systematic review of recent literature underscores the enhanced efficacy of neuronavigation in improving treatment outcomes for these *** editorial highlights the pivotal role of neuronavigation in advancing psychiatric care.

关键词： Repetitive transcranial magnetic stimulation neuronavigation Depressive disorder Schizophrenia Psychiatric care

Usage of neuronavigation system to treat a case of traumatic acute subdural hematoma after two-side ventriculoperitoneal shunt

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Laparoscopic, Endoscopic and Robotic Surgery 2019年第1期2卷 18-20页

作者： Kun Wang Xueying Xu Huanjiang Niu Xiujun Cai Yirong Wang Department of Neurosurgery Xiasha CampusSir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310020China Department of Neurosurgery Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016China Department of General Surgery Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016China

Traumatic acute subdural hematoma is one of the most lethal causes of head injuries,which leads to high *** combined diseases always make it more intractable for the *** present a case of a 68-year-old female patient with traumatic acute subdural hematoma combined with hydrocephalus after ventriculoperitoneal shunt assisted by the neuronavigation system in January 12,*** was undergone ventriculoperitoneal shunt 6 years and 5 months ago on two sides respectively because of hydrocephalus,with the ventriculoperitoneal shunt device on the right side out of *** initial neurological examination showed a Glasgow Coma Scale of E2V1M5 with no papillary defect.A CT scan of the head revealed a left homogeneously hyperdense and subdural hematoma,with compression of the lateral ventricle(2.6 cm thick)and a 0.5 cm midline *** protect the ventriculoperitoneal shunt device,we used neuronavigation system to precisely mark the relative location of the device and“invisible”subdural hematoma,thus to design a perfect incision ***,evacuation of the subdural hematoma was performed via craniotomy without damaging the ventriculoperitoneal shunt *** CT of the head showed totally removing of the subdural *** patient recovered three months *** the assistant of neuronavigation system,it is much easier for the preoperative planning and to reduce the surgical *** case gives a clue that more approaches can be considered when encountering acute head trauma with the complicated combined diseases.

关键词： neuronavigation Acute subdural hematoma Hydrocephalus Ventriculoperitoneal shunt

neuronavigation combined with nerve electrophysiology in excision of brain abscess: A case report and literature review

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Translational Neuroscience and Clinics 2017年第4期3卷 224-228页

作者： Xiaoxu Shen Dong Zhao Qi Liu Department of Neurosurgery Shihezi University First Affiliated Hospital

A brain abscess is a parenchymal infection,which is a severe intracranial infectious disease. Although the incidence is low,it causes serious inflammation and neurological deficits. The current treatments for brain abscesses are primarily surgical,including abscess resection or puncture and drainage. In recent years,extensive application of neuronavigation and electrophysiological monitoring technology have improved the safety and reliability of neurosurgery. To explore the application and curative effect of neuronavigation combined with neurophysiological techniques in the treatment of brain abscesses,we retrospectively analyzed a female patient who had undergone neurological monitoring and neuronavigation-assisted surgery to remove an abscess in 2015. Diagnosis and treatment are reported.

关键词： neuronavigation nerve electrophysiology brain abscess parenchymal disease intracranial

neuronavigation and epilepsy surgery

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Health 2010年第7期2卷 753-758页

作者： Martin B. Glaser Konrad J. Werhahn Peter Grunert Clemens Sommer 不详

Resective epilepsy surgery is an elective therapy indicated in focal epilepsy patients who are resistant to pharmacotherapy. Every effort should be undertaken to perform the procedures as safe and less traumatic as possible. neuronavigation could represent a suitable tool to reduce surgical morbidity and increase surgical radicality. Here, we present a series of 41 patients who were operated on for medically intractable epilepsy using neuronavigation. Overall, complication rate was 17% with a favourable seizure outcome of 88% (Engel’s class I/II). Our data suggest that neuronavigation is a valuable surgical technique to accomplish a favourable outcome in epilepsy surgery.

关键词： neuronavigation Epilepsy Surgery Outcome

The Use of neuronavigation with Vasular Microdoppler in Transsphenoidal Pituitary Surgery

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Open Journal of Modern Neurosurgery 2016年第1期6卷 45-50页

作者： Mehmet Hakan Seyithanoglu Serkan Kitis Meliha Gundag Papaker Fatih Calis Tolga Turan Dundar Serdar Cevik Department of Neurosurgery Bezmialem Vakif University Faculty of Medicine Istanbul Turkey Department of Neurosurgery Agri State Hospital Agri Turkey

Object: To evaluate the use of neuronavigation with vascular micro-doppler in transsphenoidal pituitary surgery. Methods: 141 cases having done transsphenoidal pituitary surgery are evaluated from 2005 to 2014. Fluoroscopy was used in 69 cases and vascular micro-doppler with neuronavigation were used in 72 cases. Results: Transsphenoidal surgery has a lot of risks due to sella’s deep location, and position of the carotid artery and the optic nerve. Clasically the fluoroscopy and microscopic anatomical markers were used in order to minimize the risk of carotid artery and optic nerve damage. Additional devices such as neuronavigation and vascular micro-doppler are needed to decrease the morbidity and mortality arising from these injuries. Conclusion: Neurovascular complications such as carotid artery and optic nerve injuries owing to disorientation in transsphenoidal surgery will reduce the use of neuronavigation with vascular micro-doppler.

关键词： Transsphenoidal Surgery Vascular Micro-Doppler neuronavigation Pituitary Adenomas

Assessment of necessity of neuronavigation in localization of calvarial extra-axial lesions in the setting of limited resources

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Chinese Neurosurgical Journal 2022年第1期8卷 26-30页

作者： Hussein Soffar Mohamed F.Alsawy Neurosurgery Department Kasr Alainy Faculty of MedicineCairo UniversityAl-Saray StreetEl ManialCairoEgypt

Background:neuronavigation is a very beneficial tool in modern neurosurgical ***,the neuronavigation is not available in most of the hospitals in our country raising the question about its importance in localizing the calvarial extra-axial lesions and to what extent it is safe to operate without ***:We studied twenty patients with calvarial extra-axial lesions who underwent surgical *** lesions were preoperatively located with both neuronavigation and the usual linear *** methods were compared regarding the time consumed to localize the tumor and the accuracy of each method to anticipate the actual center of the ***:The mean error of distance between the planned center of the tumor and the actual was 6.50±1.762 mm in conventional method,whereas the error was 3.85±1.309 mm in IGS *** more time was consumed during the neuronavigation method including booting,registration,and positioning.A statistically significant difference was found between the mean time passed in the conventional method and IGS method(2.05±0.826,24.90±1.334,respectively),P-valueneuronavigation method.

关键词： Calvarial Extra-axial Meningioma neuronavigation Streotaxy

Evaluation of neuronavigation in Glioma Surgery

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Open Journal of Modern Neurosurgery 2020年第1期10卷 36-50页

作者： Mahmoud M. Ammar Mohamed Mahmoud Ahmed Elsaied Abou Kreasha Abd Elhay Mousa Department of Neurosurgery Faculty of Medicine Assiut University Assiut Egypt

Background: Glioma is one of the most common intracranial tumors, the treatment for which is surgical resection. Cerebral gliomas in eloquent brain areas are closely associated with important structures. The deep location of such gliomas renders complete resection difficult overlaying structures can be injured, causing hemiplegia, aphasia, coma, and other severe complications. The degree of resection directly influences the prognosis of patients. The application of neuronavigation enables the accurate localization of lesions during surgery, significantly improving microneurosurgery. The accuracy of navigation, however, has typically been compromised by several factors, including operation error, shifting of registration system, and intraoperative brain tissue deformation (brain shift). Aim of Study: The aim of the study is to evaluate and demonstrate the efficacy of neuronavigation in the management of brain gliomas. Patients and Methods: This is a prospective randomized clinical trial study included 35 patients with brain glioma were operated for excision or biopsy taken. Results: Localization of burr hole and craniotomy flap was excellent in 33 patients (94.2%) and fault in 2 cases (5.7%), 29 patients (82.8%) had near total excision of the lesions, and 6 patients (17.1%) had burr hole biopsy, intra operative course was smooth in 33 patients (94.2%) with no intra operative complications, 2 cases (5.7%) developed intra operative bleeding that was due to liver problems. Reading the post operative imaging shows that 27 patients (77.1%) had mild to moderate post operative edema around the site of the lesion, the other eight cases were free of hemorrhage, infarction or edema. Conclusion: We found that neuronavigation is very helpful in our cases in localization of the lesions, decreasing time of surgery, reducing morbidity and mortality and decreasing hospital stay. There are concerns about navigation systems including time consuming, calculation and registration, restr

关键词： neuronavigation Brain Gliomas Burr Hole Surgery Localization

Role of functional magnetic resonance imaging-integrated neuronavigation in localization and lingual function protection

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Role of functional magnetic resonance imaging-integrated neu...

Anatomical study of endoscope-assisted far lateral keyhole approach to the ventral craniocervical region with neuronavigational guidance

中国神经科学学会第四次会员代表大会暨第八届全国学术会议

作者： Ming-Qi YANG~1,Shuo WANG~1,Yan ZHANG~1,Rong WANG~1,Yuan-Li ZHAO~1,Dong ZHANG~1,Long XU~1,Yan ZHUO~2,Bo WANG~2,Lin CHEN~2,Ji-Zong ZHAO~(1,*) 1 Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China 2 State Key Laboratory of Brain and Cognitive Science,Institute of Biophysics Chinese Academy of Sciences,Beijing 100101,China

＜正＞Objective Lingual function is subject to loss following neurosurgery in the functional language area and adjacent *** magnetic resonance imaging（fMRI） was used preoperatively to determine the location of the functional language cortex and its relationship to lesions to investigate the potential of fMRI to protect lingual function. The intraoperative protection of lingual function and postoperative effects on lingual function recovery of fMRI-integrated neuronavigation were validated with postoperative *** Fifty-two patients with intracranial lesions located in or adjacent to the functional language area underwent cerebral fMRI（including examinations of lingual and visual function,and motor functions of the limbs and tongue）.fMRI data was entered into a neuronavigation system for image fusion and preoperative registration and correction;minimally invasive neurosurgery was performed with fMRI *** were followed up with fMRI 3-6 mo postoperatively to evaluate the language function recovery in comparison with preoperative *** Fifty-two patients underwent preoperative fMRI and neuronavigation image fusion and registration smoothly,with the intracranial lesions and functional lingual area located accurately ***-eight patients underwent total resection of lesions,while four patients underwent near-total resection. Ten patients developed new neural dysfunction;for these patients,lesions were all located in or adjacent to functional language *** patients had lesions within 5 mm of the functional area,while six patients had lesions ＜10 mm from the functional *** patients had recovered at a 3-6 mo postoperative ***-two patients had lesions ＞10 mm from the functional *** new neural dysfunction developed *** were followed up for 3 mo to 1 year postoperatively with a disability rate of 7.7%and no *** 52 patients developed extensive evocation when r

关键词： magnetic resonance imaging neuronavigation neurosurgery language vision

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Chinese Medical Journal 2013年第9期126卷 1707-1713页

作者： GUAN Min-wu WANG Jia-yin FENG Dong-xia Paul Fu CHEN Li-hua LI Ming-chu ZHANG Qiu-hang Amir Samii Madjid Samii KONG Feng ZHANG Zhi-ping CHEN Ling Department of Neurosurgery Xuanwu Hospital Capital Medical University China International Neuroscience Institute Beijing 100053 China Beijing Geriatric Medical Research Center Beijing 100053 China Department of Neurosurgery University of Arkansas for Medical Science Little rock Arkansas 72205 USA Department of Neurosurgery Wayne State University School of Medicine Detroit Michigan 48236 USA Department of Neurosurgery International Neuroscience Institute Hannover 30625 Germany

Background Image-guided neurosurgery, endoscopic-assisted neurosurgery and the keyhole approach are three important parts of minimally invasive neurosurgery and have played a significant role in treating skull base lesions. This study aimed to investigate the potential usefulness of coupling of the endoscope with the far lateral keyhole approach and image guidance at the ventral craniocervical junction in a cadaver model. Methods We simulated far lateral keyhole approach bilaterally in five cadaveric head specimens （10 cranial hemispheres）. Computed tomography-based image guidance was used for intraoperative navigation and for quantitative measurements. Skull base structures were observed using both an operating microscope and a rigid endoscope. The jugular tubercle and one-third of the occipital condyle were then drilled, and all specimens were observed under the microscope again. We measured and compared the exposure of the petroclivus area provided by the endoscope and by the operating microscope. Statistical analysis was performed by analysis of variance followed by the Student-Newman-Keuls test. Results With endoscope assistance and image guidance, it was possible to observe the deep ventral craniocervical junction structures through three nerve gaps （among facial-acoustical nerves and the lower cranial nerves） and structures normally obstructed by the jugular tubercle and occipital condyle in the far lateral keyhole approach. The surgical area exposed in the petroclival region was significantly improved using the 0° endoscope （1147.80 mm2） compared with the operating microscope （（756.28±50.73） mm2）. The far lateral retrocondylar keyhole approach, using both 0° and 30° endoscopes, provided an exposure area （（1147.80±159.57） mm2 and （1409.94±155.18） mm2, respectively） greater than that of the far lateral transcondylar transtubercular keyhole approach （（1066.26±165.06） mm2）（P 〈0.05）. Conclusions With the aid of the endoscope and image guidance, it is possible to

关键词： far lateral approach neuroendoscope neuronavigation keyhole approach ventral craniocervicaljunction