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MRI-guided focused ultrasound for essential tremor. 核磁共振引导下的聚焦超声治疗本质性震颤。
Neurosurgical focus: Video Pub Date : 2024-10-01 DOI: 10.3171/2024.7.FOCVID2472
Alexander H Agopyan-Miu, Grace B Simmons, Gordon H Baltuch
{"title":"MRI-guided focused ultrasound for essential tremor.","authors":"Alexander H Agopyan-Miu, Grace B Simmons, Gordon H Baltuch","doi":"10.3171/2024.7.FOCVID2472","DOIUrl":"https://doi.org/10.3171/2024.7.FOCVID2472","url":null,"abstract":"<p><p>This video depicts a left-sided MRI-guided focused ultrasound (MRgFUS) thalamotomy for a right-arm tremor in a 76-year-old, right-handed man with bilateral upper-extremity tremors. The patient tolerated the procedure well, with immediate tremor reduction that persisted at the 1-month follow-up, and there were no adverse events noted during intraoperative testing, postoperative testing, or follow-up. This case highlights MRgFUS as an effective, safe, incision-free treatment option for medically refractory essential tremor. Additional research is required to establish the long-term efficacy of MRgFUS compared with other surgical treatment options such as deep brain stimulation (DBS) and radiosurgery. The video can be found here: https://stream.cadmore.media/r10.3171/2024.7.FOCVID2472.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 2","pages":"V3"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stereotactic radiofrequency lesioning of caudal zona incerta for parkinsonian tremor. 针对帕金森震颤症的尾状带立体定向射频病变治疗。
Neurosurgical focus: Video Pub Date : 2024-10-01 DOI: 10.3171/2024.7.FOCVID2462
Jitin Bajaj, Namrata Khandelwal, Anivesh Jain, Muddaiah N Swamy, Yad R Yadav
{"title":"Stereotactic radiofrequency lesioning of caudal zona incerta for parkinsonian tremor.","authors":"Jitin Bajaj, Namrata Khandelwal, Anivesh Jain, Muddaiah N Swamy, Yad R Yadav","doi":"10.3171/2024.7.FOCVID2462","DOIUrl":"https://doi.org/10.3171/2024.7.FOCVID2462","url":null,"abstract":"<p><p>This video showcases stereotactic radiofrequency lesioning of the caudal zona incerta (CZi) for parkinsonian tremor in a 70-year-old patient. The preoperative evaluation, including imaging and frame placement, is detailed. The surgical procedure involves meticulous targeting and trajectory planning. Intraoperative stimulation is utilized for motor response assessment. Two temporary lesioning phases precede the final procedure at 75°C. The postoperative CT scan highlights the lesion site. Immediate tremor relief is observed postoperatively, with the effect persisting at the 1-month follow-up. Supporting readings underscore the efficacy and safety of CZi for tremor management. The video can be found here: https://stream.cadmore.media/r10.3171/2024.7.FOCVID2462.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 2","pages":"V5"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Magnetic resonance-guided focused ultrasound thalamotomy for tremor. 磁共振引导下的聚焦超声丘脑切开术治疗震颤。
Neurosurgical focus: Video Pub Date : 2024-10-01 DOI: 10.3171/2024.7.FOCVID249
Jason A Chen, P Jason White, G Rees Cosgrove, John D Rolston
{"title":"Magnetic resonance-guided focused ultrasound thalamotomy for tremor.","authors":"Jason A Chen, P Jason White, G Rees Cosgrove, John D Rolston","doi":"10.3171/2024.7.FOCVID249","DOIUrl":"https://doi.org/10.3171/2024.7.FOCVID249","url":null,"abstract":"<p><p>Magnetic resonance-guided focused ultrasound (MRgFUS) thalamotomy has emerged as an effective treatment for tremor, particularly in those patients who are excluded from deep brain stimulation. The authors illustrate an example of MRgFUS thalamotomy, targeting the ventralis intermedius nucleus, in a 78-year-old patient with tremor who had features of essential tremor and tremor-predominant Parkinson's disease. Significant tremor improvement was seen during the procedure. The authors review step-by-step the preoperative considerations, Vim targeting, treatment, and outcomes for this evolving treatment modality. The video can be found here: https://stream.cadmore.media/r10.3171/2024.7.FOCVID249.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 2","pages":"V4"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142486014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Four-tract tractography: multiparametric direct targeting of the dentatorubrothalamic tract. 四束束成像：齿状突眼束的多参数直接定位。
Neurosurgical focus: Video Pub Date : 2024-10-01 DOI: 10.3171/2024.7.FOCVID2483
Andreas Seas, Katrina Hon, David Chung, Lynne Todd, Bhavya R Shah, Shivanand P Lad, Stephen Harward
{"title":"Four-tract tractography: multiparametric direct targeting of the dentatorubrothalamic tract.","authors":"Andreas Seas, Katrina Hon, David Chung, Lynne Todd, Bhavya R Shah, Shivanand P Lad, Stephen Harward","doi":"10.3171/2024.7.FOCVID2483","DOIUrl":"https://doi.org/10.3171/2024.7.FOCVID2483","url":null,"abstract":"<p><p>This video article presents a case study of a 70-year-old male with medically refractory essential tremor treated with magnetic resonance-guided focused ultrasound (MRgFUS). Following an initial successful ablation of the right thalamus, the patient underwent left-sided thalamotomy. After two tractography-guided sonications, the authors observed a significant reduction in his right-hand tremor with no immediate side effects. Postprocedure evaluation revealed sustained tremor reduction with minimal side effects, showcasing bilateral MRgFUS as an effective, noninvasive option for essential tremor management. The video can be found here: https://stream.cadmore.media/r10.3171/2024.7.FOCVID2483.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 2","pages":"V2"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142486013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hemispheric surgery in children: perisylvian technique. 儿童半球手术：耳周技术。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2451
Helio Rubens Machado, Marcelo Volpon Santos
{"title":"Hemispheric surgery in children: perisylvian technique.","authors":"Helio Rubens Machado, Marcelo Volpon Santos","doi":"10.3171/2024.4.FOCVID2451","DOIUrl":"10.3171/2024.4.FOCVID2451","url":null,"abstract":"<p><p>Hemispheric epilepsy is quite frequent in children, compared with adults, and encompasses pathological substrates as diverse as hemimegalencephaly, Rasmussen encephalitis, Sturge-Weber syndrome, and porencephaly, among others. These patients most often become pharmacoresistant and thus require surgical management. Although anatomical hemispherectomy is a possibility, the technique that is favored by most epilepsy surgery centers worldwide is functional hemispherotomy, which results in equivalent outcomes with fewer postoperative complications. Therefore, it is essential that pediatric epilepsy neurosurgeons become familiar with these techniques. The present video describes in detail all surgical aspects of the perisylvian hemispherotomy.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V12"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted laser interstitial thermal therapy for drug-resistant epilepsy in hypothalamic hamartoma. 机器人辅助激光间质热疗治疗下丘脑火腿肠瘤耐药性癫痫。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2415
James Bridges, Michael Folse, Danielle Terrell, Jehan Bista, Jamie Toms
{"title":"Robot-assisted laser interstitial thermal therapy for drug-resistant epilepsy in hypothalamic hamartoma.","authors":"James Bridges, Michael Folse, Danielle Terrell, Jehan Bista, Jamie Toms","doi":"10.3171/2024.4.FOCVID2415","DOIUrl":"10.3171/2024.4.FOCVID2415","url":null,"abstract":"<p><p>Hypothalamic hamartomas are congenital lesions of the hypothalamus, with a range of symptoms defined by lesion location. Common presenting symptoms include gelastic seizures and precocious puberty. When hamartoma-related seizures become resistant to medications, laser interstitial thermal therapy (LITT) has been shown to be an effective treatment. The authors present a case of robot-assisted LITT for a patient with an 11-year history of epilepsy due to hypothalamic hamartoma. In addition, they demonstrate the use of a stereotactic biopsy needle implemented during the procedure for possible biopsy of deep cranial lesions. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2415.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V16"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stereo-electro-encephalography (SEEG) methodology: technical nuances and insights into image-guided robot-assisted electrode implantation. 立体脑电图（SEEG）方法：图像引导机器人辅助电极植入的技术细节和启示。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2427
Piergiorgio d'Orio, Pedro Monteiro, José I Otayza, Alessandra Rocca, Martina Revay, Laura Castana, Francesco Cardinale
{"title":"Stereo-electro-encephalography (SEEG) methodology: technical nuances and insights into image-guided robot-assisted electrode implantation.","authors":"Piergiorgio d'Orio, Pedro Monteiro, José I Otayza, Alessandra Rocca, Martina Revay, Laura Castana, Francesco Cardinale","doi":"10.3171/2024.4.FOCVID2427","DOIUrl":"10.3171/2024.4.FOCVID2427","url":null,"abstract":"<p><p>An accurate definition of the epileptogenic zone is critical to the success of epilepsy surgery. When noninvasive presurgical studies are insufficient, stereoelectroencephalography (SEEG) becomes indispensable. This study illustrates a systematic approach using an illustrative case of centroparietal epilepsy, detailing the stepwise workup, planning, and image-guided robot-assisted frameless stereotactic implantation of intracerebral electrodes. The video provides insights into technical aspects and a single-center experience. Demonstrating efficacy, safety, and feasibility, SEEG emerges as a valuable procedure for studying drug-resistant focal epilepsy. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2427.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V4"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minipterional craniotomy for resection of epileptogenic cavernous malformation. 为切除致痫海绵状畸形而进行的微型开颅手术。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2441
Alexander Chartrain, Carli Bullis, Nicholas Sader, Peter A Chiarelli, Madeline Kahan, Brittany Jordan, Latanya Agurs, Michele Van Hirtum-Das, Asri Yuliati, Sucheta Joshi, Jason Chu
{"title":"Minipterional craniotomy for resection of epileptogenic cavernous malformation.","authors":"Alexander Chartrain, Carli Bullis, Nicholas Sader, Peter A Chiarelli, Madeline Kahan, Brittany Jordan, Latanya Agurs, Michele Van Hirtum-Das, Asri Yuliati, Sucheta Joshi, Jason Chu","doi":"10.3171/2024.4.FOCVID2441","DOIUrl":"10.3171/2024.4.FOCVID2441","url":null,"abstract":"<p><p>Epilepsy is a common symptom of pediatric cavernous malformations. In medically refractory patients, surgery can achieve high seizure freedom rates with low morbidity. This video depicts the use of a minipterional craniotomy and transsulcal resection of a frontal opercular cavernous malformation in a 13-year-old female with medically intractable epilepsy. At 1-year follow-up, she was evaluated as Engel class I with a significant improvement in her quality of life. Principles of cavernous malformation resection for the treatment of epilepsy are also reviewed. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2441.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V3"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted stereotactic electroencephalography using 3-dimensional intraoperative imaging and frameless registration tool. 使用三维术中成像和无框架注册工具的机器人辅助立体定向脑电图。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2419
Luca Paun, Alessandro Moiraghi, Giorgia Antonia Simboli, Johan Pallud, Marc Zanello
{"title":"Robot-assisted stereotactic electroencephalography using 3-dimensional intraoperative imaging and frameless registration tool.","authors":"Luca Paun, Alessandro Moiraghi, Giorgia Antonia Simboli, Johan Pallud, Marc Zanello","doi":"10.3171/2024.4.FOCVID2419","DOIUrl":"10.3171/2024.4.FOCVID2419","url":null,"abstract":"<p><p>Stereoelectroencephalography (SEEG) is the gold standard to investigate the epileptic network in cases of drug-resistant epilepsy. Robot-assisted SEEG is increasingly being used; however, its installation process in the operating room is more difficult than that of the stereotactic frame procedure. New robotic tools and 3D intraoperative imaging ease the setup while achieving the same mechanical precision and a lower complication rate. In this video, the authors illustrate the surgical technique and step-by-step workflow using a robotic arm (neuromate) guided by a frameless registration system (neurolocate), registered with an intraoperative flat-panel CT scanner (O-arm). The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2419.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V5"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic trans-orbital approach for the tumor-related epilepsy at the temporal tip. 经眶内镜手术治疗颞顶部肿瘤相关性癫痫。
Neurosurgical focus: Video Pub Date : 2024-07-01 DOI: 10.3171/2024.4.FOCVID2414
Yuta Tanoue, Takehiro Uda, Toshiyuki Kawashima, Vich Yindeedej, Takeo Goto
{"title":"Endoscopic trans-orbital approach for the tumor-related epilepsy at the temporal tip.","authors":"Yuta Tanoue, Takehiro Uda, Toshiyuki Kawashima, Vich Yindeedej, Takeo Goto","doi":"10.3171/2024.4.FOCVID2414","DOIUrl":"10.3171/2024.4.FOCVID2414","url":null,"abstract":"<p><p>Minimally invasive surgery is gaining increasing interest in epilepsy surgery. In this video, the authors present the endoscopic transorbital approach for an epileptogenic lesion located at the temporal tip. The patient was a man in his 40s who has had intractable focal impaired awareness seizures and focal to bilateral tonic-clonic seizures since he was 31 years of age. According to the preoperative examination, including stereotactic electroencephalography, a cavernous angioma located at the tip of the right temporal lobe was diagnosed as an epileptogenic lesion. Lesionectomy for this lesion was performed using the endoscopic transorbital approach as minimally invasive surgery and a favorable outcome was achieved. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2414.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"11 1","pages":"V9"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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