摘要
目的验证国产机器人导航定位系统Remebot的有效性与安全性。方法临床选择1例顽固性癫痫患者,头皮脑电显示为多灶异常痫性放电。首先分别以双颞叶内侧为靶点,左侧分别经额、经颞叶外侧放置2枚深部电极,右侧经额放置1枚深部电极。经长程SEEG监测提示左侧海马杏仁复合体为致痫主灶。1周后以左颞叶内侧为靶点,分别经额与经顶枕交叉射频热凝海马杏仁复合体。结果颅内电极埋置后行CT复查,显示电极安放位置与手术计划相符,误差小于2mm,长程SEEG监测捕捉到临床发作一次,提示为左颞内侧起源。实施左侧海马杏仁复合体热凝术后患者癫痫发作明显减少,复查MRI提示毁损位置准确无误。结论国产机器人导航定位系统Remebot不仅可以实施立体定向颅内深部电极植入手术,还可对脑内深部致痫灶实施精准毁损手术,在癫痫的外科诊治领域有着广阔的应用前景。
Objective To verify the effectiveness and medical robot Remebot. Methods One patient suffered from safety of domestic neurosuregery intractable epilepsy was selected with multiple discharges showed in scalp EEG. At first, bilateral medial temporal lobes were set as targets,two electrodes were reached to the left target by trans frontal and lateral temporal ap- proach separately,and one to the right trans frontal. After long term monitoring of SEEG,, the left amygdalohippocampal complex was confirmed to be the main epileptogenic focus. One week later,radiofrequency thermocoagulation of left amygdalohippocampal complex was made with a cross way by trans frontal and occipital--parietal approaches. Results The CT scan after depth e- lectrodes implantation showed the position of electrodes were quite match that of the preoperative plan with the error value less than 2mm. Conclusion The domestic neurosuregery medical robot Remebot can be used not only in depth electrodes implantation,but also for the precise coagula- tion of deep brain epileptogenic forcus. It should be widely used in epilepsy surgery.
出处
《立体定向和功能性神经外科杂志》
2016年第2期77-81,共5页
Chinese Journal of Stereotactic and Functional Neurosurgery
基金
首都特色医疗项目基金项目(编号:Z141107002514053)
关键词
机器人
癫痫
海马杏仁复合体
深部电极
射频热凝术
Robot
Epilepsy
Amygdalohippocampal complex~ Depth electrode~ Radiofre- quency thermocoagulation
