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Erschienen in:

2018 | OriginalPaper | Buchkapitel

6. Neuronavigation im Kindesalter

verfasst von : U.-W. Thomale

Erschienen in: Pädiatrische Neurochirurgie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die Neuronavigation ist zu einer wichtigen Voraussetzung für viele kinderneurochirurgische Eingriffe geworden. Verschiedene Systeme, wie die optische oder elektromagnetische Navigation, sind verfügbar. Die Verbindung mit der intraoperativen Bildgebung wie dem MRT oder dem Ultraschall können den „Brain Shift“, der während der Operation auftreten kann, berücksichtigen und einen neuen Datensatz zur weiteren Navigation zur Verfügung stellen. Indikationen zum Einsatz der Navigation sind vielseitig und beinhalten z. B. die Platzierung von Ventrikelkathetern, neuroendoskopische Eingriffe, Tumorresektionen, Biopsien und die Epilepsiechirurgie.

Acosta FL, Jr., Quinones-Hinojosa A, Gadkary CA et al. (2005) Frameless stereotactic image-guided C1–C2 transarticular screw fixation for atlantoaxial instability: review of 20 patients. J Spinal Disord Tech 18(5):385–391PubMed

Akdemir H, Oktem S, Menku A, Tucer B, Tugcu B, Gunaldi O (2007) Image-guided microneurosurgical management of small arteriovenous malformation: role of neuronavigation and intraoperative Doppler sonography. Minim Invasive Neurosurg 50(3):163–169PubMed

Al-Mefty O, Kadri PA, Hasan DM, Isolan GR, Pravdenkova S (2008) Anterior clivectomy: surgical technique and clinical applications. J Neurosurg 109(5):783–793PubMed

Almenawer SA, Crevier L, Murty N, Kassam A, Reddy K (2013) Minimal access to deep intracranial lesions using a serial dilatation technique: case-series and review of brain tubular retractor systems. Neurosurg Rev 36(2):321–329; discussion 329–330PubMed

Alotaibi N, Hanss J, Benoudiba F, Bobin S, Racy E (2013) Endoscopic removal of large orbito-ethmoidal osteoma in pediatric patient: Case report. Int J Surg Case Rep 4(12):1067–1070PubMedPubMedCentral

Avula S, Mallucci CL, Pizer B, Garlick D, Crooks D, Abernethy LJ (2012) Intraoperative 3-Tesla MRI in the management of paediatric cranial tumours – initial experience. Pediatr Radiol 42(2):158–167PubMed

Azeem SS, Origitano TC (2007) Ventricular catheter placement with a frameless neuronavigational system: a 1-year experience. Neurosurgery 60(4 Suppl 2): 243–247; discussion 247–248PubMed

Barszcz S, Roszkowski M, Daszkiewicz P, Jurkiewicz E, Maryniak A (2007) Accuracy of intraoperative registration during electromagnetic neuronavigation in intracranial procedures performed in children. Neurol Neurochir Pol 41(2):122–127PubMed

Benifla M, Sala F, Jr., Jane J et al. (2009) Neurosurgical management of intractable rolandic epilepsy in children: role of resection in eloquent cortex. Clinical article. J Neurosurg Pediatr 4(3):199–216PubMed

Cavalheiro S, Di Rocco C, Valenzuela S et al. (2010) Craniopharyngiomas: intratumoral chemotherapy with interferon-alpha: a multicenter preliminary study with 60 cases. Neurosurg Focus 28(4):E12PubMed

Centeno RS, Yacubian EM, Sakamoto AC, Ferraz AF, Junior HC, Cavalheiro S (2006) Pre-surgical evaluation and surgical treatment in children with extratemporal epilepsy. Childs Nerv Syst 22(8):945–959PubMed

Chandra PS, Padma VM, Shailesh G, Chandreshekar B, Sarkar C, Tripathi M (2008) Hemispherotomy for intractable epilepsy. Neurol India 56(2):127–132PubMed

Cho DY, Lee WY, Lee HC, Chen CC, Tso M (2005) Application of neuronavigator coupled with an operative microscope and electrocorticography in epilepsy surgery. Surg Neurol 64(5):411–417; discussion 417–418PubMed

Choi KY, Seo BR, Kim JH, Kim SH, Kim TS, Lee JK (2013) The usefulness of electromagnetic neuronavigation in the pediatric neuroendoscopic surgery. J Korean Neurosurg Soc 53(3):161–166PubMedPubMedCentral

Coburger J, Musahl C, Henkes H et al. (2013) Comparison of navigated transcranial magnetic stimulation and functional magnetic resonance imaging for preoperative mapping in rolandic tumor surgery. Neurosurg Rev 36(1):65–75; discussion 75–66PubMed

Coelho G, Kondageski C, Vaz-Guimaraes Filho F et al. (2011) Frameless image-guided neuroendoscopy training in real simulators. Minim Invasive Neurosurg 54(3):115–118PubMed

Dasenbrock HH, Clarke MJ, Bydon A et al. (2012) Endoscopic image-guided transcervical odontoidectomy: outcomes of 15 patients with basilar invagination. Neurosurgery 70(2):351–359; discussion 359–360PubMed

Di Rocco F, Oi S, Samii A et al. (2007) Neuronavigational endoscopic endonasal sellar and parasellar surgery using a 2-mm-diameter lens rigid-rod endoscope: a cadaver study. Neurosurgery 60(4 Suppl 2):394–400; discussion 400PubMed

Di X (2007) Multiple brain tumor nodule resections under direct visualization of a neuronavigated endoscope. Minim Invasive Neurosurg 50(4):227–232PubMed

Enchev YP, Popov RV, Romansky KV, Marinov MB, Bussarsky VA (2008) Neuronavigated surgery of intracranial cavernomas – enthusiasm for high technologies or a gold standard? Folia Medica 50(2):11–17PubMed

Ersahin M, Karaaslan N, Gurbuz MS et al. (2011) The safety and diagnostic value of frame-based and CT-guided stereotactic brain biopsy technique. Turk Neurosurg 21(4):582–590PubMed

Esposito V, Paolini S, Morace R et al. (2008) Intraoperative localization of subcortical brain lesions. Acta Neurochir 150(6):537–542; discussion 543PubMed

Fei Z, Zhang X, Jiang XF, Liu WP, Wang XL, Xie L (2007) Removal of large benign cephalonasal tumours by transbasal surgery combined with endonasal endoscopic sinus surgery and neuronavigation. J Craniomaxillofac Surg 35(1):30–34PubMed

Floeth FW, Pauleit D, Wittsack HJ et al. (2005) Multimodal metabolic imaging of cerebral gliomas: positron emission tomography with [18F]fluoroethyl-L-tyrosine and magnetic resonance spectroscopy. J Neurosurg 102(2):318–327PubMed

Franz MO, Mallot HA (2000) Biometric robot navigation. Robotics and Autonomous Systems 30:133–153

Fronda C, Miller D, Kappus C, Bertalanffy H, Sure U (2008) The benefit of image guidance for the contralateral interhemispheric approach to the lateral ventricle. Clin Neurol Neurosurg 110(6):580–586PubMed

Giese H, Hoffmann KT, Winkelmann A, Stockhammer F, Jallo GI, Thomale UW (2010) Precision of navigated stereotactic probe implantation into the brainstem. J Neurosurg Pediatr 5(4):350–359PubMed

Gralla J, Nimsky C, Buchfelder M, Fahlbusch R, Ganslandt O (2003a) Frameless stereotactic brain biopsy procedures using the Stealth Station: indications, accuracy and results. Zentralbl Neurochir 64(4):166–170PubMed

Gralla J, Ganslandt O, Kober H, Buchfelder M, Fahlbusch R, Nimsky C (2003b) Image-guided removal of supratentorial cavernomas in critical brain areas: application of neuronavigation and intraoperative magnetic resonance imaging. Minim Invasive Neurosurg 46(2):72–77PubMed

Gupta N, Berger MS (2003) Brain mapping for hemispheric tumors in children. Pediatr Neurosurg 38(6):302–306PubMed

Hayhurst C, Beems T, Jenkinson MD et al. (2010) Effect of electromagnetic-navigated shunt placement on failure rates: a prospective multicenter study. J Neurosurg 113(6):1273–1278PubMed

Hermann EJ, Capelle HH, Tschan CA, Krauss JK (2012). Electromagnetic-guided neuronavigation for safe placement of intraventricular catheters in Pediatr Neurosurg. J Neurosurg Pediatr 10(4):327–333PubMed

Heussinger N, Eyupoglu IY, Ganslandt O, Finzel S, Trollmann R, Jungert J (2013) Ultrasound-guided neuronavigation improves safety of ventricular catheter insertion in preterm infants. Brain Dev 35(10):905–911PubMed

Hott JS, Papadopoulos SM, Theodore N, Dickman CA, Sonntag VK (2004a) Intraoperative Iso-C C-arm navigation in cervical spinal surgery: review of the first 52 cases. Spine 29(24):2856–2860PubMed

Hott JS, Deshmukh VR, Klopfenstein JD et al. (2004b) Intraoperative Iso-C C-arm navigation in craniospinal surgery: the first 60 cases. Neurosurgery 54(5):1131–1136; discussion 1136–1137PubMed

Ibrahim AA, Magdy EA, Eid M (2012) Endoscopic endonasal multilayer repair of traumatic ethmoidal roof cerebrospinal fluid rhinorrhea in children. Int J Pediatr Otorhinolaryngol 76(4):523–529PubMed

Jagannathan J, Prevedello DM, Ayer VS, Dumont AS, Jane JA, Jr., Laws ER (2006) Computer-assisted frameless stereotaxy in transsphenoidal surgery at a single institution: review of 176 cases. Neurosurg Focus 20(2):E9PubMed

Jea A, Vachhrajani S, Johnson KK, Rutka JT (2008) Corpus callosotomy in children with intractable epilepsy using frameless stereotactic neuronavigation: 12-year experience at the Hospital for Sick Children in Toronto. Neurosurg Focus 25(3):E7PubMed

Jo KW, Shin HJ, Nam DH et al. (2011a) Efficacy of endoport-guided endoscopic resection for deep-seated brain lesions. Neurosurg Rev 34(4):457–463PubMed

Jo KI, Chung SB, Jo KW, Kong DS, Seol HJ, Shin HJ (2011b) Microsurgical resection of deep-seated lesions using transparent tubular retractor: pediatric case series. Childs Nerv Syst 27(11):1989–1994PubMed

Kanno H, Ozawa Y, Sakata K et al. (2005) Intraoperative power Doppler ultrasonography with a contrast-enhancing agent for intracranial tumors. J Neurosurg 102(2):295–301PubMed

Kaya S, Deniz S, Duz B, Daneyemez M, Gonul E (2012) Use of an ultra-low field intraoperative MRI system for pediatric brain tumor cases: initial experience with 'PoleStar N20'. Turk Neurosurg 22(2):218–225PubMed

Kinoshita M, Yamada K, Hashimoto N et al. (2005) Fiber-tracking does not accurately estimate size of fiber bundle in pathological condition: initial neurosurgical experience using neuronavigation and subcortical white matter stimulation. NeuroImage 25(2):424–429PubMed

Kosnik-Infinger L, Glazier SS, Frankel BM (2013) Occipital condyle to cervical spine fixation in the pediatric population. J Neurosurg Pediatr 13(1):45–53PubMed

Kral F, Puschban EJ, Riechelmann H, Freysinger W (2013) Comparison of optical and electromagnetic tracking for navigated lateral skull base surgery. Int J Med Robot 9(2):247–252PubMed

Kremer P, Tronnier V, Steiner HH et al. (2006) Intraoperative MRI for interventional neurosurgical procedures and tumor resection control in children. Childs Nerv Syst 22(7):674–678PubMed

Levitt MR, O'Neill BR, Ishak GE et al. (2012) Image-guided cerebrospinal fluid shunting in children: catheter accuracy and shunt survival. J Neurosurg Pediatr 10(2):112–117PubMed

Levy R, Cox RG, Hader WJ, Myles T, Sutherland GR, Hamilton MG (2009) Application of intraoperative high-field magnetic resonance imaging in Pediatr Neurosurg. J Neurosurg Pediatr 4(5):467–474PubMed

Lobao CA, Nogueira J, Souto AA, Oliveira JA (2009) Cerebral biopsy: comparison between frame-based stereotaxy and neuronavigation in an oncology center. Arq Neuropsiquiatr 67(3B):876–881PubMed

Lunsford LD, Khan AA, Niranjan A, Kano H, Flickinger JC, Kondziolka D (2010) Stereotactic radiosurgery for symptomatic solitary cerebral cavernous malformations considered high risk for resection. J Neurosurg 113(1):23–29PubMed

McGirt MJ, Woodworth GF, Coon AL et al. (2005) Independent predictors of morbidity after image-guided stereotactic brain biopsy: a risk assessment of 270 cases. J Neurosurg 102(5):897–901PubMed

Messing-Junger AM, Floeth FW, Pauleit D et al. (2002) Multimodal target point assessment for stereotactic biopsy in children with diffuse bithalamic astrocytomas. Childs Nerv Syst 18(8):445–449PubMed

Modi HN, Suh SW, Fernandez H, Yang JH, Song HR (2008) Accuracy and safety of pedicle screw placement in neuromuscular scoliosis with free-hand technique. Eur Spine J 17(12):1686–1696PubMedPubMedCentral

Modi H, Suh SW, Song HR, Yang JH (2009) Accuracy of thoracic pedicle screw placement in scoliosis using the ideal pedicle entry point during the freehand technique. Int Orthop 33(2):469–475PubMed

Ng YT, Rekate HL, Prenger EC et al. (2008) Endoscopic resection of hypothalamic hamartomas for refractory symptomatic epilepsy. Neurology 70(17):1543–1548PubMed

Ng WH, Mukhida K, Rutka JT (2010) Image guidance and neuromonitoring in neurosurgery. Childs Nerv Syst 26(4):491–502PubMed

Nimsky C, Buchfelder M (2003) Neuronavigation in epilepsy surgery. Arq Neuropsiquiatr 61 Suppl 1:109–114PubMed

Nimsky C, Ganslandt O, Gralla J, Buchfelder M, Fahlbusch R (2003) Intraoperative low-field magnetic resonance imaging in Pediatr Neurosurg. Pediatr Neurosurg 38(2):83–89PubMed

Ochi A, Otsubo H (2008) Magnetoencephalography-guided epilepsy surgery for children with intractable focal epilepsy: SickKids experience. Int J Psychophysiol 68(2):104–110PubMed

Oertel J, Gaab MR, Runge U, Schroeder HW, Wagner W, Piek J (2004) Neuronavigation and complication rate in epilepsy surgery. Neurosurg Rev 27(3):214–217PubMed

Owen CM, Linskey ME (2009) Frame-based stereotaxy in a frameless era: current capabilities, relative role, and the positive- and negative predictive values of blood through the needle. J Neurooncol 93(1):139–149PubMed

Park YS, Lee YH, Shim KW et al. (2009) Insular epilepsy surgery under neuronavigation guidance using depth electrode. Childs Nerv Syst 25(5):591–597PubMed

Pirotte B, Goldman S, Van Bogaert P et al. (2005) Integration of [11C]methionine-positron emission tomographic and magnetic resonance imaging for image-guided surgical resection of infiltrative low-grade brain tumors in children. Neurosurgery 57(1 Suppl):128–139; discussion 128–139PubMed

Pirotte B, Lubansu A, Massager N et al. (2010) Clinical impact of integrating positron emission tomography during surgery in 85 children with brain tumors. J Neurosurg Pediatr 5(5):486–499PubMed

Polkey CE (2003) Resective surgery for hypothalamic hamartoma. Epileptic Disord 5(4):281–286PubMed

Polkey CE (2004) Clinical outcome of epilepsy surgery. Curr Opin Neurol 17(2):173–178PubMed

Qiao L, Xue T, Zha DJ et al. (2011) Determining leak locations during transnasal endoscopic repair of cerebrospinal fluid rhinorrhea. Auris Nasus Larynx 38(3):335–339PubMed

Qiu TM, Zhang Y, Wu JS et al. (2010) Virtual reality presurgical planning for cerebral gliomas adjacent to motor pathways in an integrated 3-D stereoscopic visualization of structural MRI and DTI tractography. Acta Neurochir 152(11):1847–1857PubMed

Reavey-Cantwell JF, Bova FJ, Pincus DW (2006) Frameless, pinless stereotactic neurosurgery in children. J Neurosurg 104(6 Suppl):392–395PubMed

Recinos PF, Raza SM, Jallo GI, Recinos VR (2011) Use of a minimally invasive tubular retraction system for deep-seated tumors in pediatric patients. J Neurosurg Pediatr 7(5):516–521PubMed

Reig AS, Stevenson CB, Tulipan NB (2010) CT-based, fiducial-free frameless stereotaxy for difficult ventriculoperitoneal shunt insertion: experience in 26 consecutive patients. Stereotact Funct Neurosurg 88(2):75–80PubMed

Ren H, Chen X, Sun G et al. (2013) Resection of subependymal giant cell astrocytoma guided by intraoperative magnetic resonance imaging and neuronavigation. Childs Nerv Syst 29(7):1113–1121PubMed

Rohde V, Behm T, Ludwig H, Wachter D (2012) The role of neuronavigation in intracranial endoscopic procedures. Neurosurg Rev 35(3):351–358PubMed

Rohde V, Spangenberg P, Mayfrank L, Reinges M, Gilsbach JM, Coenen VA (2005) Advanced neuronavigation in skull base tumors and vascular lesions. Minim Invasive Neurosurg 48(1):13–18PubMed

Roth J, Biyani N, Beni-Adani L, Constantini S (2007) Real-time neuronavigation with high-quality 3D ultrasound SonoWand in Pediatr Neurosurg. Pediatr Neurosurg 43(3):185–191PubMed

Sadda P, Azimi E, Jallo G, Doswell J, Kazanzides P (2013) Surgical navigation with a head-mounted tracking system and display. Stud Health Technol Inform 184:363–369PubMed

Samdani A, Jallo GI (2007) Intraoperative MRI: technology, systems, and application to pediatric brain tumors. Surg Technol Int 16:236–243PubMed

Schicho K, Figl M, Seemann R et al. (2007) Comparison of laser surface scanning and fiducial marker-based registration in frameless stereotaxy. Technical note. J Neurosurg 106(4):704–709PubMed

Schlaier J, Warnat J, Brawanski A (2002) Registration accuracy and practicability of laser-directed surface matching. Comput Aided Surg 7(5):284–290PubMed

Schulz M, Bohner G, Knaus H, Haberl H, Thomale UW (2010) Navigated endoscopic surgery for multiloculated hydrocephalus in children. J Neurosurg Pediatr 5(5):434–442PubMed

Shirane R, Kumabe T, Yoshida Y et al. (2001) Surgical treatment of posterior fossa tumors via the occipital transtentorial approach: evaluation of operative safety and results in 14 patients with anterosuperior cerebellar tumors. J Neurosurg 94(6):927–935PubMed

Spalice A, Ruggieri M, Grosso S et al. (2010) Dysembryoplastic neuroepithelial tumors: a prospective clinicopathologic and outcome study of 13 children. Pediatric neurology 43(6):395–402PubMed

Stefan H, Nimsky C, Scheler G et al. (2007) Periventricular nodular heterotopia: A challenge for epilepsy surgery. Seizure 16(1):81–86PubMed

Stieglitz LH, Giordano M, Samii M, Luedemann WO (2010) A new tool for frameless stereotactic placement of ventricular catheters. Neurosurgery 67(3 Suppl Operative):ons131–135; discussion ons135

Stone SS, Rutka JT (2008) Utility of neuronavigation and neuromonitoring in epilepsy surgery. Neurosurg Focus 25(3):E17PubMed

Surbeck W, Bouthillier A, Weil AG et al. (2011) The combination of subdural and depth electrodes for intracranial EEG investigation of suspected insular (perisylvian) epilepsy. Epilepsia 52(3):458–466PubMed

Thomale UW, Knitter T, Schaumann A et al. (2013) Smartphone-assisted guide for the placement of ventricular catheters. Childs Nerv Syst 29(1):131–139PubMed

Thompson EM, Anderson GJ, Roberts CM, Hunt MA, Selden NR (2011) Skull-fixated fiducial markers improve accuracy in staged frameless stereotactic epilepsy surgery in children. J Neurosurg Pediatr 7(1):116–119PubMed

Tirakotai W, Riegel T, Sure U, Bozinov O, Hellwig D, Bertalanffy H (2004) Clinical application of neuro-navigation in a series of single burr-hole procedures. Zentralbl Neurochir 65(2):57–64PubMed

Tovar-Spinoza ZS, Ochi A, Rutka JT, Go C, Otsubo H (2008) The role of magnetoencephalography in epilepsy surgery. Neurosurg Focus 25(3):E16PubMed

Tsioulos K, Del Pero MM, Philpott C (2013) Pneumatisation of turbinates and paranasal sinuses in children: case report. J Laryngol Otol 127(4):419–422PubMed

Tuominen J, Yrjana SK, Katisko JP, Heikkila J, Koivukangas J (2003) Intraoperative imaging in a comprehensive neuronavigation environment for minimally invasive brain tumour surgery. Acta Neurochir. Supplement 85:115–120

Turner MS, Nguyen HS, Payner TD, Cohen-Gadol AA (2011) A novel method for stereotactic, endoscope-assisted transtentorial placement of a shunt catheter into symptomatic posterior fossa cysts. J Neurosurg Pediatr 8(1):15–21PubMed

Ulrich NH, Burkhardt JK, Serra C, Bernays RL, Bozinov O (2012) Resection of pediatric intracerebral tumors with the aid of intraoperative real-time 3-D ultrasound. Childs Nerv Syst 28(1):101–109PubMed

Van Gompel JJ, Meyer FB, Marsh WR, Lee KH, Worrell GA (2010) Stereotactic electroencephalography with temporal grid and mesial temporal depth electrode coverage: does technique of depth electrode placement affect outcome? J Neurosurg 113(1):32–38PubMedPubMedCentral

van Lindert EJ, Ingels K, Mylanus E, Grotenhuis JA (2010) Variations of endonasal anatomy: relevance for the endoscopic endonasal transsphenoidal approach. Acta Neurochir 152(6):1015–1020PubMed

M, Della Pepa GM, Doglietto F, Esposito G, La Rocca G, Massimi L (2011a) Video-assisted microsurgical transoral approach to the craniovertebral junction: personal experience in childhood. Childs Nerv Syst 27(5):825–831PubMed

M, Doglietto F, Della Pepa GM et al. (2011b) Endoscope-assisted microsurgical transoral approach to the anterior craniovertebral junction compressive pathologies. Eur Spine J 20(9):1518–1525PubMedPubMedCentral

Vitaz TW, Hushek S, Shields CB, Moriarty T (2003) Intraoperative MRI for pediatric tumor management. Acta Neurochir. Supplement 85:73–78

von Lehe M, Wellmer J, Urbach H, Schramm J, Elger CE, Clusmann H (2009) Epilepsy surgery for insular lesions. Rev Neurol 165(10):755–761

Wagner W, Gaab MR, Schroeder HW, Sehl U, Tschiltschke W (1999) Experiences with cranial neuronavigation in Pediatr Neurosurg. Pediatr Neurosurg 31(5):231–236PubMed

Winkler D, Trantakis C, Lindner D, Richter A, Schober J, Meixensberger J (2003) Improving planning procedure in brain biopsy: coupling frame-based stereotaxy with navigational device STP 4.0. Minim Invasive Neurosurg 46(1):37–40PubMed

Winkler D, Lindner D, Richter A, Meixensberger J, Schober J (2006a) The value of intraoperative smear examination of stereotaxic brain specimens. Minim Invasive Neurosurg 49(6):353–356PubMed

Winkler D, Lindner D, Strauss G, Richter A, Schober R, Meixensberger J (2006b) Surgery of cavernous malformations with and without navigational support – a comparative study. Minim Invasive Neurosurg 49(1):15–19PubMed

Woodworth GF, McGirt MJ, Elfert P, Sciubba DM, Rigamonti D (2005) Frameless stereotactic ventricular shunt placement for idiopathic intracranial hypertension. Stereotact Funct Neurosurg 83(1):12–16PubMed

Woodworth GF, McGirt MJ, Samdani A, Garonzik I, Olivi A, Weingart JD (2006) Frameless image-guided stereotactic brain biopsy procedure: diagnostic yield, surgical morbidity, and comparison with the frame-based technique. J Neurosurg 104(2):233–237PubMed

Wray CD, Kraemer DL, Yang T et al. (2011) Freehand placement of depth electrodes using electromagnetic frameless stereotactic guidance. J Neurosurg Pediatr 8(5):464–467PubMed

Wurm G, Fellner FA (2004) Implementation of T2*-weighted MR for multimodal image guidance in cerebral cavernomas. NeuroImage 22(2):841–846PubMed

Yousaf J, Avula S, Abernethy LJ, Mallucci CL (2012) Importance of intraoperative magnetic resonance imaging for pediatric brain tumor surgery. Surg Neurol Int 3(Suppl 2):S65–72

Zhu FP, Wu JS, Song YY et al. (2012) Clinical application of motor pathway mapping using diffusion tensor imaging tractography and intraoperative direct subcortical stimulation in cerebral glioma surgery: a prospective cohort study. Neurosurgery 71(6):1170–1183; discussion 1183–1174PubMed

Titel: Neuronavigation Neuronavigation im Kindesalter
verfasst von: U.-W. Thomale
Verlag: Springer Berlin Heidelberg
Buch: Pädiatrische Neurochirurgie
Print ISBN: 978-3-662-48699-3

Electronic ISBN: 978-3-662-48700-6

Copyright-Jahr: 2018
DOI: https://doi.org/10.1007/978-3-662-48700-6_6

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6. Neuronavigation im Kindesalter

Zusammenfassung

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S2e-Leitlinie „Distale Radiusfraktur“

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Zusammenfassung

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