Journal
WORLD NEUROSURGERY
Volume 181, Issue -, Pages 60-63Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.wneu.2023.10.050
Keywords
Biopsy; Headband cast; Pediatric patient; Simulation; Stereotaxy surgery
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We present a low-cost and easily accessible adaptation system for stereotactic procedures in infants. By using a headband cast technique, a stereotactic biopsy was successfully performed in a 5-month-old patient, achieving precise targeting, histopathological diagnosis, and no associated complications.
OBJECTIVE: We present a low-cost and easily accessible adaptation system to perform stereotactic procedures in infants. -METHODS: We used an adaptive device consisting of a headband with a plaster bandage, cotton bandage roll, and gauze bandages. Prior to its clinical application, the device was tested in our neuroscience laboratory using a simulation model of a size similar to that of a 5-month-old infant, during which no complications arose. The headband cast technique was subsequently reproduced in a 5-month-old patient, serving as a fixation point for the placement of a Micromar frame for biopsy of a thalamic lesion.RESULTS: A stereotactic biopsy was successfully performed in a 5-month-old patient using a headband cast to secure the stereotactic frame. This method enabled precise targeting of the selected site, resulting in a histopathological diagnosis without any associated complications.CONCLUSIONS: The adaptive device is safe, easily accessible, and reproducible, facilitating the performance of stereotactic diagnostic procedures in infants, accurately reaching the planned objective without causing injuries or additional complications.
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