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Robotic Stereotactic Help (ROSA) Utilization for Minimally Invasive Placement of Intraparenchymal Hematoma and Intraventricular Catheters.

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Robotic Stereotactic Help (ROSA) Utilization for Minimally Invasive Placement of Intraparenchymal Hematoma and Intraventricular Catheters.

World Neurosurg. 2017 Dec;108:996.e7-996.e10

Authors: Alan N, Lee P, Ozpinar A, Gross BA, Jankowitz BT

Summary
BACKGROUND: In sufferers with supratentorial spontaneous intracerebral hemorrhage, intrahematomal catheter placement might permit for intraclot thrombolysis and drainage. Robotic help could also be used for the stereotactic placement of catheters.
CASE DESCRIPTION: A 76-year-old male offered with altered psychological standing and left-sided weak point. Noncontrast computed tomography of the pinnacle confirmed a proper ganglionic intraparenchymal hemorrhage with resultant entrapment of the temporal horn. Utilizing Robotic Stereotactic Help, intrahematomal and intraventricular catheters have been positioned. The temporal horn was instantly decompressed, and the hematoma nearly utterly resolved with scheduled administration of intrathecal alteplase within the ensuing 48 hours postoperatively.
CONCLUSION: Frameless image-guided placement of intraparenchymal hematoma catheter utilizing Robotic Stereotactic Help is secure and environment friendly.

PMID: 28919568 [PubMed – indexed for MEDLINE]

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