Tuesday, June 21, 2016

NEURO SURGICAL Procedure 5 stereotactic surgery

Stereotactic Surgery
Objective
Accurate localization of white matter deep in brain, i.e. basal ganglia or brain stem for ablation using:
•   Electrocoagulation
•   Cryoprobe.
     The localization requires a stereotactic frame and contrast radiography.
Position
Sitting or prone.
Anesthesia
Local.
Procedure
1.  X-ray outline ventricle by injecting contrast.
2.  Stereotactic frame applied.
3.  Refer stereotactic atlas.
4.  Insert probe to required position.
5.  Lesion created in small increments.
6.  Stop when desired effect produced.
Instruments
•   As for Ventriculography
•   Micro hand drill, twist drills and drill guard 
•   Lead shot 
•   Cryoprobe or electrocoagulation unit 
•   Stereotactic frame (Leksell, Cooper, Guiot Gillingham, etc)

.Any questions be sent to drmmkapur@gmail.com
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