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White T, Chakraborty S, Lall R, et al. Frameless Stereotactic Insertion of Viewsite Brain Access System with Microscope-Mounted Tracking Device for Resection of Deep Brain Lesions: Technical Report. Cureus. 2017;9(2):e1012doi: 10.7759/cureus.1012.
White, T., Chakraborty, S., Lall, R., Fanous, A. A., Boockvar, J., & Langer, D. J. (2017). Frameless Stereotactic Insertion of Viewsite Brain Access System with Microscope-Mounted Tracking Device for Resection of Deep Brain Lesions: Technical Report. Cureus, 9(2), e1012. https://doi.org/10.7759/cureus.1012
White, Tim, et al. "Frameless Stereotactic Insertion of Viewsite Brain Access System with Microscope-Mounted Tracking Device for Resection of Deep Brain Lesions: Technical Report." Cureus vol. 9,2 (2017): e1012. doi: https://doi.org/10.7759/cureus.1012
White T, Chakraborty S, Lall R, Fanous AA, Boockvar J, Langer DJ. Frameless Stereotactic Insertion of Viewsite Brain Access System with Microscope-Mounted Tracking Device for Resection of Deep Brain Lesions: Technical Report. Cureus. 2017 Feb 04;9(2):e1012. doi: 10.7759/cureus.1012. PMID: 28331774; PMCID: PMC5338990.
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Cureus. 2017 Feb 04;9(2):e1012. doi: 10.7759/cureus.1012.

Frameless Stereotactic Insertion of Viewsite Brain Access System with Microscope-Mounted Tracking Device for Resection of Deep Brain Lesions: Technical Report.

Cureus

Tim White, Shamik Chakraborty, Rohan Lall, Andrew A Fanous, John Boockvar, David J Langer

Affiliations

  1. Department of Neurosurgery, Hofstra Northwell School of Medicine.
  2. Brain Tumor Center, Department of Neurosurgery, Hofstra Northwell School of Medicine.
  3. Brian Tumor Center, Department of Neurosurgery, Hofstra Northwell School of Medicine.
  4. Neurosurgery, State University of New York at Buffalo.

PMID: 28331774 PMCID: PMC5338990 DOI: 10.7759/cureus.1012

Abstract

The surgical management of deep brain tumors is often challenging due to the limitations of stereotactic needle biopsies and the morbidity associated with transcortical approaches. We present a novel microscopic navigational technique utilizing the Viewsite Brain Access System (VBAS) (Vycor Medical, Boca Raton, FL, USA) for resection of a deep parietal periventricular high-grade glioma as well as another glioma and a cavernoma with no related morbidity. The approach utilized a navigational tracker mounted on a microscope, which was set to the desired trajectory and depth. It allowed gentle continuous insertion of the VBAS directly to a deep lesion under continuous microscopic visualization, increasing safety by obviating the need to look up from the microscope and thus avoiding loss of trajectory. This technique has broad value for the resection of a variety of deep brain lesions.

Keywords: deep brain lesions; stereotactic neurosurgery; viewsite brain access system

Conflict of interest statement

The authors have declared that no competing interests exist.

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