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- W2890772719 abstract "Objective: To evaluate the portable electromagnetic navigation system for epilepsy surgery Background: There are many different navigation systems available but most of them rely on the old optical tracking technology. These systems are space and time-consuming, can be bulky and has a constant problem with camera line of sight. Recent technological advances shifted image-guided surgery and navigation toward the usage of the electromagnetic-based navigation systems. They are very portable, extremely easy to use, fast and provide very accurate and steady guidance during the whole procedure. Design/Methods: In our pilot study we use the electromagnetic navigation system in 4 cases ( one adult male and three adult female patient with drug-resistant epilepsy). Three patients was diagnosed as focal cortical dysplasia (FCD) type 2 and one patient with type 1. In every case lesion was located near the eloquent brain area and macroscopically cannot be distinguished from the normal brain. During the surgery the commercially available electromagnetic navigation system (Fiagon, Fiagon GmbH, Germany) was used for craniotomy and resection control. Results: We did not have any intra or postoperative complications related to the navigation system usage. The navigation system is very portable and easy to use. In all cases we perform an immediate CT scan to rule out any surgical complications. Postoperative CT data was fused with preoperative MRI in the system software to estimate the resection volume. In all cases the lesion was completely resected and patient remained seizure-free during the 6 month catamnesis. Conclusions: We can conclude that an electromagnetic navigation system is useful for epilepsy surgery (especially if FCD is macroscopically indistinguishable from the normal brain) as it’s very fast, flexible and provide very accurate tracking of navigated tools and neuromonitoring probes based on preoperative MRI data. It does not elongate the surgery as the whole process (initial setup, registration) is less then 10 minutes. Disclosure: Dr. Shurkhay has nothing to disclose. Dr. Kopachev has nothing to disclose. Dr. Shkatova has nothing to disclose." @default.
- W2890772719 created "2018-09-27" @default.
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- W2890772719 date "2017-04-18" @default.
- W2890772719 modified "2023-09-27" @default.
- W2890772719 title "Application of the Portable Electromagnetic Navigation System in Epilepsy Surgery (P6.245)" @default.
- W2890772719 hasPublicationYear "2017" @default.
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