Neurosurgery
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Case Reports Clinical Trial
Mono-stereo-autostereo: the evolution of 3-dimensional neurosurgical planning.
In the past decade, surgery planning has changed significantly. The main reason is the improvements in computer graphical rendering power and display technology, which turned the plain graphics of the mid-1990s into interactive stereoscopic objects. ⋯ Improvement of display and interaction techniques adds to the realism of the planning process and enables precise structural understanding preoperatively. This minimizes intraoperative guesswork and exploratory dissection. Autostereoscopic display techniques will further increase the value and acceptance of 3-dimensional planning and intraoperative navigation.
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Randomized Controlled Trial
Point-of-Care Programming for Neuromodulation: A Feasibility Study Using Remote Presence.
The expansion of neuromodulation and its indications has resulted in hundreds of thousands of patients with implanted devices worldwide. Because all patients require programming, this growth has created a heavy burden on neuromodulation centers and patients. Remote point-of-care programming may provide patients with real-time access to neuromodulation expertise in their communities. ⋯ This study establishes the proof-of-principle that remote programming of neuromodulation devices using telepresence and expert telementoring of an individual with no previous experience to accurately program a device is feasible. We envision a time in the future when patients with implanted devices will have real-time access to neuromodulation expertise from the comfort of their own home.
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Meta Analysis
Spinal glomus (type II) arteriovenous malformations: a pooled analysis of hemorrhage risk and results of intervention.
The natural history and treatment results for spinal glomus (type II) arteriovenous malformations (AVMs) remain relatively obscure. ⋯ Spinal glomus (type II) AVMs with previous hemorrhage, particularly within 10 years, demonstrated a greater risk of hemorrhage. Complete obliteration and even partial endovascular treatment significantly decreased their hemorrhage rate.
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Continuous precise motions are required in microneurosurgery to provide high-quality surgical results. Stabilizing the surgeon's arm and reducing fatigue during surgery are expected to improve the precision of microsurgical procedures. We have developed an intelligent armrest, EXPERT, that follows the surgeon's hand and fixes at an adequate position automatically using robotics technology. ⋯ EXPERT is a useful tool for holding the surgeon's arm comfortably and following the surgeon's arm automatically.