World Neurosurg
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Case Reports
Validation of high precision robot-assisted methods for intracranial applications: Preliminary study.
This work attempts to simulate a robot-based autonomous targeted neurosurgical procedure such as biopsy on a vegetable specimen. The objective of the work is to validate the robot-based autonomous neuroregistration and neuronavigation for neurosurgery in terms of stereotactic navigation and target accuracy. ⋯ The results of the case studies show enhanced and consistent performance characteristics in terms of accuracy, precision, and repeatability with the added advantage of the economy of time. The case studies serve as validation for a high precision robot-assisted neuroregistration and neuronavigation task for neurosurgery and pave the way for further animal and human trials.
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This case Video 1 demonstrates a microsurgical technique for trapping and excision of 2 ruptured mycotic aneurysms. The patient was a 64-year-old man with severe mitral regurgitation and valvular vegetations suggestive of endocarditis. On examination, the patient presented with speech difficulty. ⋯ Postoperatively, the patient remained symmetric in his motor strength and had improved speech deficits, indicative of an uneventful recovery. The patient was cleared for full anticoagulation and valve replacement on postoperative day 10. The patient underwent intravenous antibiotic therapy with ceftriaxone before undergoing mitral valve replacement by cardiac surgery.