| Computers, computer navigation and special intraoperative
equipment and monitors have allowed us to bring the 21st century into
the OR. No longer should neurosurgery be performed using only the surgeons
judgment as to determining routes through the brain, skull openings
etc. Dr. Duma has written book chapters on the use of "navigation" through
the brain intraoperatively and has been an instructor of this topic
at major national neurosurgical conferences for years.
Intraoperative motor strip mapping, aids in the safe removal
of brain tumors, minimizing complication risk.
The concept is as follows. If a patient undergoes an MRI
prior to surgery, that MRI may be used in the operating room literally to
guide the surgeon through the brain DURING the operation. Small markers,
or fiducials, are attached to the patients scalp prior to the MRI
with adhesive and these are picked up by the MRI. Once the patient
is positioned in the OR, these fiducials are registered into the
computer and the patient's brain is now part of the three-dimensional
space within the OR. Using a hand-held probe, or the actual operating
microscope itself, the surgeon can navigate through the brain to
reach the desired target with precision, efficiency and the utmost
of safety. At the conclusion of the procedure the adhesive markers
are removed and the patient is returned to the recovery room for
a faster recovery. The modern neurosurgical patient should insist
on this technology as being a part of his or her OR experience.
Brain Tumor Surgery | Cranial Surgery | Overview | Procedures | Results
For consultation appointments with Dr. Duma or
for more information regarding his brain tumor, GammaKnife radiosurgery,
and Parkinson's Disease programs at Hoag Memorial Presbyterian Hospital
in Newport Beach, California (Orange County), please contact:
949-642-6787
Or E-mail Dr. Duma directly: drduma@cduma.com
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