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Techniques for the Application of Stereotactic Head Frames Based on a 25-Year Experience
Michael Safaee1, John Burke1, Michael W McDermott1
1Department of Neurological Surgery, University of California, San Francisco.
Cureus
|May 10, 2016
Summary
Skull-fixed stereotactic head frames are crucial in neurosurgery. This 25-year experienced method ensures patient comfort and safety during procedures like biopsies and deep brain stimulator implantation.
Area of Science:
- Neurosurgery
- Medical Devices
Background:
- Skull-fixed stereotactic head frames are essential in neurosurgical practice.
- Established methods for positioning, anesthesia, and fixation exist but require refinement.
Purpose of the Study:
- To detail a refined, 25-year experienced stereotactic head frame application technique.
- To provide an instructional guide for neurosurgeons using stereotactic frames.
Main Methods:
- Documented a step-by-step application process with photographs and video.
- Employed supplemental devices and modifications for improved application.
- Collected data on patient outcomes and complications over 1,000 cases.
Main Results:
- The described method, refined over 25 years and 1,000+ cases, is well-tolerated by patients.
- Reported a low complication rate: 0.075% pin site infections and 0.025% thermal injury.
- No shunt perforations or cranial vault penetrations occurred.
Conclusions:
- Stereotactic head frame application is a vital neurosurgical procedure.
- This refined technique enhances patient tolerance and safety.
- The instructional article serves as a valuable resource for stereotactic procedures.
