Robot-Assisted Stereoelectroencephalography: 2-Dimensional Operative Video.

Area of Science:

• Neurosurgery
• Medical Technology
• Epilepsy Research

Background:

• Invasive neuromonitoring is crucial for epilepsy surgery, guiding seizure onset zone localization.
• Stereoelectroencephalography (SEEG) electrode placement is increasingly favored over subdural grids in the US.
• Robotic assistance is emerging as a tool to improve SEEG procedures.

Purpose of the Study:

• To present a case-based, surgeon's perspective on using robotic assistance for SEEG electrode placement.
• To highlight the benefits and potential applications of robotic assistance in neurosurgery.
• To inform surgeons considering the adoption of robotic technology for epilepsy surgery.

Main Methods:

• A case-based operative video demonstrating robotic-assisted SEEG electrode placement.
• Discussion of the advantages of robotic systems, including planning software and robotic arm precision.
• Consideration of implementation barriers such as cost and learning curve.

Main Results:

• Robotic assistance demonstrated improved operative times and accuracy in SEEG electrode placement.
• Embedded planning software and robotic arm efficiency contribute to successful outcomes.
• The technology offers potential benefits beyond SEEG, such as in pedicle screw placement.

Conclusions:

• Robotic assistance is a valuable tool for enhancing SEEG electrode placement in epilepsy surgery.
• Surgeons considering robotic adoption can benefit from this practical, case-based insight.
• Innovators may find inspiration for new applications of robotic technology in medicine.