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Robot-assisted stereotactic multiple brain abscesses' puncture: technical case report
Gaston Tabourel1, Paul Le Turnier2, Kevin Buffenoir3
1Neurosurgery Department, Nantes University Hospital, Nantes, France. gaston.tabourel@neurochirurgie.fr.
Abstract:
We report a case of multiple brain abscesses' puncture, employing the ROSA™ Brain surgical robot (Zimmer Biomet) and the O-arm® O2 Imaging System (Medtronic). A 51-year-old man was diagnosed with multiple supratentorial ring enhancing cystic lesions consistent with brain abscesses. A neurological deterioration occurred despite broad spectrum antibiotic therapy, due to mass effect of the abscesses. Stereotactic aspiration was performed using the described technique, allowing a single stage puncture of the cerebral lesions. In this case, the robot-assisted and image-guided procedure permitted an accurate, quick, and efficient targeting of the multiple abscesses for drainage.
Insights
Robot-assisted surgery accurately drained multiple brain abscesses in a patient with neurological deterioration. This minimally invasive technique offers a precise approach for complex intracranial infections.
Area of Science:
- Neurosurgery
- Medical Robotics
- Image-Guided Therapy
Background:
- Multiple supratentorial ring-enhancing cystic lesions were diagnosed as brain abscesses.
- The patient experienced neurological deterioration due to abscess mass effect despite antibiotic treatment.
Observation:
- A 51-year-old male patient presented with worsening neurological status.
- Conventional antibiotic therapy proved insufficient to manage the brain abscesses.
Findings:
- Stereotactic aspiration was performed using the ROSA™ Brain surgical robot and O-arm® O2 Imaging System.
- The robot-assisted, image-guided procedure enabled single-stage puncture and drainage of multiple cerebral lesions.
- The technique demonstrated accuracy, speed, and efficiency in targeting the abscesses.
Implications:
- Robot-assisted surgery can be a valuable tool for managing complex brain abscesses.
- Minimally invasive, image-guided techniques enhance precision in neurosurgical interventions.
- This approach may improve outcomes for patients with intracranial infections causing significant mass effect.
