Robot-assisted stereotactic multiple brain abscesses' puncture: technical case report

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.