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Intraoperative neurosonography: application and technique.

J V Rogers, W P Shuman, J H Hirsch

    AJNR. American Journal of Neuroradiology
    |November 1, 1984
    PubMed
    Summary
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    Intraoperative neurosonography accurately locates brain pathologies like tumors and abscesses during surgery. Physician expertise with ultrasound equipment ensures precise and efficient surgical guidance.

    Area of Science:

    • Neurosurgery
    • Medical Imaging

    Background:

    • Intraoperative neurosonography is a valuable tool in neurosurgery.
    • Accurate localization of intracranial pathology is crucial for effective surgical intervention.

    Purpose of the Study:

    • To evaluate the utility of intraoperative neurosonography in localizing various intracranial pathologies.
    • To assess the role of sonographic guidance in specific neurosurgical procedures.

    Main Methods:

    • Contact transdural or transgyral scanning techniques were employed.
    • Intraoperative neurosonography was performed in 44 patients.
    • Sonographic guidance was utilized for decompression, aspiration, and biopsy.

    Main Results:

    • Localization of diverse pathologies including primary brain tumors (24), metastatic tumors (11), aneurysms (2), abscesses (2), arteriovenous malformation (1), thrombosed arteriovenous malformations (2), and plasmacytoma (1).

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  • Successful sonographic guidance for transdural decompression (3), abscess aspiration (2), and solid lesion biopsy (3).
  • Conclusions:

    • Intraoperative neurosonography provides accurate and expedient localization of intracranial pathology.
    • Physician-sonographer expertise is key to maximizing the effectiveness of intraoperative neurosonography.