Article

Stereoscopic virtual reality simulation for microsurgical excision of cerebral arteriovenous malformation: case illustrations.

Division of Neurosurgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
Surgical Neurology (impact factor: 1.67). 08/2009; 72(1):69-72; discussion 72-3. DOI:10.1016/j.surneu.2008.01.049 pp.69-72; discussion 72-3
Source: PubMed

ABSTRACT Use of virtual reality planning and rehearsal for planning and training of cerebral aneurysm clipping was recently reported. We aimed to illustrate its applications in preoperative planning and training for cerebral AVM excision.
We illustrated the application of preoperative rehearsal for excision of cerebral AVM for 2 patients in a stereoscopic virtual reality environment. One patient was a 44-year-old lady with a right posterior temporal AVM, and 1 patient was a 23-year-old lady with a left frontal AVM. Through Dextroscope, an anatomical understanding of arterial feeders, nidus, and draining veins in relationship to surrounding cerebral cortex was obtained. It allowed one to see the exposure with the different angles of visualization, similar to what happened under the operative microscope.
Dextroscopic virtual reality stimulation provided an illustrated preoperative planning and training for excision of cerebral AVM.

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Keywords

1 patient
 
2 patients
 
23-year-old lady
 
44-year-old lady
 
anatomical understanding
 
cerebral aneurysm clipping
 
cerebral AVM
 
cerebral AVM excision
 
cerebral cortex
 
Dextroscopic virtual reality stimulation
 
different angles
 
draining veins
 
illustrated preoperative planning
 
left frontal AVM
 
operative microscope
 
posterior temporal AVM
 
preoperative planning
 
stereoscopic virtual reality environment
 
virtual reality planning
 
visualization