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

Acta Neurochir (Wien). 2022 Mar;164(3):845-851. doi: 10.1007/s00701-021-04955-4. Epub 2021 Aug 19.

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.

Keywords: Brain abscess; Image-guided neurosurgery; Multiple abscesses; Robot-assisted surgery; Stereotactic surgery.

Publication types

  • Case Reports

MeSH terms

  • Brain Abscess* / diagnostic imaging
  • Brain Abscess* / surgery
  • Drainage / methods
  • Humans
  • Imaging, Three-Dimensional / adverse effects
  • Male
  • Middle Aged
  • Punctures / adverse effects
  • Robotics*
  • Stereotaxic Techniques / adverse effects
  • Surgery, Computer-Assisted* / adverse effects
  • Tomography, X-Ray Computed / adverse effects