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Japanese

Clinical Application of Ultrasonography with a Burr-hole Transducer during Burr-hole Surgery Kentaro HAYASHI 1 , Gohei SO 1 , Shiro BABA 1 , Takayuki MATSUO 1 , Naoki KITAGAWA 1 , Kazuhiko SUYAMA 1 , Izumi NAGATA 1 1Department of Neurosurgery, Nagasaki University School of Medicine Keyword: ultrasonography , burr-hole surgery , ventricular puncture , subdural hematoma pp.879-883
Published Date 2008/10/10
DOI https://doi.org/10.11477/mf.1436100816
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 Ultrasound imaging has become a common method for evaluation of the central nervous system. In this report, we present our novel experience with ultrasonography monitoring conducted through a burr-hole for investigation of intracranial lesions. A portable ultrasound scanner and a small transducer with a straight, untapered head were used. After opening a standard burr-hole, the transducer was inserted through the burr-hole and the intracranial lesion was examined. Intraoperative ultrasonography provides immediate ongoing information about the anatomy and pathological lesions. Distance and trajectory to the best location for the catheter were determined and the catheter was inserted with ultrasound monitoring. The final position of the catheter placed accurately into the intended compartment of the ventricular system. No procedure related complication was noted and pitfalls were minimal. Furthermore, a postoperative CT scan was obtained in each case to confirm the appropriateness of the procedure with ultrasonography. In conclusion, intraoperative ultrasonography using a burr-hole transducer has proved useful in neurological surgery.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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