VarioGuide® frameless neuronavigation-guided stereoelectroencephalography in adult epilepsy patients: technique, accuracy and clinical experience Article Swipe
Barbara Ladisich
,
Lukas Machegger
,
Alexander Romagna
,
Herbert Krainz
,
Jürgen Steinbacher
,
Markus Leitinger
,
Gudrun Kalss
,
Niklas Thon
,
Eugen Trinka
,
Peter Winkler
,
Christoph Schwartz
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1007/s00701-021-04755-w
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1007/s00701-021-04755-w
Background Stereoelectroencephalography (SEEG) allows the identification of deep-seated seizure foci and determination of the epileptogenic zone (EZ) in drug-resistant epilepsy (DRE) patients. We evaluated the accuracy and treatment-associated morbidity of frameless VarioGuide® (VG) neuronavigation-guided depth electrode (DE) implantations. Methods We retrospectively identified all consecutive adult DRE patients, who underwent VG-neuronavigation DE implantations, between March 2013 and April 2019. Clinical data were extracted from the electronic patient charts. An interdisciplinary team agreed upon all treatment decisions. We performed trajectory planning with iPlan® Cranial software and DE implantations with the VG system. Each electrode’s accuracy was assessed at the entry (EP), the centre (CP) and the target point (TP). We conducted correlation analyses to identify factors associated with accuracy. Results The study population comprised 17 patients (10 women) with a median age of 32.0 years (range 21.0–54.0). In total, 220 DEs (median length 49.3 mm, range 25.1–93.8) were implanted in 21 SEEG procedures (range 3–16 DEs/surgery). Adequate signals for postoperative SEEG were detected for all but one implanted DEs (99.5%); in 15/17 (88.2%) patients, the EZ was identified and 8/17 (47.1%) eventually underwent focus resection. The mean deviations were 3.2 ± 2.4 mm for EP, 3.0 ± 2.2 mm for CP and 2.7 ± 2.0 mm for TP. One patient suffered from postoperative SEEG-associated morbidity (i.e. conservatively treated delayed bacterial meningitis). No mortality or new neurological deficits were recorded. Conclusions The accuracy of VG-SEEG proved sufficient to identify EZ in DRE patients and associated with a good risk-profile. It is a viable and safe alternative to frame-based or robotic systems.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00701-021-04755-w
- https://link.springer.com/content/pdf/10.1007/s00701-021-04755-w.pdf
- OA Status
- hybrid
- Cited By
- 8
- References
- 69
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3127450137
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3127450137Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00701-021-04755-wDigital Object Identifier
- Title
-
VarioGuide® frameless neuronavigation-guided stereoelectroencephalography in adult epilepsy patients: technique, accuracy and clinical experienceWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-02-13Full publication date if available
- Authors
-
Barbara Ladisich, Lukas Machegger, Alexander Romagna, Herbert Krainz, Jürgen Steinbacher, Markus Leitinger, Gudrun Kalss, Niklas Thon, Eugen Trinka, Peter Winkler, Christoph SchwartzList of authors in order
- Landing page
-
https://doi.org/10.1007/s00701-021-04755-wPublisher landing page
- PDF URL
-
https://link.springer.com/content/pdf/10.1007/s00701-021-04755-w.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://link.springer.com/content/pdf/10.1007/s00701-021-04755-w.pdfDirect OA link when available
- Concepts
-
Stereoelectroencephalography, Medicine, Neuronavigation, Epilepsy, Stereotaxy, Epilepsy surgery, Nuclear medicine, Neuroradiology, Drug Resistant Epilepsy, Surgery, Magnetic resonance imaging, Radiology, Neurology, Computer science, Haptic technology, Operating system, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
8Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 2, 2023: 3, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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69Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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