Minimally Invasive Brain Surgery (Functional Stereotaxy) for Seizure Disorder

 

 

 

 

 

 

 

Dr. Lu, Patient, Russian Translator, Patient’s Mother

On 04 APR 2016, an 18-year-old Kazakhstani patient, suffering with intractable seizure disorder, underwent successful EEG-Guided, minimally invasive brain surgery at Beijing Puhua International Hospital (BPIH). Following this extremely precise ablative procedure, the patient has been seizure free and stopped her previous anti-seizure medications. The patient’s mother described her daughter as having been offered a second chance to be “born.”

It is well known that “epilepsy/seizure disorder” is the 4th most-common neurological condition (following migraine, “stroke,” and Alzheimer’s disease). Considering that conventional medication has certain limits and severe side effects, BPIH developed minimally invasive surgery to effectively contrl epilepsy, bring new hopes for epilepsy patients.

Case Study

 

• 18-year-old female who suffered from daily paroxysmal limbs convulsion for 6 years. Symptoms improved after taking medicine, however significant side effects make it intolerable. Her seizures returned once the medicine is stopped.

• No anatomic abnormality was found in a brain MRI.
• However, EEG revealed abnormalities diagnostic for a seizure disorder.

 

 

 

 

 

 

 

 

 

 

No obvious focalized lesion was noted in MRI

 

 

 

 

 

EEG showed sharp and slow waves of a seizure disorder.

Following are some details about the surgery

Surgical Planning: Precise stereotactic localization data, uploaded to computer for robotic-guided ablation.

 

 

 

 

 

 

 

 

 

 

 

 

 

Dr. Lu preparing the robotic arm and patient.

 

 

 

 

 

 

 

Dr. Lu taking EEG readings from deep brain, followed by precision-guided radio-frequency ablation of the precise lesion that cause her seizure disorder.
EEG comparison: before and after radiofrequency

 

 

 

 

Before Radio-frequency Ablation (Above)

 

 

 

 

After Radio-frequency Ablation (Above)

Postoperative Condition
• Post-operative CT-imaging showed no intracerebral hemorrhage or complications;
• No seizures have occurred following the treatment, and the patient remains symptom-free off of medications.

 

 

 

 

 

 

 

Chief Surgeon and hospital team are communicating with the patient’s mother about her daughter’s surgery.

Stereotactic brain surgery by robotically-guided radio-frequency ablation is more safe and effective than conventional craniotomy.
Advantages of Minimally Invasive Brain Surgery (Functional Stereotaxy) for Selected Seizure Disorder Patients, using the Remebottm Robotic Surgery System:

 

 

 

 

 

 

 

1. Less invasive, with very little affect to surrounding tissues.
2. High accuracy: accurate to 1-2 mm, with precise 3-D localization.
3. More efficiency: shorten the surgery time and lower the risk.

Operation Room that equipped with this EEG-Guided, Super-selective DSA machine: Remebottm

 

 

 

 

 

 

Remebottm is currently the world’s most advanced neurosurgical-aided positioning system, and most often applied in seizure-disorder surgery and other surgical environments requiring ultra-high accuracy. Of the two Remebottm systems in China, one is at BPIH.
The Remebottm integrated operation-plan system, navigation and robotic-aided positioning devices and the entire operating system has created a new milestone in stereotaxic brain surgery technique. In this area, deep EEG data combined with eliminating the limitations of traditional brain surgery, vastly and dramatically improves the accuracy, precision, control and (most importantly) the lowered complications and enhanced results of treatment.
In China, Beijing Puhua International Hospital is the first hospital that utilizing “stereotactic minimally invasive brain surgery + neurotropic factors injection” to treat neurological diseases, including Parkinson’s disease, Seizure disorder, Stroke, Brain injury, etc. Over the past 10 years, we’ve accumulated valuable experience and achieved satisfying treatment results.