Emrah AKÇAY, Hakan YILMAZ, Hüseyin Berk BENEK, Alaettin YURT

BEYİN LEZYONLARINDA NÖRONAVİGASYON CİHAZI OLARAK İNTRAOPERATİF ULTRASON KULLANIMI

Giriş: Beyin anomalileri, abseler, intrakranial kitlelerin cerrahisinde intraoperatif ultrasonografi (USG) ile oldukça iyi sonuçlar alınabilmektedir. Bu çalışmada amaç, intraoperatif USG yardımı ile cerrahisi yapılan kranial lezyonlarda rezeksiyon başarısını değerlendirmek ve intraoperatif ultrasonun cerrahide etkinliğini araştırmaktır. Gereç ve Yöntem: 2012-2018 yılları arasında İzmir Bozyaka Eğitim ve Araştırma Hastanesi Beyin ve Sinir Cerrahisi Kliniği’ nde intrakranial kitle tanıları olan 16 hastaya intraoperatif ultrason yardımı ile cerrahi uygulandı. Rezeksiyon miktarının ve rezidünün değerlendirilmesi için hastaların hepsi postoperatif manyetik rezonans görüntüleme (MRG) ile kontrol edildi. Bulgular: İntraoperatif ultrason yardımı ile kranial cerrahi yapılan hastalardan 9’ u erkek 7’ si bayandı. Hastaların ortalama yaşı 58’ idi. Histopatolojik tanıları 8 hastada gliom, 3 hastada metastaz, 2 hastada menenjiom, 2 hastada abse, 1 hastada kavernom olarak geldi. Hastaların tümünde lezyonun sınırları ve rezeksiyon sınırları ultrason yardımı ile güvenilir biçimde ortaya konuldu. Cerrahi sonrası olguların tümünde gross total rezeksiyon sağlandı ve hiçbir hastada ek nörolojik kayıp gözlenmedi. İntraoperatif ultrason kullanımına bağlı herhangi bir komplikasyon ya da enfeksiyon görülmemiştir.

INTRAOPERATIVE ULTRASOUND USE AS A NEURONAVIGATION TOLL IN BRAIN LESIONS

Introduction: Good results can be obtained with the help of intraoperative ultrasound (USG) in the surgery of the brain anomalies, abscesses, intra cranial masses. The aim of this study was to evaluate the success of resection in cranial lesions with intraoperative USG and to investigate the effectiveness of intraoperative ultrasound in surgery. Material and method: Between 2012 and 2018, 16 patients with intracranial masses underwent surgery with the help of intraoperative ultrasound in the neurosurgery clinic of Izmir Bozyaka Training and Research Hospital. All patients were checked with postoperative magnetic resonance imaging (MRI) to evaluate the amount of resection and the residue. Results: Of thepatients who underwent cranial surgery with the help of intraoperative ultrasound, 9 were male and 7 were female. The mean age of the patients was 58 years. Histopathological diagnoses were glioma in 8 patients, metastasis in 3 patients, meningioma in 2 patients, abscess in 2 patients and cavernoma in 1 patient. In all patients, the limits of the lesion and resection limits were reliably demonstrated with the help of ultrasound. Gross total resection was achieved in all cases after surgery and no additional neurological loss was observed in any patient. There was no complication or infection related to intraoperative ultrasound use. Conclusion: Intraoperative ultrasound is a convenient intraoperative guiding tool in the localization of brain lesions and the reliability of the amount of resection.

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