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

  • Case Report - Infection
  • Published:
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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.

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Abbreviations

CT:

Computed tomographic

DBS:

Deep brain stimulation

DWI:

Diffusion-weighted imaging

MRI:

Magnetic resonance imaging

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Authors and Affiliations

  1. Neurosurgery Department, Nantes University Hospital, Nantes, France

    Gaston Tabourel, Kevin Buffenoir & Vincent Roualdes

  2. Infectious Diseases Department, Nantes University Hospital, Nantes, France

    Paul Le Turnier

Authors
  1. Gaston Tabourel
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  2. Paul Le Turnier
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  3. Kevin Buffenoir
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  4. Vincent Roualdes
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Contributions

Gaston Tabourel and Vincent Roualdes performed the neurosurgical procedures. Paul Le Turnier was consulted as infectious diseases specialist and did the clinical follow-up. Kevin Buffenoir and Vincent Roualdes initiated the project of a technical case report. Gaston Tabourel wrote the manuscript with input from all authors. All authors reviewed and approved the final version of the manuscript.

Corresponding author

Correspondence to Gaston Tabourel.

Ethics declarations

Statement of ethics

Written informed consent was obtained from the patient for publication of this case report and any accompanying images. We did not seek Institutional Review Board approval for performing this surgical procedure, because the operation did not constitute research; the senior neurosurgeon deemed it to be necessary in the patient’s best interest.

Conflict of interest

The authors declare no competing interests.

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Tabourel, G., Le Turnier, P., Buffenoir, K. et al. Robot-assisted stereotactic multiple brain abscesses’ puncture: technical case report. Acta Neurochir 164, 845–851 (2022). https://doi.org/10.1007/s00701-021-04955-4

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  • DOI: https://doi.org/10.1007/s00701-021-04955-4

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