Neuronavigation-assisted transoral-transpharyngeal approach for Basilar invagination - Two case reports

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Ugur H., Kahilogullari G., Attar A., ÇAĞLAR Y. Ş., Savas A., Egemen N.

NEUROLOGIA MEDICO-CHIRURGICA, vol.46, no.6, pp.306-308, 2006 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 46 Issue: 6
  • Publication Date: 2006
  • Doi Number: 10.2176/nmc.46.306
  • Journal Name: NEUROLOGIA MEDICO-CHIRURGICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.306-308
  • Keywords: basilar invagination, transoral-transpharyngeal approach, neuronavigation, UPPER CERVICAL-SPINE, CRANIOCERVICAL JUNCTION, SURGICAL-MANAGEMENT, RESECTION, SURGERY
  • Ankara University Affiliated: Yes

Abstract

Two patients presented with congenital basilar invagination manifesting as progressive myelopathy. Both patients underwent surgery using a neuronavigation-assisted transoral-transpharyngeal approach. The Brain-LAB Vector Vision navigation system was used for image guidance. The registration accuracies were 0.9 and 1.3 mm. After decompression, posterior stabilization was performed. Both patients had an uneventful postoperative course. The transoral-transpharyngeal approach with the neuronavigation system provides safe exposure and decompression for basilar invagination.