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Pediatric Neurosurgery 2006;42:74-80 (DOI: 10.1159/000090459)

  Key Words

• Intraoperative MRI
• Resection control
• Multicystic hydrocephalus
• Navigation

  Abstract

Objectives: Intraoperative MRI (iMRI) is used mainly in the adult neurosurgical population. The main indications for iMRI usage are resection control and updated intraoperative navigation capabilities. In this paper we present our experience using this technique in children. Specific advantages of iMRI for this age group are discussed. Methods and Results: We retrospectively reviewed 31 pediatric neurosurgical procedures in which a portable iMRI system was used. The indications for iMRI usage were preoperative navigation, resection control during tumor removal, shunt placements, and needle biopsy. In 7 children the use of the iMRI changed the course of the surgical procedure. Operative morbidity and mortality were not increased with use of the iMRI. Conclusions: iMRI systems have advantages for the pediatric neurosurgical population, including both real-time basic navigation and improved resection control.

Copyright © 2006 S. Karger AG, Basel

  Author Contacts

Shlomi Constantini, MD, MSc
Dana Children's Hospital
Tel Aviv Medical Center
Tel Aviv, 64239 (Israel)
Tel. +972 3 697 4686, Fax +972 3 697 3451, E-Mail sconsts@netvision.net.il

  Article Information

Received: February 15, 2005
Accepted after revision: July 13, 2005
Number of Print Pages : 7
Number of Figures : 4, Number of Tables : 0, Number of References : 17