A virtual-reality, 360-degree fly-through of an arteriovenous malformation resection: 2-dimensional operative video

Jeremy Steinberger, Dominic Nistal, Leslie Schlachter, Anthony Costa, Holly Oemke, Joshua B. Bederson

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

The application of navigation integrated virtual reality (VR) in neurosurgery is an emerging paradigm that may offer improved situational awareness for the surgeon. Here, we present a case of a complex arteriovenous malformation (AVM) with complex venous drainage and observe how VR impacted structural delineation during approach, resection, and overall strategic planning. The patient was a 30-yr-old female with no past medical history who presented with headaches and a generalized tonic clonic seizure. Workup included computed tomography, computed tomography angiography, magnetic resonance imaging, magnetic resonance angiography, and magnetic resonance venography; a high flow right frontal AVM was found. The AVM was safely resected using navigation integrated with VR; careful arterial devascularization preceded resection of the draining veins and then the AVM nidus. Postoperative scans confirmed complete resection of the AVM. This case outlines the application of a current state-of-the-art VR platform to assist the craniotomy for resection of an AVM.

Original languageEnglish
Pages (from-to)E11
JournalOperative Neurosurgery
Volume18
Issue number1
DOIs
StatePublished - 1 Jan 2020

Keywords

  • Arteriovenous malformation
  • Fly-through
  • Virtual reality

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