Intracranial bullet removal using O-arm navigation guidance

Childs Nerv Syst. 2021 Aug;37(8):2707-2712. doi: 10.1007/s00381-020-05028-0. Epub 2021 Jan 22.

Abstract

Purpose: The purpose of this study is to report a new mini-invasive technique to remove an intracranial bullet in a child by using O-arm for intraoperative neuronavigation.

Case report: A 14-year-old refugee boy had suffered a shooting injury 4 years earlier. O-arm imaging-assisted neuronavigation during craniotomy was performed in order to remove a bullet from the intracranial space in a paediatric patient.

Conclusion: Navigation using O-arm is a feasible method in removing a foreign material in a child and gave an accurate location of the bullet in the adopted surgical operation position without significant imaging artefacts.

Keywords: Foreign body; Intraoperative imaging; Navigation; Neurosurgery.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Craniotomy
  • Humans
  • Imaging, Three-Dimensional*
  • Male
  • Neuronavigation
  • Surgery, Computer-Assisted*
  • Tomography, X-Ray Computed