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      A Virtual-Reality, 360-Degree Fly-Through of an Arteriovenous Malformation Resection: 2-Dimensional Operative Video

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          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.

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          Author and article information

          Journal
          Operative Neurosurgery
          Oxford University Press (OUP)
          2332-4252
          2332-4260
          January 2020
          January 01 2020
          April 15 2019
          January 2020
          January 01 2020
          April 15 2019
          : 18
          : 1
          : E11
          Affiliations
          [1 ]Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York
          Article
          10.1093/ons/opz062
          b355cd37-aa0f-4357-9ac4-87050d89948d
          © 2019

          https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model

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