THE 3RD-DIMENSION IN PEDIATRIC NEUROSURGERY - A PRELIMINARY-REPORT

Three-dimensional computerized imaging with current advanced software (Cemax) has resulted in superior visual ergonomics and rapid data acqu isition utilizing standard computed tomography (CT) or magnetic resona nce imaging. Consequently, within 15-20 min of a standard CT scan, the information is available to be employed for operative planning, allow ing this useful tool to be practical in emergency situations, such as trauma. The advanced lifelike imaging permits excellent preoperative p lanning due to correct demonstration of the surgical anatomy. We prese nt three patients to illustrate the applications of this technology: o ne with a skull base tumor, another with a complex ethmoidal encephalo cele, and a third with severe craniofacial trauma. We have found this technique to have a significant impact on the management of pediatric neurosurgery patients with complex pathology.