Our preliminary experience is presented in the use of the Aachen Compu
ter-Assisted Surgery device for frameless stereotactic puncture and dr
ainage of intracranial abscesses through a 2. 1 -mm twist-drill hole.
The apparatus and technique are described, along with the results of i
ts use in 2 patients. Intraoperatively the semiactive system presents
a schematic display of the drainage probe projected into a 3D model of
the situs on the monitor screen corresponding to the instrument's pos
ition. As the surgeon directs the probe into the abscess the correspon
ding section is displayed. Thereby drainage is easily achieved under v
isual control.