assessment-thermal-damage-from-robot-drilled-craniotomy-for-cranial

Assessment of Thermal Damage from Robot-Drilled Craniotomy for Cranial Window Surgery in Mice

Cranial window surgery allows for the imaging of brain tissue in live mice with the use of multiphoton or other intravital imaging techniques. However, ...

Case Western Reserve University

Louis Stokes Cleveland VA Medical Center

Our objective was to determine how readily disruption of the blood-brain barrier (BBB) occurred as a result of bone drilling during a craniotomy to implant microelectrodes in rat cortex. While the phenomenon of heat production during bone drilling is well known, practices to evade damage to the underlying brain tissue are inconsistently practiced and reported in the literature.

Potential for thermal damage to the blood-brain barrier during craniotomy: implications for intracortical recording microelectrodes.

Vagus nerve stimulation (VNS) is Food and Drug Administration-approved for epilepsy, depression, and obesity, and stroke rehabilitation; however, the morphological anatomy of the vagus nerve targeted by stimulatation is poorly understood. Here, we used microCT to quantify the fascicular structure and neuroanatomy of human cervical vagus nerves (cVNs).We collected eight mid-cVN specimens from five fixed cadavers (three left nerves, five right nerves). Analysis focused on the 'surgical window': 5 cm of length, centered around the VNS implant location. Tissue was stained with osmium tetroxide, embedded in paraffin, and imaged on a microCT scanner. We visualized and quantified the merging and splitting of fascicles, and report a morphometric analysis of fascicles: count, diameter, and area.In our sample of human cVNs, a fascicle split or merge event was observed every ∼560m (17.8 ± 6.1 events cm). Mean morphological outcomes included: fascicle count (6.6 ± 2.8 fascicles; range 1-15), fascicle diameter (514 ± 142m; range 147-1360m), and total cross-sectional fascicular area (1.32 ± 0.41 mm; range 0.58-2.27 mm).The high degree of fascicular splitting and merging, along with wide range in key fascicular morphological parameters across humans may help to explain the clinical heterogeneity in patient responses to VNS. These data will enable modeling and experimental efforts to determine the clinical effect size of such variation. These data will also enable efforts to design improved VNS electrodes.

Article	Year
Potential for thermal damage to the blood-brain barrier during craniotomy: implications for intracortical recording microelectrodes. Journal of neural engineering\| PubMed ID: 29205169	2018
Fascicles split or merge every ∼560 microns within the human cervical vagus nerve. Journal of neural engineering\| PubMed ID: 36174538	2022

Dhariyat M. Menendez

Biography

JoVE Journal Publications

Other Publications