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Stereotactic biopsy of cerebellar lesions: straight versus oblique frame positioning.
Quick-Weller, Johanna; Brawanski, Nina; Dinc, Nazife; Behmanesh, Bedjahn; Kammerer, Sara; Dubinski, Daniel; Seifert, Volker; Marquardt, Gerhard; Weise, Lutz.
Afiliación
  • Quick-Weller J; a Neurosurgical Clinic , Goethe-University Frankfurt , Frankfurt , Germany.
  • Brawanski N; a Neurosurgical Clinic , Goethe-University Frankfurt , Frankfurt , Germany.
  • Dinc N; a Neurosurgical Clinic , Goethe-University Frankfurt , Frankfurt , Germany.
  • Behmanesh B; a Neurosurgical Clinic , Goethe-University Frankfurt , Frankfurt , Germany.
  • Kammerer S; b Institute for Neuroradiology , Goethe-University Frankfurt , Frankfurt , Germany.
  • Dubinski D; a Neurosurgical Clinic , Goethe-University Frankfurt , Frankfurt , Germany.
  • Seifert V; a Neurosurgical Clinic , Goethe-University Frankfurt , Frankfurt , Germany.
  • Marquardt G; a Neurosurgical Clinic , Goethe-University Frankfurt , Frankfurt , Germany.
  • Weise L; a Neurosurgical Clinic , Goethe-University Frankfurt , Frankfurt , Germany.
Br J Neurosurg ; 32(2): 210-213, 2018 Apr.
Article en En | MEDLINE | ID: mdl-29069919
OBJECTIVE: Biospies of brain lesions with unknown entity are an everyday procedure among many neurosurgical departments. Biopsies can be performed frame-guided or frameless. However, cerebellar lesions are a special entity with a more complex approach. All biopsies in this study were performed stereotactically frame guided. Therefore, only biopsies of cerebellar lesions were included in this study. We compared whether the frame was attached straight versus oblique and we focused on diagnostic yield and complication rate. METHODS: We evaluated 20 patients who underwent the procedure between 2009 and 2017. Median age was 56.5 years. 12 (60%) Patients showed a left sided lesion, 6 (30%) showed a lesion in the right cerebellum and 2 (10%) patients showed a midline lesion. RESULTS: The stereotactic frame was mounted oblique in 12 (60%) patients and straight in 8 (40%) patients. Postoperative CT scan showed small, clinically silent blood collection in two (10%) of the patients, one (5%) patient showed haemorrhage, which caused a hydrocephalus. He received an external ventricular drain. In both patients with small haemorrhage the frame was positioned straight, while in the patient who showed a larger haemorrhage the frame was mounted oblique. In all patients a final histopathological diagnosis was established. CONCLUSION: Cerebellar lesions of unknown entity can be accessed transcerebellar either with the stereotactic frame mounted straight or oblique. Also for cerebellar lesions the procedure shows a high diagnostic yield with a low rate of severe complications, which need further treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Biopsia / Enfermedades Cerebelosas / Cerebelo / Técnicas Estereotáxicas / Posicionamiento del Paciente Tipo de estudio: Observational_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2018 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Biopsia / Enfermedades Cerebelosas / Cerebelo / Técnicas Estereotáxicas / Posicionamiento del Paciente Tipo de estudio: Observational_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2018 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido