Transcerebellar biopsy in the posterior fossa: 12 years experience

Mathisen, Juan Robbie; Giunta, F; Marini, G; Backlund, Erik‐Olof

doi:10.1016/0090-3019(87)90080-2

Cited by 48 publications

(20 citation statements)

References 8 publications

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“…Accurate diagnosis also prevents the application of inappropriate therapy, which could have harmful effects. The safety of stereotactic biopsy of brainstem lesions has been demonstrated in this series and in others [8,9). Therapeutic as well as diagnostic interventions are possible with stereotactic techniques.…”

Section: Discussionsupporting

confidence: 59%

“…Lesions in the brainstem can be approached with either a transfrontal or a transcerebellar trajectory [8,9], We prefer the transcerebellar approach for lesions in the pons and the transfrontal approach for lesions in the midbrain. Unless extenuating circumstances are present, we believe that lesions of the brainstem should undergo stereotactic biopsy for diagnostic purposes.…”

Section: Discussionmentioning

confidence: 99%

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Computer-Assisted Stereotactic Biopsy of Intracranial Lesions in Pediatric Patients

et al. 1988

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A computer-assisted stereotactic biopsy technique has been used in 30 patients (ages 5 months to 16 years) with intracranial lesions (supratentorial in 23 and infratentorial in 7). The computer program integrates stereotactically gathered imaging data and permits preoperative planning of a biopsy trajectory. Diagnostic tissue was obtained in 27 cases. In 2 cases, therapeutic interventions – third ventriculostomy and cyst aspiration – were accomplished at the time of the biopsy. There were no major complications related to the procedure; however, 2 patients had transient neurologic deficits. Computer-assisted stereotactic biopsy is a valuable diagnostic procedure in the pediatric patient with an intracranial lesion.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Computer-Assisted Stereotactic Biopsy of Intracranial Lesions in Pediatric Patients

et al. 1988

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“…Four studies did not specifically state that they represented a consecutive series of patients and hence were excluded in the tabulation of morbidity, mortality and diagnostic rates [1][2][3][4]. Additionally, at our institution, 12 patients underwent stereotactic biopsy of clinically symptomatic brainstem lesions under local anesthesia with sedation between October 1996 and March 2003 using the BrownRoberts-Wells and Cosman-Roberts-Wells stereotactic system.…”

Section: Methodsmentioning

confidence: 99%

“…Image-guided stereotactic biopsy of brainstem lesions has been performed since 1975 [1]. We perform a meta-analysis of thirteen studies combined with our recent series of 12 adult patients with brainstem lesions to establish the diversity of biopsied lesions in the brainstem and determine whether or not these lesions could have been diagnosed based on clinical and radiographic criteria.…”

Section: Introductionmentioning

confidence: 99%

Stereotactic Brainstem Biopsy Is Indicated for the Diagnosis of a Vast Array of Brainstem Pathology

Samadani

Judy²

2003

Stereotact Funct Neurosurg

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Background/Aims: A meta-analysis of thirteen studies performing stereotactic biopsy of brainstem lesions is combined with our recent series of 12 patients with brainstem lesions comparing MRI findings to biopsy histopathology to determine whether these lesions could have been diagnosed radiographically. Methods: 12 consecutive stereotactic biopsies and literature analysis were performed to analyze clinical, radiographic and histopathologic data. Results: Stereotactic biopsy of lesions in the brainstem was in 96% diagnostic. There was one mortality (3% of cases) and 4% morbidity associated with the procedure. Pathology showed that half of the adult brainstem intrinsic lesions were gliomas, 10% were metastases, and the remainder were hematomas, vascular malformations, lymphomas, demyelination, cysts, radiation necrosis, abscesses, vasculitis, infarcts, leukemia, cryptococcus, or granulomas. Conclusions: Empiric treatment of adult brainstem lesions is not prudent because there is a wide spectrum of diverse pathology in this location. Stereotactic biopsy is a safe and effective method for determining histopathology.

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“…Atualmente a biópsia estereotáxica guiada por imagem é um método amplamente utilizado com índices de morbidade de 0 a 6,5% 1,[7][8][9][10][11][12][13][14] , mortalidade 0 a 9% 1,9,12,13,15-17 e acurácia de 88% a 100% 1,9,[11][12][13]16 . Analisamos a experiência de nosso Serviço.…”

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Abordagem estereotáxica guiada por imagem de lesões do sistema nervoso central: precisão diagnóstica, morbidade, mortalidade

Hisatugo¹,

Stávale

Bido³

et al. 1999

Arq. Neuro-Psiquiatr.

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Analisamos 75 pacientes com lesões do sistema nervoso central submetidos a biópsia estereotáxica no período de março de 1993 a dezembro de 1998 na Universidade Federal de São Paulo - Escola Paulista de Medicina. As três lesões mais frequentes foram: metástase, astrocitoma de baixo grau e glioblastoma multiforme. O índice de morbidade foi 2,66% decorrente de: infecção de ferida operatória em uma paciente portadora de cisto talâmico; e de um paciente com linfoma que apresentou crise convulsiva parcial motora durante a cirurgia. A mortalidade foi 1,33% decorrente de piora intensa de edema perilesional, falecendo o paciente após uma semana. O índice de diagnóstico foi 89,33%.

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Transcerebellar biopsy in the posterior fossa: 12 years experience

Cited by 48 publications

References 8 publications

Computer-Assisted Stereotactic Biopsy of Intracranial Lesions in Pediatric Patients

Computer-Assisted Stereotactic Biopsy of Intracranial Lesions in Pediatric Patients

Stereotactic Brainstem Biopsy Is Indicated for the Diagnosis of a Vast Array of Brainstem Pathology

Abordagem estereotáxica guiada por imagem de lesões do sistema nervoso central: precisão diagnóstica, morbidade, mortalidade

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