[Cerebral stereotactic biopsy and surgery: Report of 100 cases]. / La biopsie et la chirurgie cérébrales en conditions stéréotaxiques: a propos de 100 observations.
Tunis Med
; 77(12): 631-7, 1999 Dec.
Article
de Fr
| MEDLINE
| ID: mdl-10730154
ABSTRACT
OBJECTIVE:
To report the results of the use of the stereotactic techniques in the management of intra cranial lesions. MATERIALS ANDMETHODS:
Between july 1994 and march 1998, we carried out 117 stereotactic procedures of whom only 100 cases were analyzed. All the procedures were achieved after a CT scan. Patients were separated in two groups (A) stereotactic biopsy (91 patients), (B) surgery with laser guidance (9 patients). The mean age in group A was 38 years (2-75 years) versus 27 years (11-66 years) in group B. The sex-ratio was 1.3.RESULTS:
In the group A, the correct pathological diagnosis was obtained in 91.2% of cases. Glial tumors was the frequent histopathological variety of tumor (67.47%). Only one patient was operated after biopsy for a bilateral meningioma of the anterior 1/3 of the falx. There was only one death (1.09%) and 3.29% of transitory complications. In the group B, all patients were operated with laser guidance. Thirty seven per cent of patients underwent radiotherapy after the stereotactic biopsy or surgery.CONCLUSION:
Stereotactic biopsy is a reliable method for the histopathological diagnosis of deep-seated brain lesions. Surgery with laser guidance is a useful alternative for the management of small deep-seated lesions or lesions located in functional areas.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Tumeurs du cerveau
/
Techniques stéréotaxiques
/
Gliome
/
Méningiome
Type d'étude:
Guideline
Limites:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
Fr
Journal:
Tunis Med
Année:
1999
Type de document:
Article