| CT-guided stereotactic neurosurgery using the Brown-Roberts-Wells system: experience with 125 procedures. | |
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MedLine Citation:
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PMID: 1755773 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Experience with a consecutive series of 125 computerized tomographic (CT) image guided stereotaxic neurosurgical procedures, performed using the Brown-Roberts-Wells (BRW) system is described. Operative objectives included tissue sampling for diagnostic purposes, intra-operative localization of craniotomy flaps and intracerebral lesions, cyst and abscess aspiration and lesion to modulate tremor. A neuropathological diagnosis was possible in 96% of the biopsies, and lesions were precisely localized in all patients undergoing microsurgical stereotaxic craniotomy. Two patients (2.2%) undergoing stereotaxic biopsy died as a result of the procedure and one patient's hemiparesis was permanently worsened (0.8%). In only one of three patients undergoing stereotaxic thalamotomy was tremor abolished. This report confirms that CT image guided stereotaxic neurosurgery is safe, accurate and versatile. There is, however, a moderate incidence (7.2%) of lesser complications that can occur with this type of surgery. These complications, which are emphasized in this paper, are related to both the site of surgery and the neuropathology. |
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Authors:
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I R Whittle; S W Denholm; K Elshunnar |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Australian and New Zealand journal of surgery Volume: 61 ISSN: 0004-8682 ISO Abbreviation: Aust N Z J Surg Publication Date: 1991 Dec |
Date Detail:
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Created Date: 1992-01-28 Completed Date: 1992-01-28 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0373115 Medline TA: Aust N Z J Surg Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 919-28 Citation Subset: IM |
Affiliation:
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Department of Clinical Neurosciences, Western General Hospital, Edinburgh, Scotland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Biopsy / methods Brain / pathology, radiography, surgery* Brain Abscess / surgery Cerebral Hemorrhage / etiology Child Craniotomy / methods Female Humans Male Middle Aged Postoperative Complications / etiology, mortality Stereotaxic Techniques / adverse effects, instrumentation* Thalamus / surgery Tomography, X-Ray Computed* |
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