Document Detail


Stereotactic Biopsy with Electrical Monitoring for Deep-Seated Brain Tumors.
MedLine Citation:
PMID:  22079274     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE:: The stereotactic biopsy is widely integrated into clinical practice as an efficient and safe procedure for histologic diagnoses. However, the surgical risk increases when the lesions are close to the eloquence of the adjacent brain. The present report describes two patients with deep-seated brain tumors who underwent a stereotactic biopsy with electrical monitoring and demonstrates the importance of this technique. METHODS:: The tentative target and trajectory were determined on a stereotactic map from the Schaltenbrand and Wahren atlas. A Cosman-Roberts-Wells stereotactic frame was applied to the patient. Electrical recording along a single trajectory was used to identify the circumscribed neuronal structures, and electrical simulation was administered to the target. The biopsy point was decided when no adverse events were observed with a low electric current level. RESULTS:: A 34-year-old male patient with anaplastic astrocytoma in the putamen and thalamus and an 81-year-old female patient with malignant lymphoma in the midbrain underwent stereotactic biopsies with electrical monitoring. The biopsies were successfully performed without any resulting neurologic deficits. CONCLUSIONS:: This report describes two patients with deep-seated brain tumors who underwent stereotactic biopsies with electrical recording and stimulation. The electrical monitoring appears to be a useful technique to complement the ordinary image-guided biopsy.
Authors:
Hiroshi Ooba; Tatsuya Abe; Yasutomo Momii; Minoru Fujiki
Related Documents :
21747974 - A patient with hemoptysis and renal failure.
12221864 - Histopathology of chronic urticaria.
7478034 - Otologic features and teachings of a bombing attempt.
21611024 - Role of ultrasonography in diagnosis of scrotal disorders: a review of 110 cases.
10645284 - Effects of environmental toxicants on the efferent ducts, epididymis and fertility.
17978824 - Elephantiasis nostras verrucosa complicated with chronic tibial osteomyelitis.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-10
Journal Detail:
Title:  World neurosurgery     Volume:  -     ISSN:  1878-8750     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101528275     Medline TA:  World Neurosurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Occiput to Thoracic Fusion After Surgical Resection of Desmoid Tumor.
Next Document:  Motor Palsy After Posterior Cervical Foraminotomy: Anatomical Consideration.