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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(01): 90-95
DOI: 10.4103/ajns.AJNS_81_17
Original Article

Magnetic resonance imaging-guided stereotactic biopsy: A review of 83 cases with outcomes

Ali Akay
Department of Neurosurgery, Kent Hospital, Izmir
,
Mete Rüksen
Department of Neurosurgery, Kent Hospital, Izmir
,
Sertaç Islekel
Department of Neurosurgery, Kent Hospital, Izmir
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Background: The purpose of this study was to determine the relationship between the radiological and histopathological distribution of the cerebral lesions diagnosed with stereotactic biopsy (STB) procedure and its outcomes. Materials and Methods: In the current study, a retrospective analysis of 83 patients that underwent the STB in our clinic from January 2011 to December 2015 was made. T1-weighted contrast-enhanced cranial magnetic resonance imaging examinations were performed on patients on whom Leksell stereotactic frame system was installed. The histopathological and the radiological data derived from the STB procedure were classified. Results: In terms of localization, glial tumor (56.6%) was the most common lesion in all regions, except for the multifocal lesions. Contrary to the common knowledge, lymphoma (14.4%) was found to be the most common lesion among multifocal lesions. The success of obtaining positive STB samples in the current series was 95.2% and the complication rate was 3.6%. Conclusion: Had a routine computed tomography scan been performed on each patient in this series, the number of clinically insignificant small intracerebral hematomas would have probably been higher. Nevertheless, the rate of the STB sampling accuracy and the complication rate were similar to those reported in the relevant literature.

Key-words:

Brain lesion - complication - histopathology - radiology - stereotactic biopsy

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Leksell L. A stereotaxic apparatus for intracerebral surgery. Acta Chir Scand 1949;99:229-333.
  • 2 Spiegel EA, Wycis HT, Marks M, Lee AJ. Stereotaxic apparatus for operations on the human brain. Science 1947;106:349-50.
  • 3 Lacroix M, Abi-Said D, Fourney DR, Gokaslan ZL, Shi W, DeMonte F, et al. A multivariate analysis of 416 patients with glioblastoma multiforme: Prognosis, extent of resection, and survival. J Neurosurg 2001;95:190-8.
  • 4 Wood JR, Green SB, Shapiro WR. The prognostic importance of tumor size in malignant gliomas: A computed tomographic scan study by the Brain Tumor Cooperative Group. J Clin Oncol 1988;6:338-43.
  • 5 Bouvier G, Couillard P, Leger SL, Lesage J, Rotent F, Beique RA, et al. Stereotactic biopsy of cerebral space-occupying lesions. Appl Neurophysiol 1983;46:227-30.
  • 6 Abernathey CD, Camacho A, Kelly PJ. Stereotaxic suboccipital transcerebellar biopsy of pontine mass lesions. J Neurosurg 1989;70:195-200.
  • 7 Apuzzo ML, Chandrasoma PT, Cohen D, Zee CS, Zelman V. Computed imaging stereotaxy: Experience and perspective related to 500 procedures applied to brain masses. Neurosurgery 1987;20:930-7.
  • 8 Apuzzo ML, Sabshin JK. Computed tomographic guidance stereotaxis in the management of intracranial mass lesions. Neurosurgery 1983;12:277-85.
  • 9 Bernstein M, Parrent AG. Complications of CT-guided stereotactic biopsy of intra-axial brain lesions. J Neurosurg 1994;81:165-8.
  • 10 Kelly PJ. Stereotactic biopsy and resection of thalamic astrocytomas. Neurosurgery 1989;25:185-94.
  • 11 Mundinger F. CT stereotactic biopsy for optimizing the therapy of intracranial processes. Acta Neurochir Suppl (Wien) 1985;35:70-4.
  • 12 O'Neill BP, Kelly PJ, Earle JD, Scheithauer B, Banks PM. Computer-assisted stereotaxic biopsy for the diagnosis of primary central nervous system lymphoma. Neurology 1987;37:1160-4.
  • 13 Ostertag CB, Mennel HD, Kiessling M. Stereotactic biopsy of brain tumors. Surg Neurol 1980;14:275-83.
  • 14 Sedan R, Peragut JC, Farnarier P, Hassoun J, Sethian M. Intraencephalic stereotactic biopsies (309 patients/318 biopsies). Acta Neurochir (Wien) 1984;33:207-10.
  • 15 Thomas DG, Anderson RE, du Boulay GH. CT-guided stereotactic neurosurgery: Experience in 24 cases with a new stereotactic system. J Neurol Neurosurg Psychiatry 1984;47:9-16.
  • 16 Yamada K, Goto S, Kochi M, Ushio Y. Stereotactic biopsy for multifocal, diffuse, and deep-seated brain tumors using leksell's system. J Clin Neurosci 2004;11:263-7.
  • 17 Yamasaki T, Moritake K, Takaya M, Kagawa T, Nagai H, Akiyama Y, et al. Intraoperative use of doppler ultrasound and endoscopic monitoring in the stereotactic biopsy of malignant brain tumors. Technical note. J Neurosurg 1994;80:570-4.
  • 18 Pattisapu JV, Walker ML, Heilbrun MP. Stereotactic surgery in children. Pediatr Neurosci 1989;15:62-5.
  • 19 Dellaretti M, Reyns N, Touzet G, Dubois F, Gusmão S, Pereira JL, et al. Stereotactic biopsy for brainstem tumors: Comparison of transcerebellar with transfrontal approach. Stereotact Funct Neurosurg 2012;90:79-83.
  • 20 Manoj N, Arivazhagan A, Bhat DI, Arvinda HR, Mahadevan A, Santosh V, et al. Stereotactic biopsy of brainstem lesions: Techniques, efficacy, safety, and disease variation between adults and children: A single institutional series and review. J Neurosci Rural Pract 2014;5:32-9.
  • 21 Commins DL. Pathology of primary central nervous system lymphoma. Neurosurg Focus 2006;21:E2.
  • 22 Campbell PG, Jawahar A, Fowler MR, Delaune A, Nanda A. Primary central nervous system lymphoma of the brain stem responding favorably to radiosurgery: A case report and literature review. Surg Neurol 2005;64:400-5.
  • 23 O' Neill BP, Illig JJ. Primary central nervous system lymphoma. Mayo Clin Proc 1986;64:1005-20.
  • 24 Murray K, Kun L, Cox J. Primary malignant lymphoma of the central nervous system. Results of treatment of 11 cases and review of the literature. J Neurosurg 1986;65:600-7.
  • 25 Shams PN, Waldman A, Plant GT. B cell lymphoma of the brain stem masquerading as myasthenia. J Neurol Neurosurg Psychiatry 2002;72:271-3.