title: Stereotactic management of midline brain lesions.
abstract: Eighty-seven patients, aged 10 months to 92 years, with midline brain lesions were treated using stereotactic techniques at our institution between January 1987 and June 1990. A total of 119 stereotactic procedures were performed with no operative mortality. Procedures included 53 biopsies only, 22 endoscopic laser decompressions, 8 stereotactic microsurgical resections, 9 permanent implants of 125I, 12 temporary implants of 125I, 11 cyst aspirations, 2 cystoperitoneal shunts and 2 intracavitary 32P. The morbidity rate was 4.21%. Local anesthesia was used in 106 of the procedures (89%). Accurate diagnosis was achieved in all cases. Image guidance and stereotactic techniques open new frontiers in the diagnostic and therapeutic management of deep-seated midline intraparenchymal lesions.
authors.affiliation: Department of Neurosurgery, Wayne State University, Detroit, Mich.
authors.forename: L
authors.initials: L
authors.lastname: Zamorano
authors.forename: J I
authors.initials: JI
authors.lastname: Ausman
authors.forename: D
authors.initials: D
authors.lastname: Chorni
authors.forename: M
authors.initials: M
authors.lastname: Dujovny
mesh_terms: D001706:Biopsy / Q000379:methods; D001927:Brain Diseases / Q000473:pathology* / Q000601:surgery / Q000628:therapy*; D001932:Brain Neoplasms / Q000473:pathology* / Q000556:secondary / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D008297:Male; D012189:Retrospective Studies; D013238:Stereotaxic Techniques; D014057:Tomography, X-Ray Computed
chemical_list: D007457:Iodine Radioisotopes