title: [Stereotaxic technics with an open skull in the treatment of space-occupying brain lesions].
abstract: When intra-cerebral space-occupying lesions are small or when they are deeply located in the brain parenchyma, it is sometimes difficult to localize them at surgery or to design the most direct and least hazardous surgical approach. Therefore we have developed a method which combines conventional neurosurgical techniques with craniotomy using stereotaxic guidance. We have used the Brown-Roberts-Wells (B.R.W.) stereotaxic system which allows for CT scan or MRI guidance and does not interfere with the absolute sterility mandatory every time a flap is created. Eleven patients were operated on using this method. The deep tumors were approached through a linear incision of the cerebral cortex; then a needle fixed in the right position on the arc system of the B.R.W. was inserted toward the surface of the lesion; the exposure was finally widened by the inflation of a rubber balloon set on the stereotaxic needle. The post-operative course was very uncomplicated in all these patients. No permanent post-operative neurological worsening was observed, even after the removal of an intra-thalamic tumor.
authors.affiliation: Service de Neurochirurgie, Hôpital Necker-Enfants Malades, Paris.
authors.forename: J F
authors.initials: JF
authors.lastname: Hirsch
authors.forename: C
authors.initials: C
authors.lastname: Sainte Rose
authors.forename: A
authors.initials: A
authors.lastname: Pierre-Kahn
authors.forename: D
authors.initials: D
authors.lastname: Renier
authors.forename: E
authors.initials: E
authors.lastname: Hoppe-Hirsch
mesh_terms: D001932:Brain Neoplasms / Q000601:surgery*; D003399:Craniotomy / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging; D013238:Stereotaxic Techniques; D014057:Tomography, X-Ray Computed
vernacular_title: Stéréotaxie à crâne ouvert dans le traitement des lésions expansives du cerveau.