Stereotactic biopsy in cerebral lesions of AIDS.
The experiences with stereotactic biopsies in 121 patients with AIDS compared to 142 non-AIDS patients are presented. In the AIDS group most of the tumors (38) were lymphomas (34). Other frequent diagnoses have been progressive multifocal leukoencephalopathy (20) and toxoplasmosis (16)--although most AIDS patients already had been treated for toxoplasmosis, and those who responded to it did not undergo biopsy. Initially among the AIDS patients there was a tendency of delayed intracranial bleeding (4 cases, 3 of them fatal). After initiation of a prophylactic coagulopathy protocol no other such complications have occurred in the following 70 biopsies.
Gildenberg
P L
PL
Houston Stereotactic Center, Texas.
Langford
L
L
Kim
J H
JH
Trujillo
R
R
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D001706:Biopsy / Q000379:methods*; D001778:Blood Coagulation Disorders / Q000175:diagnosis; D002540:Cerebral Cortex / Q000503:physiopathology*; D004660:Encephalitis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D006801:Humans; D007968:Leukoencephalopathy, Progressive Multifocal / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D008223:Lymphoma / Q000175:diagnosis; D008297:Male; D013238:Stereotaxic Techniques; D014123:Toxoplasmosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology