[Brain biopsy in systemic diseases].
In systemic diseases, brain biopsy is an exceptional diagnostic procedure which must be restricted to those rare forms involving only the central nervous system, at least clinically, and when a treatable disease is suspected the treatment of which requires a precise histological diagnosis. According to the clinical presentation and radiological appearance, an open biopsy or a stereotactic biopsy under radiological control will be proposed. In this paper, will be reviewed the indications and neuropathological findings in systemic amyloidoses extending to the central nervous system, cerebral angiitis, sarcoidosis, Whipple's disease, Langerhans'cell as well as non-Langerhans'cell systemic histiocytoses and paraneoplastic encephalomyelitis.
Gray
Françoise
F
Laboratoire de Neuropathologie, Hôpital Raymond Poincaré, Faculté de Médecine Paris-Ile-de-France Ouest, 104, boulevard Raymond-Poincaré, 92380 Garches. francoise.gray@rpc.aphop-paris.fr
N'guyen
Jean-Paul
JP
D000686:Amyloidosis / Q000473:pathology; D001706:Biopsy; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology*; D001927:Brain Diseases / Q000473:pathology*; D015614:Histiocytosis / Q000473:pathology; D006801:Humans; D020361:Paraneoplastic Syndromes, Nervous System / Q000473:pathology; D011859:Radiography; D012507:Sarcoidosis / Q000473:pathology; D013238:Stereotaxic Techniques; D020293:Vasculitis, Central Nervous System / Q000473:pathology; D008061:Whipple Disease / Q000473:pathology