Non-neoplastic, degenerative brain pathologies and fibroses diagnosed on the basis of ultra-small samples obtained by stereotactic biopsy.
Brain biopsy and other stereotactic procedures have evolved over the last decades. Recently, the morbidity and mortality decreased radically along with an increase in the number of successful histopathological diagnoses. Therefore, applications of appropriate treatments in neoplastic brain pathologies are now possible, especially of those located in deep regions. Stereotactic biopsy may also be used as a diagnostic method followed by appropriate management in conditions where a non-neoplastic pathology is suspected. Between December 2000 and February 2004, we performed 116 stereotactic procedures based on the system of stereotactic planning and Brain-Lab treatment, which was equipped with automatic CT/MR image fusion software. In this report, we have focused on 10 cases of non-neoplastic brain pathologies diagnosed on the basis of ultra-small samples obtained from stereotactic biopsy. Among them there were 4 cases of gliosis, 3 cases of brain degenerative disorders, 2 cases of hippocampal fibroses, and 1 case of normal brain tissue. We have presented all these cases in detail by discussing their histology, clinical manifestations, localisation, management and follow-up.
Kwiek
Stanisław J
SJ
Department of Neurosurgery, Medical University of Silesia, Katowice, Poland. skwiek@csk.katowice.pl
Bierzyńska-Macyszyn
Grazyna
G
Właszczuk
Paweł
P
Bazowski
Piotr
P
Maciejewski
Bogusław
B
Tarnawski
Rafał
R
Slusarczyk
Wojciech
W
Kukier
Wojciech
W
Wójcikiewicz
Tomasz
T
Hayatullah
Abdullah
A
Duda
Izabela
I
Larysz
Dawid
D
Blamek
Sławomir
S
D000328:Adult; D000368:Aged; D001706:Biopsy / Q000009:adverse effects / Q000379:methods*; D001927:Brain Diseases / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery / Q000379:methods*; D014057:Tomography, X-Ray Computed