Awake stereotactic brainstem biopsy via a contralateral, transfrontal, transventricular approach.
The authors describe a novel approach to stereotactic biopsy of lesions of the lateral pons and medial cerebellar peduncle, and its diagnostic success without morbidity. A contralateral approach laterally expands the accessible infratentorial area. It may also confer a theoretical reduction in neurological deficit with passage through non-dominant right hemisphere.
Pereira
E A C
EA
Oxford Functional Neurosurgery, Department of Neurological Surgery, John Radcliffe Hospital, Oxford, UK. eacp@eacp.co.uk
Jegan
T
T
Green
A L
AL
Aziz
T Z
TZ
D000368:Aged; D001254:Astrocytoma / Q000473:pathology* / Q000601:surgery; D001364:Awareness / Q000502:physiology; D001706:Biopsy / Q000379:methods*; D001932:Brain Neoplasms / Q000473:pathology*; D001933:Brain Stem / Q000473:pathology*; D003399:Craniotomy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016343:Monitoring, Intraoperative; D016634:Radiosurgery / Q000379:methods*; D016896:Treatment Outcome