Differential Diagnosis Between Tumoural and Non-Tumoural Intracranial Lesions in Children: a Stereotactic Approach

Munari, C.; Rosler, Jr J; Musolino, Antonino; Betti, Osvaldo; Daumas-Duport, Cathérine; Missir, O; Chodkiewiez, JP

doi:10.1007/978-3-7091-9029-6_18

Cited by 11 publications

(1 citation statement)

References 18 publications

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“…Giunta et al [3] reported a series of 35 patients with brain stem tumors in whom the diagnosis was confirmed in 29 by stereotactic biopsy. In the study by Munari et al [4], 134 children with intracerebral lesions accepted stereotactic biopsy, and the results proved the existence of tumors in 111 children and non-tumorous lesions in 20. Edner [5] reported that in 94 patients with parasellar tumors, the correct diagnosis was reached by sterotactic biopsy in 96% and no serious complications were found.…”

Section: Discussionmentioning

confidence: 93%

Stereotactic Biopsy for Intracranial Space-Occupying Lesions: Clinical Analysis of 550 Cases

Liu

Tian

et al. 2000

Stereotact Funct Neurosurg

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Object: To investigate the role of stereotactic biopsy in planning the optimal management of intracranial space-occupying lesions. Patients and Methods: Between December 1989 and December 1999, stereotactic biopsy was performed in 550 patients with intracranial mass lesions that were deep-seated or located in the functional area. There were 340 males and 210 females, and their ages ranged from 4 to 75 years. All the procedures were done under local anesthesia with a Leksell stereotactic system. A CT scan was used to determine the coordinates in the first 420 cases and the Aero Tech Stereotactic Surgical Plan System in the subsequent 130 patients. Results: Brain tumors were diagnosed pathologically in 475 patients (86.4%), inflammatory process in 44 (8.0%), other lesions in 12 (2.2%) and no conclusive diagnosis was found in 19 (3.4%). The overall positive rate of biopsy was 96.6%, and the positive rate for brain tumor was 86.4%. Intracranial hematomas after biopsy were found in 13 cases (2.4%). Seizures occurred during the operation in 7 cases (1.2%), and slight and transient neurological deficits were found in 23 cases (4.2%). There were no deaths or other serious complications. Conclusions: The results suggest that the stereotactic biopsy is a reliable method to obtain histopathological diagnosis of intracranial mass lesions, and it is also of great help in selecting the appropriate management.

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Section: Discussionmentioning

confidence: 93%

Stereotactic Biopsy for Intracranial Space-Occupying Lesions: Clinical Analysis of 550 Cases

Liu

Tian

et al. 2000

Stereotact Funct Neurosurg

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The safety and efficacy of stereotactic biopsy for intracranial lesions

Hall

1998

Cancer

290

176

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CT-guided and computer assisted stereotactic biopsy

et al. 1993

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On the base of a stereotactic device originally described by Riechert and Mundinger a three-dimensional localization and treatment planning system for CT-guided computer assisted stereotactic procedures has been developed. The experience with 338 patients, in which image guided stereotaxy has been used for the assessment of various intracerebral lesions, is presented. In 54 of these patients the cannula was introduced with a 20 MHz Doppler-probe positioned at the tip of the needle. A comparison of tissue specimens taken stereotactically with tissue material after tumour resection and/or autopsy was performed in 35 patients. The accuracy of the histological diagnosis was 88%. Bleeding as a complication due to the stereotactic intervention occurred in 8 patients (2.4%). Two of these patients had a fatal outcome (mortality: 0.6%). The morbidity (transient and permanent deterioration of the clinical status) was 1.2%.

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Differential Diagnosis Between Tumoural and Non-Tumoural Intracranial Lesions in Children: a Stereotactic Approach

Cited by 11 publications

References 18 publications

Stereotactic Biopsy for Intracranial Space-Occupying Lesions: Clinical Analysis of 550 Cases

Stereotactic Biopsy for Intracranial Space-Occupying Lesions: Clinical Analysis of 550 Cases

The safety and efficacy of stereotactic biopsy for intracranial lesions

CT-guided and computer assisted stereotactic biopsy

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