Comparative study between two neurosurgical methods in treatment of the deep-seated malignant brain tumor

الملخص EN

Objectives : This study is aimed to alert the neurosurgeon about significant of the burrhole plus D.

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T.

in median survival in treatment of the deep-seated malignant brain tumor (highly malignant astrocytoma) .

Methods : Throughout a period of 5 years – 50 cases which were proved and diagnosed by brain CT scan , brain MRI and histopathological examination as cases of deep-seated malignant brain tumor " malignant glioma, Astrocytoma Grade III, IV " I divided these 50 cases into 2 groups, the 1st group was 25 cases which was treated by burr-hole biopsy plus deep X.

therapy while 2nd group was treated by formal, classical craniotomy flap with subtotal excision of the tumor plus deep .

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therapy all the cases were operated Al- Kadhimyah Teaching Hospital, Al-Mosawy private hospital and Al-Saady Hospital in the Al-Basra city.

Result: We found there is no wide difference between these two neurosurgical methods in relation to the median survival in treatment of the deep-seated malignant brain tumor.

Conclusion: The use of surgical technique of a burr hole plus D.

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T indicated the need for the use of the steriostatic surgery, therefore that a burr-hole plus D.

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T is to be recommended as a usual method of neurosurgery to treat a deep-seated malignant brain tumor " Astrocytoma Grade III, IV.