دراسة عن خزعات أورام الدماغ العميقة في مشفى الأسد الجامعي

الملخص EN

Background &Objective: Performing a stereotactic biopsy of deep-seated cerebral lesions or those occupying significant brain area instead of ” ciel ouvert ” technique is currently the best procedure to achieve the goal without neurologic complications and with a very low mortality.

Stereotactic surgery has a wide range of indications, with few contraindications.

Technological development of stereotactic devices and their supplemental computer programs, with the development of brain imaging techniques, have increased the use of this procedure.

The aim of this study is to reassure that stereotactic biopsy of brain lesions is an easy and accurate technique with a low complication rate, and sufficient to achieve the histopathological diagnosis in order to get the appropriate oncologic treatment including adjuvant chemotherapy and radiotherapy and to avoid major surgical procedures.

Materials & Methods: CT - guided stereotactic brain biopsy was performed on 126 patients between the year 2008 and 2012 in the neurosurgery department of Al - Assad University Hospital.

Accurate histopatholigical diagnosis was achieved in 122 patients especially those with deep-seated lesions or lesions that are difficult to be approached surgically.

there were no permanent complications.

Results: One of the most significant results of this study is that we achieved the accurate histopatholigical diagnosis in more than 95% of cases.

The actual diagnosis did not meet the expected diagnosis before the procedure in more than half of the cases.

Two patients died, and the complications rate was 7.1 %, most of them were transient.

CT - guided stereotactic brain biopsy was proved to be a safe and accurate technique compatible with international studies.

Conclusion: Stereotactic biopsy is an easy, accurate procedure with very few complications, and most of the biopsies are sufficient to reach the definitive histopathological diagnosis in more than 95% of cases.

Disastrous complications