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Minim Invasive Neurosurg 2003; 46(1): 37-40
DOI: 10.1055/s-2003-37964
Original Article
© Georg Thieme Verlag Stuttgart · New York

Improving Planning Procedure in Brain Biopsy: Coupling Frame-Based Stereotaxy with Navigational Device STP 4.0

D.  Winkler1 , C.  Trantakis1 , D.  Lindner1 , A.  Richter2 , J.  Schober3 , J.  Meixensberger1
  • 1Department of Neurosurgery, University of Leipzig, Germany
  • 2Department of Radiology, University of Leipzig, Germany
  • 3Department of Neuropathology, University of Leipzig, Germany
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Publikationsverlauf

Publikationsdatum:
17. März 2003 (online)

    Lizenzen und Reprints

Abstract

37 consecutive patients with space-occupying intracerebral lesions were operated via frame-based stereotaxy. After CT-localizing of suspect lesions and computer-supported definition of entry and target coordinates a serial stereotactic biopsy was performed. Biopsy specimens allowed a satisfactory neuropathological examination and diagnostic result in 36 cases (97 %). Only three patients (8.1 %) showed an intraoperative bleeding, which was not associated with any postoperative CT-detectable hematoma, neurosurgical intervention nor with any neurological deficits. In summary we described the method of a computerized planning technique for stereotactic biopsy with the use of a special stereotactic planning program. High percentage of satisfactory neuropathological diagnoses and comfortable and accurate definition of target and entry coordinates justify computer support as a routine method.

Key words

Stereotaxy - ZD-System - Minimal Invasive Surgery - Neuronavigation

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D. Winkler, M. D. 

Klinik für Neurochirurgie · Universität Leipzig

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