Stereotactic brain biopsy: Single center retrospective analysis of complications

被引：76

作者：

Chen, Ching-Chang ^{[1
]}

Hsu, Peng-Wei ^{[1
]}

Wu, Tai-Wei Erich ^{[1
]}

Lee, Shih-Tseng ^{[1
]}

Chang, Chen-Nen ^{[1
]}

Wei, Kuo-chen ^{[1
]}

Chuang, Chih-Cheng ^{[1
]}

Wu, Chieh-Tsai ^{[1
]}

Lui, Tai-Ngar ^{[1
]}

Hsu, Yung-Hsin ^{[1
]}

Lin, Tzu-Kang ^{[1
]}

Lee, Sai-Cheung ^{[1
]}

Huang, Yin-Cheng ^{[1
]}

机构：

[1] Chang Gung Med Coll & Univ, Chang Gung Mem Hosp, Dept Neurosurg, Linkou 333, Tao Yuan County, Taiwan

来源：

CLINICAL NEUROLOGY AND NEUROSURGERY | 2009年 / 111卷 / 10期

关键词：

Stereotactic procedure; Brain biopsy; Intracranial hemorrhage; Liver cirrhosis; Complication; Burr-hole; FRAME-BASED TECHNIQUE; DIAGNOSTIC YIELD; LIVER-BIOPSY; HEMORRHAGE; LESIONS; RISK; MORBIDITY; TUMORS; VALIDATION; ADVANTAGES;

D O I：

10.1016/j.clineuro.2009.08.013

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: Stereotactic biopsy is a widely used surgical technique for the histological diagnosis of intracranial lesions. Potential risks of this procedure, such as hemorrhage, seizure, and infection have been established, and different risk factors have been characterized. However, these risks have been addressed by only few studies conducted in Asian countries. Materials and methods: The study group is comprised of 299 consecutive stereotactic biopsy procedures by 11 neurosurgeons between 2004 and 2007. The pre-operative medical conditions, methods of biopsy and postoperative complications were analyzed. Result: The overall diagnostic yield was 90.64%. Complications were observed in 7.36% of the cases, with symptomatic hemorrhages occurring in 4.35% of the cases, and the overall mortality rate in this study population was 1.34%. Patients with liver cirrhosis were at a higher risk of hemorrhage. Other clinical, radiological, or histological variables were not associated with an increased risk of complications. Conclusion: Stereotactic brain biopsy is a safe and reliable way to obtain a histological diagnosis. Based on our recent clinical experiences, the data suggests that more attention should be paid to liver cirrhotic patients, since the chance on hemorrhage is significantly larger. (C) 2009 Elsevier B.V. All rights reserved.

引用

页码：835 / 839

页数：5

共 26 条

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