Summary
Fourty-five patients affected by brain stem expanding lesions underwent serial stereotactic biopsy between 1978 and 1986. The definitive histological diagnosis allowed the definitive treatment of extrinsic tumours and non-neoplastic lesions. In patients affected from glial tumours the serial stereotactic biopsy allowed the histological grading and the definition of the growth modalities at the superior boundaries of the tumours. These data have been utilized to guide the choice of treatment. The future perspectives of stereotactic biopsies are discussed in view of the therapeutic results obtained in this series and in other series reported in the literature.
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References
Backlund EO, Holst H von (1978) Controlled subtotal evacuation of intracerebral haematomas by stereotactic technique. Surg Neurol 9: 99–101.
Beatty RM, Zervas NT (1983) Stereotactic aspiration of a brain stem haematoma. Neurosurgery 13: 204–207.
Benabid AL, Persat JC, Chirossel JP, Rougemont J, Barge N (1978) Délimitation des tumeurs cérébrales par stéréo-impedoencéphalographie (SIEG). Neurochirurgie 24: 3–14.
Betti O, Derechinski VE (1984) Hyperselective encephalic irradiations with linear accelerator. Acta Neurochir (Wien) [Suppl] 33: 385–390.
Broggi G, Franzini A (1981) Value of serial stereotactic biopsies and impedance monitoring in the treatment of deep brain tumours. J Neurol Neurosurg Psychiatry 44: 397–401.
Broggi G, Franzini A, Giorgi C (1987) Méthodologie et fiabilité prognostique de la biopsie stéréotaxique dans les tumeurs d’origine gliale. Rev EEG Neurophysiol Clin 17: 55–58.
Broggi G, Franzini A, Giorgi C (1983) The value of stereotactic biopsy in management of brain stem lesion. Ital J Neurol Sci [Suppl] 2: 51–56.
Broggi G, Franzini A, Peluchetti D, Servello D (1985) Treatment of deep brain abscesses by stereotactic implantation of an intracavitary device for evcuation and local application of antibiotics. Acta Neurochir (Wien) 76: 94–98.
Broseta J, Gonzales-Darder J, Barcia-Salorio JL (1982) Stereotactic evacuation of intracerebral haematomas. Appl Neurophysiol 45: 443–448.
Coffey RJ, Lundsford ID (1985) Stereotactic surgery for mass lesions of the midbrain and pons. J Neurosurgery 17: 12–18.
Daumas-Duport O, Monsaingeon V, Szenthe L, Szikla G (1982) Serial stereotactic biopsies: a double histological code of gliomas according to malignancy and 3D configuration, as an aid to therapeutic decision and assessment of results. Appl Neurophysiol 45: 431–437.
Franzini A, Broggi G, Allegranza A, Melcarne A, Ventura L, Costa A (1986) Cell kinetics of gliomas by serial stereotactic biopsy. Bas Appl Histochem 30: 203–207.
Gleason CA, Wise BL, Feinstein B (1978) Stereotactic localization (with computerized tomographic scanning), biopsy and radiofrequency treatment of deep brain lesions. Neurosurgery 1: 217–222.
Guillain G, Bertrand I, Gruner J (1945) Les gliomes infiltrés du tronc cérébral. Masson, Paris.
Jenkin RDT, Boesel C, Ertel I, Evans A, Hittle R, Ortega J, Sposto R, Wara W, Wilson C, Anderson J, Leikin S, Hammond D (1987) Brain stem tumours in childhood: a prospective randomized trial of irradiation with and without adjuvant CCNU, VRC and prednisone. J Neurosurg 66: 227–233.
Kandel IE, Peresedov VV (1985) Stereotactic evacuation of spontaneous intracerebral haematomas. J Neurosurg 62: 206–213.
Kelly PJ, Bruce AK, Goerss BS, Earnest F (1986) Computer assisted stereotactic laser resection of intra-axial brain neoplasms. J Neurosurg 64: 427–439.
Matsumoto K, Hondo H (1984) CT-guided stereotactic evacuation of hypertensive intracerebral haematomas. J Neurosurg 61: 440–448.
Ostertag CB, Mennel HD, Kiessling M (1980) Stereotactic biopsy of brain tumours. Surg Neurol 14: 275–283.
Riegel DH, Scarff TB, Woodford JE (1979) Biopsy of pédiatric brain stem tumours. Childs Brain 5: 329–340.
Rorke LB, Gilles FH, Davis RL, Beker LE (1985) Revision of the World Health Organization classification of brain tumours for children brain tumours. Cancer 56: 1869–1876.
Rüssel DS, Rubinstein LJ (1977) Pathology of tumours of the nervous system, 4th ed. Williams and Wilkins, Baltimore, pp 146–282.
Sedan R, Peragut JC, Vallincioni P (1975) Présentation d’un appareillage original pour biopsie cérébrale et tumorale en condition stéréotactiques. Communication à la Société de Neurochirurgie de Langue Française. Paris, Décembre.
Szikla G, Betti O, Szenthe L, Schlienger M (1981) L’expérience actuelle des irradiations stéréotaxiques dans le traitement des gliomas hémisphériques. Neurochirurgie 27: 296–298.
Villani R, Gaini SM, Tomei G (1975) Follow-up study of brain stem tumours in children. Childs Brain 1: 126–135.
Whyte TR, Colby MYJ, Layton DD (1969) Radiation therapy of brain stem tumours. Radiology 693: 413–416.
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Franzini, A., Allegranza, A., Melcarne, A., Giorgi, C., Ferraresi, S., Broggi, G. (1988). Serial Stereotactic Biopsy of Brain Stem Expanding Lesions. Considerations on 45 Consecutive Cases. In: Isamat, F., Jefferson, A., Loew, F., Symon, L. (eds) Proceedings of the 8th European Congress of Neurosurgery Barcelona, September 6–11, 1987. Acta Neurochirurgica Supplementum 42, vol 42. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8975-7_34
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DOI: https://doi.org/10.1007/978-3-7091-8975-7_34
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