In the past 10 years, modern technology has made deep seated obscure lesions visible. With development of computer technology and various stereotaxic techniques, many new procedures, refinement of old procedures, and development of new applications are possible. The authors are intended to provide a detailed description of our experience with the Brown-Roberts-Wells (BRW) stereotactic system in the evaluation and management of 90 patients with intracranial lesions, and to provide cases presentation of various inaccessible intracranial lesions.
Humans ; Stereotaxic Techniques

The treatment modality of patients with spontaneous intracerebral hematoma is still controversial. With remarkable development of CT-guided stereotactic techniques, stereotactic evacuation is preferable to conventional craniotomy due to local anesthesia and minimal brain damage. We reviewed 60 patients with hypertensive intracerebral hematoma, treated with CT-guided stereotactic aspiration and conventional craniotomy from Jan. 1995 to Dec. 1995. The patients were divided into three groups. Group I included the patients who had hematoma less than 30cc in volume and treated stereotactically using a single catheter. Group II was consisted of patients who had hematoma more than 30cc and treated stereotactically using 2 or more catheters. Group III was composed of the patients who showed neurologically rapid progression and treated with conventional craniotomy. We compared the results of the three groups of therapeutic modalities and made conclusions. Most of the spontaneous intracranial hematomas were removed com pletely within 5 days by the stereotactic method. This method was feasible to the patients, who had large volume of hematomas using multiple catheters.
Anesthesia, Local ; Brain ; Catheters* ; Craniotomy ; Hematoma* ; Humans ; Stereotaxic Techniques

The treatment modality of patients with spontaneous intracerebral hematoma is still controversial. With remarkable development of CT-guided stereotactic techniques, stereotactic evacuation is preferable to conventional craniotomy due to local anesthesia and minimal brain damage. We reviewed 60 patients with hypertensive intracerebral hematoma, treated with CT-guided stereotactic aspiration and conventional craniotomy from Jan. 1995 to Dec. 1995. The patients were divided into three groups. Group I included the patients who had hematoma less than 30cc in volume and treated stereotactically using a single catheter. Group II was consisted of patients who had hematoma more than 30cc and treated stereotactically using 2 or more catheters. Group III was composed of the patients who showed neurologically rapid progression and treated with conventional craniotomy. We compared the results of the three groups of therapeutic modalities and made conclusions. Most of the spontaneous intracranial hematomas were removed com pletely within 5 days by the stereotactic method. This method was feasible to the patients, who had large volume of hematomas using multiple catheters.
Anesthesia, Local ; Brain ; Catheters* ; Craniotomy ; Hematoma* ; Humans ; Stereotaxic Techniques

Stereotactic vacuum-assisted breast biopsy (VAB) has been used to evaluate microcalcifications or non-palpable breast lesions on mammography. Although stereotactic VAB is usually performed in a prone or upright position, an expensive prone table is necessary and vasovagal reactions often occur during the procedure. For these reasons, the lateral decubitus position can be applied for stereotactic VAB, and true lateral mammography can be used to detect the lesion. We report on 15 cases of lateral decubitus positioning for stereotactic VAB with true lateral mammography for non-palpable breast lesions or microcalcifications. The mean procedure time was approximately 30.1 minutes, and no complications occurred during the procedures. Fourteen cases had benign breast lesions and one case had a ductal carcinoma in situ. The lateral decubitus stereotactic VAB with true lateral mammography can be applied for microcalcifications or non-palpable breast lesions and helps to minimize anxiety and vasovagal reactions in patients.
Anxiety ; Biopsy ; Breast ; Carcinoma, Intraductal, Noninfiltrating ; Humans ; Mammography ; Stereotaxic Techniques

Radiation therapy has played a key role, together with surgery and systemic chemotherapy, in treating in all stages of non-small cell lung cancer. We have witnessed remarkable improvements in radiation therapy techniques, with the innovations in hardware and software. Stereotactic ablative radiation therapy, which can deliver high radiation dose focused to small target volume, represents one of the state-of-the-art radiation therapy techniques. The technical development of radiation therapy and the role of stereotactic ablative radiation therapy in treating inoperable stage I non-small cell lung cancer are briefly reviewed.
Carcinoma, Non-Small-Cell Lung* ; Drug Therapy ; Radiotherapy ; Stereotaxic Techniques

The neurophysiological study has been widely used in search of the relationship between brain and behavior. The basic techniques for the animal experiments of this kind such as stereotaxic techniques, lesioning methods the methods the methods of electrical stimulation and recording and confirmation of histological location were briefly reviewed. Nevertheless the importance of complementary neurochemical, neuroanatomical and behavioral studies can not be neglected.
Animal Experimentation* ; Animals* ; Brain ; Electric Stimulation ; Stereotaxic Techniques

There are some limitations in the localization of epileptogenic zone commonly used by human eyes to identify abnormal discharges of intracranial electroencephalography in epilepsy. However, at present, the accuracy of the localization of epileptogenic zone by extracting intracranial electroencephalography features needs to be further improved. As a new method using dynamic network model, neural fragility has potential application value in the localization of epileptogenic zone. In this paper, the neural fragility analysis method was used to analyze the stereoelectroencephalography signals of 35 seizures in 20 patients, and then the epileptogenic zone electrodes were classified using the random forest model, and the classification results were compared with the time-frequency characteristics of six different frequency bands extracted by short-time Fourier transform. The results showed that the area under curve (AUC) of epileptic focus electrodes based on time-frequency analysis was 0.870 (delta) to 0.956 (high gamma), and its classification accuracy increased with the increase of frequency band, while the AUC by using neural fragility could reach 0.957. After fusing the neural fragility and the time-frequency characteristics of the γ and high γ band, the AUC could be further increased to 0.969, which was improved on the original basis. This paper verifies the effectiveness of neural fragility in identifying epileptogenic zone, and provides a theoretical reference for its further clinical application.
Humans ; Electroencephalography/methods* ; Epilepsy/diagnosis* ; Seizures ; Stereotaxic Techniques

The application of stereotactic techniques and endoscopy dates back to the beginning of this century and is almost as old as neurosurgery itself. However, endoscopic techniques progressed slowly for several reasons. A reappraisal of endoscopic techniques become popular about 1985. The major indication of endoscope in neurosurgical field is intraventricular procedures. Recently it can be used selectively in the intraaxial mass lesion associated cavity. For example, cystic mass, with liquefied necrosis, blood clot can be approached with endoscope. Authors present its intraaxial application in basal ganglionic hematoma in three patients. Conventional stereotactic guidance of neuroendoscope was done and the hematoma was gently removed through continuous irrigation and suction under video-guidance. The clinical course was uneventful. Brief overview is given of this intraaxial neuroendoscopic procedure.
Endoscopes ; Endoscopy ; Ganglion Cysts* ; Hematoma* ; Humans ; Necrosis ; Neuroendoscopes ; Neurosurgery ; Stereotaxic Techniques ; Suction

An 18-year-old left-handed male harbored intractable medial temporal lobe epilepsy (MTLE) underwent fractionated gamma knife surgery (GKS) instead of open surgery, considering the mental retardation and diffuse cerebral dysfunction. GKS treatment parameters were: target volume, 8.8 cm3; total marginal dose, 24 Gy in 3 fractionations at the 50% isodose line. The patient has been free from seizures since 9 months after GKS, with notable improvement in cognitive outcome. Fractionated GKS could be considered as a safe tool for seizure control and neuropsychological improvement in patients with MTLE.
Adolescent ; Epilepsy ; Epilepsy, Temporal Lobe* ; Humans ; Intellectual Disability ; Male ; Radiosurgery* ; Seizures ; Stereotaxic Techniques ; Temporal Lobe*

An 18-year-old left-handed male harbored intractable medial temporal lobe epilepsy (MTLE) underwent fractionated gamma knife surgery (GKS) instead of open surgery, considering the mental retardation and diffuse cerebral dysfunction. GKS treatment parameters were: target volume, 8.8 cm3; total marginal dose, 24 Gy in 3 fractionations at the 50% isodose line. The patient has been free from seizures since 9 months after GKS, with notable improvement in cognitive outcome. Fractionated GKS could be considered as a safe tool for seizure control and neuropsychological improvement in patients with MTLE.
Adolescent ; Epilepsy ; Epilepsy, Temporal Lobe* ; Humans ; Intellectual Disability ; Male ; Radiosurgery* ; Seizures ; Stereotaxic Techniques ; Temporal Lobe*