BRAIN BIOPSY IN THE CONDITIONS OF THE NEUROSURGICAL DEPARTMENT OF A MULTIDISCIPLINARY HOSPITAL
Abstract
Рurpose of the study — to demonstrate the capabilities of the neurosurgical department of a multidisciplinary urban hospital in conducting various types of biopsy of pathological foci of the brain for the purpose of differential diagnosis and determination of further treatment tactics. 13 case histories of patients who underwent various types of biopsies were analyzed. The features of various techniques for performing lifetime sampling of material from the brain are analyzed. Frameless stereotactic biopsies, both puncture and endoscopic, were performed using the StealthStation S8 Surgical Navigation System of Medtronic using a set of instruments with a Gaab endoscope. In all cases, the performed biopsy was informative, which made it possible to correctly verify the diagnosis and determine further treatment tactics. 12 patients were discharged or transferred to another medical institution. In one case, a fatal outcome was observed. Open, as well as stereotactic frameless puncture and endoscopic biopsies are effective and safe methods of sampling material from pathologically altered brain tissue, subject to strict indications for their implementation.
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