Brain biopsy in 10 key points – what can a neurologist expect from the neurosurgeon and the neuropathologist?
Authors:
O. Bradáč; A. Štekláčová; F. Kramář; D. Netuka; V. Beneš
Authors‘ workplace:
Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN Praha
Published in:
Cesk Slov Neurol N 2018; 81(2): 229-234
Category:
Neuropathological window
doi:
https://doi.org/10.14735/amcsnn2018229
Overview
Brain biopsy represents an important technique in the verification of focal brain processes. Nowadays, either framebased or frameless stereotactic biopsies are performed. Open biopsy from a craniotomy is reserved for cases of non-conclusive stereotactic biopsy that demand histological verification of the process which would change the treatment strategy or in case when there is a need for sample for histological examination, i.e. cortical vessel or dura mater. The risk of biopsy is not zero. Therefore, we should always consider the indication for biopsy. Primary biopsy of spinal cord is not indicated.
Key words:
brain biopsy – frambased biopsy – frameless biopsy – histology
Sources
1. Khatab S, Spliet W, Woerdeman PA. Frameless image-guided stereotactic brain biopsies: emphasis on diag-nostic yield. Acta Neurochir (Wien) 2014; 156(8): 1441 – 1450. doi: 10.1007/ s00701-014-2145-2.
2. Bradac O, Steklacova A, Kramar F et al. Stereotaktické biopsie mozkových patologií systémem Varioguide – zkušenosti ze 101 výkonů. Cesk Slov Neurol N 2016; 79(5): 579 – 584. doi: 10.14735/ amcsnn2016579.
3. Dammers R, Haitsma IK, Schouten JW et al. Safety and efficacy of frameless and frame-based intracranial biopsy techniques. Acta Neurochir (Wien) 2008; 150(1): 23 – 29. doi: 10.1007/ s00701-007-1473-x.
4. Gempt J, Buchmann N, Ryang YM et al. Frameless image-guided stereotaxy with real-time visual feedback for brain biopsy. Acta Neurochir (Wien) 2012; 154(9): 1663 – 1667. doi: 10.1007/ s00701-012-1425-y.
5. Bradac O, Vrana J, Jiru F et al. Recognition of anaplastic foci within low-grade gliomas using MR spectroscopy. Br J Neurosurg 2014; 28(5): 631 – 636. doi: 10.3109/ 02688697.2013.872229.
6. Widhalm G, Minchev G, Woehrer A et al. Strong 5-aminolevulinic acid-induced fluorescence is a novel intraoperative marker for representative tissue samples in stereotactic brain tumor biopsies. Neurosurg Rev 2012; 35(3): 381 – 391. doi: 10.1007/ s10143-012-0374-5.
7. Patil AA. A modified stereotactic frame as an instrument holder for frameless stereotaxis: Technical note. Surg Neurol Int 2010; 1 : 62. doi: 10.4103/ 2152-7806.70957.
8. Fukaya C, Sumi K, Otaka T et al. Nexframe frameless stereotaxy with multitract microrecording: accuracy evaluated by frame-based stereotactic X-ray. Stereotact Funct Neurosurg 2010; 88(3): 163 – 168. doi: 10.1159/ 000313868.
9. Sutherland GR, Wolfsberger S, Lama S et al. The evolution of neuroArm. Neurosurgery 2013; 72 (Suppl 1): 27 – 32. doi: 10.1227/ NEU.0b013e318270da19.
10. Amin DV, Lozanne K, Parry PV et al. Image-guided frameless stereotactic needle biopsy in awake patients without the use of rigid head fixation. J Neurosurg 2011; 114(5): 1414 – 1420. doi: 10.3171/ 2010.7.JNS091493.
11. Bekelis K, Radwan TA, Desai A et al Frameless robotically targeted stereotactic brain biopsy: feasibility, diagnostic yield, and safety. J Neurosurg 2012; 116(5): 1002 – 1006. doi: 10.3171/ 2012.1.JNS111746.
12. Ringel F, Ingerl D, Ott S et al. VarioGuide: a new frameless image-guided stereotactic system-accuracy study and clinical assessment. Neurosurgery 2009; 64 (5 Suppl 2): 365 – 371. doi: 10.1227/ 01.NEU.0000341532.15867.1C.
13. Geppert M, Ostertag CB, Seitz G et al. Glucocorticoid therapy obscures the diagnosis of cerebral lymphoma. Acta Neuropathol 1990; 80(6): 629 – 634.
14. Herrlinger U, Schabet M, Bitzer M et al. Primary central nervous system lymphoma: from clinical presentation to diagnosis. J Neurooncol 1999; 43(3): 219 – 226.
15. Manoj N, Arivazhagan A, Mahadevan A et al. Central nervous system lymphoma: patterns of incidence in Indian population and effect of steroids on stereotactic biopsy yield. Neurol India 2014; 62(1): 19 – 25. doi: 10.4103/ 0028-3886.128272.
16. Dorward NL, Paleologos TS, Alberti O et al. The advantages of frameless stereotactic biopsy over frame-based biopsy. Br J Neurosurg 2002; 16(2): 110 – 118.
17. Gralla J, Nimsky C, Buchfelder M et al. Frameless stereotactic brain biopsy procedures using the Stealth Station: indications, accuracy and results. Zentralbl Neurochir 2003; 64(4): 166 – 170.
18. Woodworth GF, McGirt MJ, Samdani A et al. Frameless image-guided stereotactic brain biopsy procedure: diagnostic yield, surgical morbidity, and comparison with the frame-based technique. J Neurosurg 2006; 104(2): 233 – 237.
19. Shooman D, Belli A, Grundy PL. Image-guided frameless stereotactic biopsy without intraoperative neuropathological examination. J Neurosurg 2010; 113(2): 170 – 178. doi: 10.3171/ 2009.12.JNS09573.
20. Grossman R, Sadetzki S, Spiegelmann R et al. Haemorrhagic complications and the incidence of asymptomatic bleeding associated with stereotactic brain biopsies. Acta Neurochir (Wien) 2005; 147(6): 627 – 631.
21. Ali Z, Prabhakar H, Bithal PK et al. A review of perioperative complications during frameless stereotactic surgery: our institutional experience. J Anesth 2009; 23(3): 358 – 362. doi: 10.1007/ s00540-009-0759-y.
22. Salmaggi A, Simonetti G, Trevisan E et al. Perioperative thromboprophylaxis in patients with craniotomy for brain tumours: a systematic review. J Neurooncol 2013; 113(2): 293 – 303. doi: 10.1007/ s11060-013-1115-5.
23. Schott JM, Reiniger L, Thom M et al. Brain biopsy in dementia: clinical indications and diagnostic approach. Acta Neuropathol 2010; 120(3): 327 – 341. doi: 10.1007/ s00401-010-0721-y.
Labels
Paediatric neurology Neurosurgery NeurologyArticle was published in
Czech and Slovak Neurology and Neurosurgery
2018 Issue 2
- Hope Awakens with Early Diagnosis of Parkinson's Disease Based on Skin Odor
- Memantine in Dementia Therapy – Current Findings and Possible Future Applications
- Metamizole vs. Tramadol in Postoperative Analgesia
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Memantine Eases Daily Life for Patients and Caregivers
-
All articles in this issue
- Glucose transporter-1 deficiency syndrome – expanding the clinical spectrum of a treatable disorder
- Carpal tunnel syndrome within the context of functional disorders of the musculoskeletal system
- Identification of pediatric patients with pharmacoresistant epilepsy and selection of candidates of non-pharmacological therapy
- Neurofilament light chains in serum and cerebrospinal fluid and status of blood-CSF barrier in the selected neurological diseases
- Physiotherapy in Parkinson’s disease in the Czech Republic – a demographic study
- Patients with idiopathic REM sleep behavior disorder follow-up – phenoconversion into parkinsonian syndrome and dementia
- Czech version of the Edinburgh Cognitive and Behavioral Amyotrophic Lateral Sclerosis Screen – a pilot study
- Acute pediatric myelitis – cohort of 20 patients
- Granular cell tumor in the pituitary stalk
- Brain biopsy in 10 key points – what can a neurologist expect from the neurosurgeon and the neuropathologist?
- Ataxia
- Anticoagulation therapy in patients with atrial fibrillation and cerebral amyloid angiopathy - NO
- Anticoagulation therapy in patients with atrial fibrillation and cerebral amyloid angiopathy
- Anticoagulation therapy in patients with atrial fibrillation and cerebral amyloid angiopathy - YES
- Fabry disease, an overview and the most common neurological manifestations
- Is the role of amyloid in senile dementia substantial?
- Serum anti-Müllerian hormone levels in multiple sclerosis – a multicenter case-control study
- Invasive primary intracerebral infections in women caused by Streptococcus intermedius manifesting as purulent meningitis and intracerebral abscess
- Malignant melanotic schwannoma of the vertebral body in a patient with Carney complex
- Czech and Slovak Neurology and Neurosurgery
- Journal archive
- Current issue
- About the journal
Most read in this issue
- Ataxia
- Brain biopsy in 10 key points – what can a neurologist expect from the neurosurgeon and the neuropathologist?
- Fabry disease, an overview and the most common neurological manifestations
- Glucose transporter-1 deficiency syndrome – expanding the clinical spectrum of a treatable disorder