Berker CEMİL, Fikret DOĞULU, Şükrü AYKOL, Memduh KAYMAZ, Özgür KARDEŞ, Ayhan ÖNK

Treatment of deep-seated cerebral lesions by stereotactic craniotomy

Amaç: Derin yerleşimli serebral lezyonlann tedavisinde sîereotaksik kraniotominin rolünü araştırmak Metod: Mart 1998 ile Nisan 2001 tarihleri arasında intrakranial derin yerleşimli lezyonlu 11 hastada stereotaksik kraniotomi ve mikroşirürjikal lezyon rezeksiyonu uygulandı. 6 erkek ve 5 kadın vardı ve yaşlan 6 ile 56 arasında değişmekteydi. Tüm prosedürler Fischer stereotaksik sistemle yapıldı. Bulgular: Patolojik olarak astrositoma 4 hastada, abse 2 hastada, germinoma 2 hastada, kavernoma 2 hastada ve küçük hücreli karsinom' metastazı l hastada saptandı. Tüm olgularda tam çıkanlımın operasyon sonrası görüntülemeyle konfirme edildiği total rezeksiyon gerçekleştirildi. Ne cerrahi mortalite ne de ciddi komplikasyon olmadı. Sonuç: Stereotaksik kraniotomi ve mikroşirürjikal rezeksiyon derin yerleşimli serebral lezyonlann tedavisinde iyi bir sonuç elde etmede güvenilir bir metoddur.

Derin yerleşimli serebral lezyonların stereotaksik kraniotomi ile tedavisi

Purpose: To investigate the role of stereotactic craniotomy in the management of deep-seated cerebral lesions. Method: Between March 1998 and April 2001 stereotactic craniotomy and microsurgical lesion resection was performed in 11 patients with intracranial lesions that were deep-seated. There were 6 males and 5 females and their ages ranged from 6 to 56 years. All procedures were done with a Fischer stereotactic system. Results: Astrocytoma was diagnosed pathologically in 4 patients, abscess in 2 patients, germinoma in 2 patients, cavernoma in 2 patients and small cell carcinoma (ca) metastasis in 1 patient. Total resection was accomplished in all cases, with postoperative imaging confirming complete removal. There were no surgical mortalities or serious complications. Conclusion: Stereotactic craniotomy and microsurgical resection is a reliable method to obtain good outcomes in the treatment of deep-seated cerebral lesions.

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