Stereotactic posterior midline approach under direct microscopic view for biopsy of medulla oblongata tumors: technical considerations.

Schlaeppi, Janine-Ai; Andereggen, Lukas; Nowacki, Andreas; Pollo, Claudio (2021). Stereotactic posterior midline approach under direct microscopic view for biopsy of medulla oblongata tumors: technical considerations. Acta neurochirurgica, 163(7), pp. 1965-1968. Springer Vienna 10.1007/s00701-020-04600-6

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BACKGROUND

Open and stereotactic transfrontal or transcerebellar approaches have been used to biopsy brainstem lesions.

METHOD

In this report, a stereotactic posterior and midline approach to the distal medulla oblongata under microscopic view is described. The potential advantages and limitations are discussed, especially bilateral damage of the X nerve nuclei.

CONCLUSION

This approach should be considered for biopsy of distal and posterior lesions. We strongly recommend the use of direct microscopic view to identify the medullary vessels, confirm the midline entry point, and avoid potential shift of the medulla. Further experience is needed to confirm safety and success rate of this approach.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Schläppi, Janine Ai; Nowacki, Andreas and Pollo, Claudio

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0001-6268

Publisher:

Springer Vienna

Language:

English

Submitter:

Nicole Söll

Date Deposited:

11 Jan 2021 16:41

Last Modified:

14 Jun 2021 01:31

Publisher DOI:

10.1007/s00701-020-04600-6

PubMed ID:

33047205

Uncontrolled Keywords:

Brain stem Glioma Medulla oblongata Stereotactic biopsy

BORIS DOI:

10.48350/149964

URI:

https://boris.unibe.ch/id/eprint/149964

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