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Journal of Korean Neurosurgical Society 1987;16(3): 709-718.
Transtentorial BRW Stereotactic Approach for Cerebellar Lesions: Technical Note.
Jowa Hyuk Ihm, Oh Lyong Kim, Yong Chul Chi, Byung Yearn Choi, Soo Ho Cho
Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
ABSTRACT
We previoulsy reported the successful performances of the BRW stereotactic biopsy and aspiration of supratentorial and brain stem lesions. The BRW system has disadvantage of less accessibility to the cerebellar lesions by suboccipital approach. To overcome this disadvantage, we have tried to treat four patients having a cerebellar lesions, a case of hemangioblastoma, two cerebellar hemorrhages and acoustic neuroma, by transtentorial BRW stereotactic approach. This approach has been used successfully under the local anesthesia with satisfactory postoperative neurological results. We present a detailed technique of this approach.
Key Words: Cerebellar lesions; Stereotactic biopsy or aspiration; Transtentorial approach; Brown-Roberts-Wells system
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