Turkish Neurosurgery
2010 , Vol 20 , Num 2
Radiological and Scintigraphic Evaluation Versus Stereotaxic Biopsy for Intracranial Hypodense Lesions: A Comparative Study
1,2,3,4,5,6GATA Haydarpasa Training Hospital, Neurosurgery Department, Istanbul, Turkey7GATA Haydarpasa Training Hospital, Radiology Department, Istanbul, Turkey DOI : 10.5137/1019-5149.JTN.2091-09.1 AIM: Intracranial hypodense lesions include a wide group of pathologies with different structures and characters. Although the radiological imaging properties of these neoplastic and non-neoplastic lesions are similar, treatment modalities for each lesion differs due to histopathological structure.
MATERIAL and METHODS: In this study we have compared the results of radiological and scintigraphic evaluations with the results of stereotaxic biopsies to figure out the diagnostic impact of these non-inasive modalities. 16 patients who admitted to outpatient clinics with headache and/or seizure complaints were included in the study.
RESULTS: MR spectroscopic images diagnosed the lesions as accurately as stereotaxic biopsies.
CONCLUSION: Although stereotaxic biopsy keeps the label of “gold standard” when establishing a diagnosis for these lesions, modern radiological modalities are quite reliable.
Keywords : Cerebral hypodense lesion, Stereotaxic biopsy, Proton MR spectroscopy