Turkish Neurosurgery 2010 , Vol 20 , Num 2
Radiological and Scintigraphic Evaluation Versus Stereotaxic Biopsy for Intracranial Hypodense Lesions: A Comparative Study
Murat KUTLAY1, Serdar KAYA2, K›vanç TOPUZ3, Ahmet COLAK4, Nusret DEMIRCAN5, Kaan UNGOREN6, Murat VELIOGLU7
1,2,3,4,5,6GATA Haydarpasa Training Hospital, Neurosurgery Department, Istanbul, Turkey
7GATA 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

Corresponding author : Serdar Kaya, serdarockk@yahoo.com