Minim Invasive Neurosurg 2000; 43(3): 149-152
DOI: 10.1055/s-2000-8335
ORIGINAL PAPER
Georg Thieme Verlag Stuttgart · New York

The Difference Between Ultrasound-Guided and Stereotactic-Guided Neurosurgical Procedures

A. Melada, Z. Heinrich, D. Chudy, M. Ščap, K. Rotim
  • Department of Neurosurgery, School of Medicine, University Clinical Centre Zagreb, Croatia
Further Information

Publication History

Publication Date:
31 December 2000 (online)

We evaluate two different methods, ultrasound (US) guidance and stereotactic guidance, routinely used in our Department for navigation in various neurosurgical procedures. We have performed 53 US-guided and 101 stereotactic-guided procedures. These procedures were intracranial lesion biopsies, intracranial cysts and abscesses puncture and evacuations, ventricular punctures for hydrocephalus shunt operations, stereotactic-guided microneurosurgical resections, and stereotactic-guided endoscopic operations. Advantages of the US-guided operations are the shortness of the procedure, simplicity (no need for moving patient for additional CT scanning), no irradiation and the possibility of real-time imaging. The disadvantages of the US-guided procedures are worse resolution of the images in deep-seated and small lesions as well as the need for a bigger trepanation because of the transducer's dimensions. Stereotactic procedures are time-consuming but more precise and usually done in local anaesthesia because only a small trepanation is required. Main disadvantage of the stereotactic-guided procedures when compared with the US-guided procedures is a lack of real-time intraoperative control. According to our experience, both methods are complementary and safe and they do not cause any additional complications when used as a navigation tool in microneurosurgical operations. Both methods are highly reliable when used in properly selected patients.

References

  • 1 Soo T M, Bernstein M, Provias J, Tasker R, Lozano A, Gulha A. Failed stereotactic biopsy in a series of 518 cases.  Stereotact Funct Neurosurg. 1996;  64 183-196
  • 2 Ebel H, Rieger A, Spies E H, Böker D K. Stereotactic cysto-ventricular shunting in diencephalic (arachnoid) cysts and failure in cystic craniopharyngeoma.  Minim Invas Neurosurg. 1995;  38 41-47
  • 3 Skrap M, Melatini A, Vassallo A, Sidoti C. Stereotactic aspiration and drainage of brain abscesses. Experience with 9 cases.  Minim Invas Neurosurg. 1996;  39 108-112
  • 4 Ebeling U, Hasdemir M G. Stereotactic guided microsurgery of cerebral lesions.  Minim Invas Neurosurg. 1995;  38 10-15
  • 5 Dohrmann G J, Rubin M J. Use of ultrasound in neurosurgical operations - preliminary report.  Surg Neurol. 1981;  16 162-366
  • 6 Auer L M, Van Velthofen V. Intraoperative ultrasound imaging in neurosurgery. Berlin: Springer Verlag 1990
  • 7 Melada A, Jeličič I. Ultrasound-guided biopsy of intracerebral lesions.  Neurol Croat. 1993;  42 349-357
  • 8 Tsutsumi Y, Andoh Y, Inoue N. Ultrasound-guided biopsy for deep-seated brain tumors.  J Neurosurg. 1982;  57 164-167
  • 9 Tsutsumi Y, Andoh Y, Sakaguchi J. A new ultrasound-guided brain biopsy technique through a burr hole.  Acta Neuroch. 1989;  86 72-75
  • 10 Berger S M. Ultrasound-guided stereotactic biopsy using a new apparatus.  J Neurosurg. 1986;  65 550-554
  • 11 Sjolander U, Lindgren P G, Hugosson R. Ultrasound sector scanning for the localisation and biopsy of intracerebral lesions.  J Neurosurg. 1983;  58 7-10

Corresponding Author

Z Heinrich

Department of Neurosurgery University Clinical Centre Zagreb

Kišpatićeva 12 10000 Zagreb Croatia

Phone: Phone:+38512421873

Fax: Fax:+38512421873

Email: E-mail:Zdravko.heinrich@zg.tel.hr