Burr Hole Biopsy in Brain Lesions
Journal Title: Nepal Journal of Neuroscience - Year 2013, Vol 10, Issue 2
Abstract
Out of all brain tumors, half are malignant, so early detection and diagnosis is important to plan management. For early diagnosis, investigation through Computed Tomograph (CT) and Magnetic Resonance Imagina (MRI) are useful but they cannot determine tumor histopathology. The best method for histology assessment is biopsy. Burr hole biopsy avoids major surgical procedures and can guide specific therapeutic approach. This study aims to evaluate role of burr hole biopsy in management of brain lesion in selected group of patients. This is an observational study of patients with brain lesion who underwent burr hole biopsy. Thirty five cases were observed in a period of two years from November 1st, 2010 to October 30th, 2012 in Bir Hospital. Total numbers of cases included in this study were 35 among them male were 57% and female were 43% respectively. Sixty three percentage of cases were between 40-70 years of age. Mortality was 5.7% and re-biopsy was done in 8.5% of cases. Medically treatable diseases (i.e. TB, Abscess, lymphoma etc.) were 17% among total biopsied cases. Free hand burr hole biopsy is a safe, effective method of determining the histological diagnosis of a brain tumour. This procedure improves the quality of care for patients because it avoids major craniotomy and patient can choose among modalities of treatment.
Authors and Affiliations
Narendra Prasad Banskota, MS
Keywords
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