Stereotactic and computer-assisted neurosurgery at the Cleveland Clinic: review of 501 consecutive cases
Heldo Gomez, MD
Gene H. Barnett, MDAddress reprint requests to G.H.B., Center for Computer-Assisted Neurosurgery, Department of Neurosurgery, S80, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195.
Melinda L. Estes, MD
Joann Palmer, RN
Mellissa Magdinec, RN
Stereotactic and computer-assisted techniques have revolutionized the diagnosis and treatment of many disorders of the brain by directing surgical instruments, the surgeon’s hands, or focused radiation to an imaged target along predefined routes.METHODS
This report reviews the basic principles and techniques of stereotactic and computer-assisted procedures in 501 consecutive procedures.RESULTS
Procedures performed include biopsy; decompression of cysts, hematomas, ventricles, and abscesses; “point,” computer-assisted volumetric, and frameless stereotactic resection of brain lesions; placement of depth electrodes; treatment of movement or pain disorders; implantation of radioactive seeds in malignant tumors; and radiosurgery.CONCLUSIONS
Overall, image-directed stereotactic neurosurgery proved safe, accurate, and versatile.