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CT-directed BRW stereotactic neurosurgery: local experience with 42 cases
Singapore Medical Journal
|October 1, 1991
Summary
The Brown-Roberts-Wells (BRW) computed tomographic (CT)-guided stereotactic system demonstrated successful targeting in 42 neurosurgical procedures. One complication occurred, resulting in a fatal hemorrhage.
Area of Science:
- Neurosurgery
- Medical Imaging
- Neurology
Background:
- Stereotactic surgery enables precise instrument navigation within the brain.
- Computed tomography (CT) provides detailed anatomical imaging for guidance.
Purpose of the Study:
- To report the initial clinical experience and outcomes using the Brown-Roberts-Wells (BRW) CT-guided stereotactic system.
- To evaluate the system's efficacy and safety in a diverse range of neurosurgical procedures.
Main Methods:
- The Brown-Roberts-Wells (BRW) stereotactic system was utilized for image-guided procedures.
- Forty-two neurosurgical interventions were performed over a 22-month period.
- Procedures included biopsies, catheter implantations, aspirations, shunt placement, and craniotomies.
Main Results:
- All 42 procedures achieved successful targeting.
- A variety of neurosurgical conditions were addressed, including tumors, hematomas, and abscesses.
- One operation-related complication (intracerebral hemorrhage) led to patient mortality.
Conclusions:
- The BRW CT-guided stereotactic system is effective for precise targeting in neurosurgery.
- The system demonstrated versatility across multiple procedural types.
- While generally safe, potential complications require careful consideration and management.