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Article
Experience in 118 consecutive patients undergoing CT-guided stereotactic surgery utilizing the cosman-robert-wells (CRW) frame
JPMA: Journal of the Pakistan Medical Association
  • Rashid Jooma, Aga Khan University
  • G. R Sharma, Jinnah Postgraduate Medical Centre, Karachi
Publication Date
6-1-2003
Document Type
Article
Disciplines
Abstract
Aims: To evaluate the efficacy of CT-guided neurosurgical procedures done on patients operated by this modality. Methods: Between January 1997 and March 2000, 118 patients undergoing CT-guided stereotactic procedures were recruited to the study. The CRW III stereotactic system (Radionics, USA) and the TSX-00ZA CT Scanner (Toshiba, Japan) were used for all the procedures in the series. These procedures were directed to symptomatic brain lesions or for the treatment of Parkinsonian tremor. Results: Of 118 patients, 109 had intra-cranial lesions and 9 had Parkinson's Disease. The stereotactic procedures performed on these patients were: biopsies in 62, guided mini-craniotomies in 22, haematoma evacuation in 11 cases, aspiration of abscess in 8 cases, 2 biopsy/aspiration of cysts, 4 placement of catheters and 9 thalamotomies. A histological diagnosis was made in 98.15% while no diagnosis was reached in 1.85%. Morbidity and mortality were 5.92% and 2.55% respectively. Conclusion: CT-guided stereotactic surgery using the CRW frame is accurate, quick, safe and highly effective
Citation Information
Rashid Jooma and G. R Sharma. "Experience in 118 consecutive patients undergoing CT-guided stereotactic surgery utilizing the cosman-robert-wells (CRW) frame" JPMA: Journal of the Pakistan Medical Association Vol. 53 Iss. 6 (2003) p. 1 - 4
Available at: http://works.bepress.com/rashid_jooma/34/