Stereotactic Biopsy in Cerebral Lesions Associated with Acquired Immunodeficiency Syndrome (AIDS), Report of Four Cases |
Je Hoon Byun, Byung Chul Son, Sung Hun Wee, Sang Il Kim, Ji Han Jung, Jae Taek Hong, Jae Hoon Sung, Sang Won Lee |
Department of Neurosurgery, Internal Medicine and Clinical Pathology, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea |
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Abstract |
Nervous system involvement presents as the first clinical symptom of AIDS in 10-20% of patients and can complicate the course of the disease about 70% of cases. When cerebral complications are suspected in patients with AIDS, magnetic resonance imaging (MRI) can provide sensitive diagnostic informations. However, definite diagnosis cannot be made without a histologic study, since radiologically identifiable diagnostic characteristics are not absolute. Although stereotactic biopsy has proven to be an effective means of obtaining tissue diagnosis in AIDS, the written reported cases in Korea is rare. We report our experience of stereotactic biopsies in AIDS and discuss the indications and precautions in the stereotactic biopsy in AIDS patients presenting intracranial mass lesions. |
Key Words:
Acquired immunodeficiency syndrome, Stereotactic biopsy, Human immunodeficiency virus, Barrier protection. |
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