"The Use of Transcerebellar Approach with Inverted Frame Setting for Stereotactic Biopsy of Posterior Fossa Lesions"@en . "Nov\u00E1k, Zden\u011Bk" . . . . . . "\u010Cesk\u00E1 a slovensk\u00E1 neurologie a neurochirurgie" . . . . . "76" . "RIV/00159816:_____/13:00060694" . "Pou\u017Eit\u00ED transcerebel\u00E1rn\u00EDho p\u0159\u00EDstupu s obr\u00E1cenou mont\u00E1\u017E\u00ED stereotaktick\u00E9ho r\u00E1mu pro biopsii l\u00E9z\u00ED zadn\u00ED j\u00E1my lebn\u00ED" . . . "Structural lesions affecting posterior fossa region represent a less frequent indication for stereotactic biopsy since vital structures are concentrated in a confined space of posterior fossa and an approach is more demanding. Transfrontal (bioptic cannula inserted from frontal trephination), transtentorial (temporoparietal trephination, cannula passing through tentorial center) and direct transcerebellar approaches may all be used for biopsy sampling. The choice of the surgical approach depends on the location of the lesion with respect to the brainstem. The main limitation of the direct transcerebellar biopsy is the location of the frame directly over the suboccipital region that restricts the options for insertion of a cannula. Inverted stereotactic frame fixation can be used to overcome this technical limitation with subsequent cannula insertion below the frame. The paper analyses the use of the modified transcerebellar approach in four patients with lesions of unclear etiology affecting the posterior fossa structures. The modified transcerebellar stereotactic approach enabled safe bioptic sampling in all patients with decisive impact on further treatment."@en . . "000314553500012" . "I, P(ED1.100/02/0123)" . "Struktur\u00E1ln\u00ED patologie postihuj\u00EDc\u00ED zadn\u00ED j\u00E1mu lebn\u00ED jsou m\u00E9n\u011B \u010Dast\u00FDm c\u00EDlem stereotaktick\u00FDch biopsi\u00ED pro koncentraci vit\u00E1ln\u00EDch struktur v omezen\u00E9m prostoru a komplikovan\u011Bj\u0161\u00ED p\u0159\u00EDstup. K proveden\u00ED stereotaktick\u00E9 biopsie se pou\u017E\u00EDv\u00E1 p\u0159\u00EDstup transfront\u00E1ln\u00ED (kanyla zavedena z front\u00E1ln\u00ED trepanace), transtentori\u00E1ln\u00ED (temporopariet\u00E1ln\u00ED trepanace p\u0159es st\u0159ed tentoria) a trans\u00ADcerebel\u00E1rn\u00ED (ze subokcipit\u00E1ln\u00ED trepanace). Volba p\u0159\u00EDstupu z\u00E1vis\u00ED p\u0159edev\u0161\u00EDm na vztahu l\u00E9ze k jednotliv\u00FDm \u010D\u00E1stem mozkov\u00E9ho kmene. Pou\u017Eit\u00ED transcerebel\u00E1rn\u00EDho p\u0159\u00EDstupu je omezeno stereotaktick\u00FDm r\u00E1mem nad subokcipit\u00E1ln\u00ED oblast\u00ED, limituj\u00EDc\u00EDm zaveden\u00ED kanyly. Mo\u017En\u00FDm \u0159e\u0161en\u00EDm je vyu\u017Eit\u00ED obr\u00E1cen\u00E9 mont\u00E1\u017Ee stereotaktick\u00E9ho r\u00E1mu a opera\u010Dn\u00EDho syst\u00E9mu se zaveden\u00EDm kanyly pod r\u00E1mem. Ve sd\u011Blen\u00ED je analyzov\u00E1no vyu\u017Eit\u00ED modifikovan\u00E9ho transcerebel\u00E1rn\u00EDho p\u0159\u00EDstupu u \u010Dty\u0159 rizikov\u00FDch nemocn\u00FDch s diagnosticky nejasn\u00FDmi patologick\u00FDmi procesy postihuj\u00EDc\u00EDmi struktury zadn\u00ED j\u00E1my lebn\u00ED. U v\u0161ech nemocn\u00FDch stereotaktick\u00E1 biopsie modifikovan\u00FDm transcerebel\u00E1rn\u00EDm p\u0159\u00EDstupem umo\u017Enila bezpe\u010Dn\u00FD odb\u011Br vzorku, jeho\u017E histologick\u00E9 vy\u0161et\u0159en\u00ED z\u00E1sadn\u00EDm zp\u016Fsobem ovlivnilo l\u00E9\u010Debn\u00FD postup."@cs . "97951" . "Cejpek, Pavel" . . "Struktur\u00E1ln\u00ED patologie postihuj\u00EDc\u00ED zadn\u00ED j\u00E1mu lebn\u00ED jsou m\u00E9n\u011B \u010Dast\u00FDm c\u00EDlem stereotaktick\u00FDch biopsi\u00ED pro koncentraci vit\u00E1ln\u00EDch struktur v omezen\u00E9m prostoru a komplikovan\u011Bj\u0161\u00ED p\u0159\u00EDstup. K proveden\u00ED stereotaktick\u00E9 biopsie se pou\u017E\u00EDv\u00E1 p\u0159\u00EDstup transfront\u00E1ln\u00ED (kanyla zavedena z front\u00E1ln\u00ED trepanace), transtentori\u00E1ln\u00ED (temporopariet\u00E1ln\u00ED trepanace p\u0159es st\u0159ed tentoria) a trans\u00ADcerebel\u00E1rn\u00ED (ze subokcipit\u00E1ln\u00ED trepanace). Volba p\u0159\u00EDstupu z\u00E1vis\u00ED p\u0159edev\u0161\u00EDm na vztahu l\u00E9ze k jednotliv\u00FDm \u010D\u00E1stem mozkov\u00E9ho kmene. Pou\u017Eit\u00ED transcerebel\u00E1rn\u00EDho p\u0159\u00EDstupu je omezeno stereotaktick\u00FDm r\u00E1mem nad subokcipit\u00E1ln\u00ED oblast\u00ED, limituj\u00EDc\u00EDm zaveden\u00ED kanyly. Mo\u017En\u00FDm \u0159e\u0161en\u00EDm je vyu\u017Eit\u00ED obr\u00E1cen\u00E9 mont\u00E1\u017Ee stereotaktick\u00E9ho r\u00E1mu a opera\u010Dn\u00EDho syst\u00E9mu se zaveden\u00EDm kanyly pod r\u00E1mem. Ve sd\u011Blen\u00ED je analyzov\u00E1no vyu\u017Eit\u00ED modifikovan\u00E9ho transcerebel\u00E1rn\u00EDho p\u0159\u00EDstupu u \u010Dty\u0159 rizikov\u00FDch nemocn\u00FDch s diagnosticky nejasn\u00FDmi patologick\u00FDmi procesy postihuj\u00EDc\u00EDmi struktury zadn\u00ED j\u00E1my lebn\u00ED. U v\u0161ech nemocn\u00FDch stereotaktick\u00E1 biopsie modifikovan\u00FDm transcerebel\u00E1rn\u00EDm p\u0159\u00EDstupem umo\u017Enila bezpe\u010Dn\u00FD odb\u011Br vzorku, jeho\u017E histologick\u00E9 vy\u0161et\u0159en\u00ED z\u00E1sadn\u00EDm zp\u016Fsobem ovlivnilo l\u00E9\u010Debn\u00FD postup." . "Van\u00ED\u010Dek, Ji\u0159\u00ED" . "Chrastina, Jan" . "4"^^ . "\u0158\u00EDha, Ivo" . "infratentorial tumor; biopsy; frame-based stereotaxy"@en . . . . "6"^^ . "Pou\u017Eit\u00ED transcerebel\u00E1rn\u00EDho p\u0159\u00EDstupu s obr\u00E1cenou mont\u00E1\u017E\u00ED stereotaktick\u00E9ho r\u00E1mu pro biopsii l\u00E9z\u00ED zadn\u00ED j\u00E1my lebn\u00ED" . "Hermanov\u00E1, Mark\u00E9ta" . "1210-7859" . "Pou\u017Eit\u00ED transcerebel\u00E1rn\u00EDho p\u0159\u00EDstupu s obr\u00E1cenou mont\u00E1\u017E\u00ED stereotaktick\u00E9ho r\u00E1mu pro biopsii l\u00E9z\u00ED zadn\u00ED j\u00E1my lebn\u00ED"@cs . . . "[9BC852B79B19]" . "1" . "6"^^ . . . . "RIV/00159816:_____/13:00060694!RIV14-MZ0-00159816" . "CZ - \u010Cesk\u00E1 republika" . "The Use of Transcerebellar Approach with Inverted Frame Setting for Stereotactic Biopsy of Posterior Fossa Lesions"@en . . "Pou\u017Eit\u00ED transcerebel\u00E1rn\u00EDho p\u0159\u00EDstupu s obr\u00E1cenou mont\u00E1\u017E\u00ED stereotaktick\u00E9ho r\u00E1mu pro biopsii l\u00E9z\u00ED zadn\u00ED j\u00E1my lebn\u00ED"@cs .