Management of Intracranial Cystic Lesions: Experience from a Small Center of a Developing Country
Journal Title: Nepal Journal of Neuroscience - Year 2008, Vol 5, Issue 1
Abstract
Management of cystic lesions is a challenging task but has been greatly facilitated by advanced imaging techniques and minimally invasive procedures that make tissue sampling safe and easy. This study was conducted to find out the characteristics of cystic lesions managed under neurosurgery i a small tertiary referral center in Nepal. Clinical details of all the patients including imaging and histopathological (where available) were reviewed. Factors and limitations responsible for nonintervention were analyzed. There were total 12 cases. All the patients were investigated with plain and contrast CT scan. Lesions were approached on the basis of location, characteristics, margins, internal texture and enhancement pattern. Diagnosis and management of benign lesions was relatively straightforward but management of suspected cases of metastatic/ malignant lesions was complicated by the availability of latest diagnostic resources and reluctance of patient and family members to undergo aggressive treatment. In young patients cystic lesion are usually of benign pathology and patients and family members are keen for definitive management. However in elderly patients these lesions are usually malignant in nature and intervention is difficult due to poor prognosis, limited resources added by financial constraints.
Authors and Affiliations
Amit Agrawal, MCh BP
Keywords
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