Comparative Study Between Two Neurosurgical Methods In Treatment Of The Deep-Seated Malignant Brain Tumor

Abstract

ABSTRACTObjectives : This study is aimed to alert the neurosurgeon about significant of the burr-hole plus D. X. T. in median survival in treatment of the deep-seated malignant brain tumor (highly malignant astrocytoma) . Methods : Throughout a period of 5 years – 50 cases which were proved and diagnosed by brain CT scan , brain MRI and histopathological examination as cases of deep-seated malignant brain tumor " malignant glioma , Astrocytoma Grade III , IV " I divided these 50 cases into 2 groups , the 1st group was 25 cases which was treated by burr-hole biopsy plus deep X. therapy while 2nd group was treated by formal , classical craniotomy flap with subtotal excision of the tumor plus deep . X. therapy all the cases were operated Al-Kadhimyah Teaching Hospital , Al-Mosawy private hospital and Al-Saady Hospital in the Al-Basra city . Result : We found there is no wide difference between these two neurosurgical methods in relation to the median survival in treatment of the deep-seated malignant brain tumor . Conclusion : The use of surgical technique of a burr hole plus D.X.T indicated the need for the use of the steriostatic surgery , therefore that a burr-hole plus D. X. T is to be recommended as a usual method of neurosurgery to treat a deep-seated malignant brain tumor " Astrocytoma Grade III , IV .