PT - JOURNAL ARTICLE AU - Heldo Gomez AU - Gene H. Barnett AU - Melinda L. Estes AU - Joann Palmer AU - Mellissa Magdinec TI - Stereotactic and computer-assisted neurosurgery at the Cleveland Clinic: review of 501 consecutive cases DP - 1993 Sep 01 TA - Cleveland Clinic Journal of Medicine PG - 399--410 VI - 60 IP - 5 4099 - http://www.ccjm.org/content/60/5/399.short 4100 - http://www.ccjm.org/content/60/5/399.full SO - Cleve Clin J Med1993 Sep 01; 60 AB - BACKGROUND Stereotactic and computer-assisted techniques have revolutionized the diagnosis and treatment of many disorders of the brain by directing surgical instruments, the surgeon’s hands, or focused radiation to an imaged target along predefined routes.METHODS This report reviews the basic principles and techniques of stereotactic and computer-assisted procedures in 501 consecutive procedures.RESULTS Procedures performed include biopsy; decompression of cysts, hematomas, ventricles, and abscesses; “point,” computer-assisted volumetric, and frameless stereotactic resection of brain lesions; placement of depth electrodes; treatment of movement or pain disorders; implantation of radioactive seeds in malignant tumors; and radiosurgery.CONCLUSIONS Overall, image-directed stereotactic neurosurgery proved safe, accurate, and versatile.