• Joaquin Perez Zabala, Yamila Basilotta Marquez, Romina Argañaraz, and Beatriz Mantese.
• Neurosurgery Department Buenos Aires, Juan P. Garrahan Hospital, Buenos Aires, Argentina. Electronic address: joaquinperezzabala@gmail.com.
• World Neurosurg. 2024 Jan 1; 181: 606360-63.

ObjectiveWe present a low-cost and easily accessible adaptation system to perform stereotactic procedures in infants.MethodsWe used an adaptive device consisting of a headband with a plaster bandage, cotton bandage roll, and gauze bandages. Prior to its clinical application, the device was tested in our neuroscience laboratory using a simulation model of a size similar to that of a 5-month-old infant, during which no complications arose. The headband cast technique was subsequently reproduced in a 5-month-old patient, serving as a fixation point for the placement of a Micromar frame for biopsy of a thalamic lesion.ResultsA stereotactic biopsy was successfully performed in a 5-month-old patient using a headband cast to secure the stereotactic frame. This method enabled precise targeting of the selected site, resulting in a histopathological diagnosis without any associated complications.ConclusionsThe adaptive device is safe, easily accessible, and reproducible, facilitating the performance of stereotactic diagnostic procedures in infants, accurately reaching the planned objective without causing injuries or additional complications.Copyright © 2023 Elsevier Inc. All rights reserved.

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