• World Neurosurg · Nov 2024

    "Brain Biopsy Revolution: Unveiling the Core Syringe Technique with Clinical Insights".

    • Mohammed Bafaquh, Noor Alghanuim, Gmaan Alzhrani, AlghabbanFatimah AFADepartment of Neurosurgery, King Saud Medical City, Riyadh, Saudi Arabia., AlShamekhArwa SASDepartment of Neurosurgery, King Saud Medical City, Riyadh, Saudi Arabia., Mohammed Daghriri, Othman T Almutairi, Bin AbdulqaderSarahSDepartment of Neurosurgery, King Saud Medical City, Riyadh, Saudi Arabia., Lahbib Soualmi, Najeeb Alomar, AlraddadiKhulood KKKDepartment of Neurosurgery, King Saud Medical City, Riyadh, Saudi Arabia., and AlSubaieFahd RFRDepartment of Neurosurgery, King Saud Medical City, Riyadh, Saudi Arabia..
    • Department of Adult Neurosurgery, National Neuroscience Institute, Riyadh, Saudi Arabia. Electronic address: Mohammad_bafaquh@outlook.com.
    • World Neurosurg. 2024 Nov 21; 193: 868875868-875.

    BackgroundObtaining a definitive pathological diagnosis from brain tissue sampling was challenging due to the small, nonrepresentative sample. This study introduced a novel syringe technique for brain biopsy aimed at enhancing diagnostic accuracy by obtaining core tissue samples that better represent the targeted tissue.MethodsThe 10 patients with atypical brain lesions underwent the syringe biopsy. After meticulous preoperative planning with neuronavigation, a minimally invasive approach was used: a 3-cm skin incision and a 14-mm burr hole were created. A modified 3-cc syringe was used to create negative pressure and cannulate the brain tissue. The desired sample size (24 cm³) was obtained by controlling the syringe depth and withdrawal. Medical records were reviewed to assess sample analysis results and any complications.ResultsThe syringe technique successfully yielded adequate tissue samples in 9 of 10 patients. In 1 case, the desired tissue could not be retrieved and required a microsurgical approach for removal. In all 10 cases, a correct diagnosis was made without significant complications.ConclusionsThe preliminary findings suggest that the syringe technique is both safe and effective for obtaining substantial volumes of brain tissue, facilitating accurate pathological evaluation in cases of complex neurological disorders.Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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