Stereotaxy is used for taking biopsies from deep seated lesions as thalamus, basal ganglia, brain stem. It allows for tissue diagnosis with minimal morbidity.
This patient presented with progressive right sided hemiparesis. MRI showed two ring enhancing lesions in left thalamus. Stereotactic biopsy was done from the lesion which was suggestive of fungal brain abscess. Patient was started on anti-fungal treatment. There was gradual improvement on treatment with resolution of symptoms.
CRW stereotactic frame, Framelink planning software, Nashold Biopsy Needle, Neuro-navigation CT / MRI fusion software