Case 168: Occipital Bone Osteolytic Lesion Biopsy

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CT Guided BiopsyBhavin Jankharia

Current Case:

An 86-years old was found to have an expansile, osteolytic lesion in the right occipital bone on a brain MRI.

This was confirmed on PET/CT.

She was referred for a biopsy after the hospital radiologist refused to do it saying it is too dangerous. The truth is this is a simple biopsy, with nothing in the way.

The video describes the case and various different skull biopsies. Here are the others in the frontal, parietal and temporal bones discussed in the past.

Case 58: Left Frontal Skull Bone Osteolytic Lesion Biopsy in a patient with Ca Breast

Left frontal skull bone osteolytic lesion biopsy in a patient with Ca breast

CT Guided BiopsyBhavin Jankharia

Case 59: When the Parietal Skull Bone Biopsy was Just the Tip of the Iceberg

29-years old with a left parietal bone lesion for CT guided biopsy that led to a cascading set of events including a craniectomy and then the final diagnosis

CT Guided BiopsyBhavin Jankharia

Case 161: Temporal Bone Biopsy

Different parts of the temporal bone can usually be approached quite easily for CT guided biopsy, depending on the location and pathology.

CT Guided BiopsyBhavin Jankharia

Case 162: Subgaleal Calvarial Lesion Biopsy

Different parts of the calvarium can usually be approached quite easily for CT guided biopsy, depending on the location and pathology.

CT Guided BiopsyBhavin Jankharia

Region: Skull
Age: 86 years
Findings: Osteolytic lesion occipital bone
Lesion Biopsied: Same
Size of Lesion: Not relevant
Gun: 18G Cook, 10 mm throw, short
No of cores: 5 for histopath
Sedation: Conscious
Position & Approach: Prone
Time Taken (marker to wash-out): 8 mins
Complication: None
Level of Difficulty: 3/5
Diagnosis: Plasma cell neoplasm

Table of Contents and Other Spine Biopsies

Table of Contents

Table of Contents

CT Guided BiopsyBhavin Jankharia

Previous Post:

Case 167: Transpedicular Approach for a Lower Cervical Body Lesion

In the lower cervical spine, where the pedicle is a bit thicker, a transpedicular approach can be considered for vertebral body lesions

CT Guided BiopsyBhavin Jankharia

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