sarawak_general_hospital

A retrospective analysis was performed on 50 consecutive patients who underwent stereotactic brain biopsies in the Department of Neurosurgery, Sarawak General Hospital, Ministry of Health, Jalan Hospital, 93586, Kuching, Sarawak, Malaysia from 2014 to 2019. Variables including age, gender, lesion topography and characteristics, biopsy methods, and surgeon's experience were analyzed along with diagnostic rate. This study included 31 male and 19 female patients with a mean age of 48.4 (range: 1-76). Of these, 25 underwent frameless brain-suite stereotactic biopsies, 15 were frameless Portable Brain-lab® stereotactic biopsies and 10 were frame-based CRW® stereotactic biopsies. There was no statistical difference between the diagnostic yield of the three methods. The diagnostic yield in our series was 76%. Age, gender, and biopsy methods had no impact on diagnostic yield. Periventricular and pineal lesion biopsies were significantly associated with negative diagnostic yield (p = 0.01) whereas larger lesions were significantly associated with a positive yield (p = 0.01) with the mean volume of lesions in the positive yield group (13.6 cc) being higher than the negative yield group (7 cc). The diagnostic yields seen between senior and junior neurosurgeons in the biopsy procedure were 95% and 63%, respectively (p = 0.02). Anatomical location of the lesion, volume of the lesion, and experience of the surgeon have significant impacts on the diagnostic yield in stereotactic brain biopsy. There was no statistical difference between the diagnostic yield of the three methods, age, gender, and depth of lesion 1).



1: Lau BL, Vijian K, Liew DNS, Wong ASH. Factors affecting diagnostic yield in stereotactic biopsy for brain lesions: a 5-year single-center series. Neurosurg Rev. 2021 Oct 10. doi: 10.1007/s10143-021-01671-6. Epub ahead of print. PMID: 34628562.

2: Abduljabbar FH, Teles AR, Ouellet JA, Ferland CE, Wong CC, Barbagallo G, Brodke D, Al-Mutair A, Riew KD, Falavigna A. Spine Surgeons Burnout and Quality of Life: Results of a Worldwide Survey. Spine (Phila Pa 1976). 2021 Oct 15;46(20):1418-1927. doi: 10.1097/BRS.0000000000004038. PMID: 34559753.

3: Ngu CYV, Tang IP, Ng BHK, Wong ASIIH, Liew DNS. Endoscopic Endonasal Approach in Clival Chordoma Surgery: Case Series. Indian J Otolaryngol Head Neck Surg. 2021 Jun;73(2):226-232. doi: 10.1007/s12070-021-02455-6. Epub 2021 Feb 23. PMID: 34150596; PMCID: PMC8163901.

4: Ngui JZ, Higginbotham G, Kanesen D, Lau JH, Tang IP, Liew DNS. A caroticocavernous fistula without vascular injury following endoscopic transsphenoidal excision of a tuberculum sellae meningioma-A case report. Clin Case Rep. 2021 May 4;9(5):e04117. doi: 10.1002/ccr3.4117. PMID: 34026157; PMCID: PMC8122126.

5: Lin-Wei O, Xian LLS, Shen VTW, Chuan CY, Halim SA, Ghani ARI, Idris Z, Abdullah JM. Deep Tendon Reflex: The Tools and Techniques. What Surgical Neurology Residents Should Know. Malays J Med Sci. 2021 Apr;28(2):48-62. doi: 10.21315/mjms2021.28.2.5. Epub 2021 Apr 21. PMID: 33958960; PMCID: PMC8075597.

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7: Sim SK, Lau BL, Zaila SR, Hazira N, Aniqah NM, Panicker J, Hamzah AS. Psychological symptoms among healthcare workers handling COVID-19 patients. Med J Malaysia. 2021 Mar;76(2):138-144. PMID: 33742619.

8: Goh CH, Hamzah MR, Kandasamy R, Ghani ARI, Wong SH, Idris Z, Abdullah JM. The use of magnetic resonance phase-contrast cine in Chiari malformation with syringomyelia. Med J Malaysia. 2020 Nov;75(6):666-671. PMID: 33219175.

9: Nelson Yap KB, Albert Wong SH, Idris Z. Tranexamic acid in traumatic brain injury. Med J Malaysia. 2020 Nov;75(6):660-665. PMID: 33219174.

10: Lau BL, Idris Z, Abdullah JM, Bujang MA, Wong ASH. Introduction of a newly created AW stereotactic frame: a phantom-based accuracy evaluation and an initial experience in clinical usage. Br J Neurosurg. 2020 Nov 16:1-8. doi: 10.1080/02688697.2020.1837728. Epub ahead of print. PMID: 33191803.

11: Raffiq A, Seng LB, San LS, Zakaria Z, Yee AS, Fitzrol DN, Hassan WMNW, Idris Z, Ghani ARI, Rosman AK, Abdullah JM. COVID-19 Pandemic and Its Impact on Neurosurgery Practice in Malaysia: Academic Insights, Clinical Experience and Protocols from March till August 2020. Malays J Med Sci. 2020 Oct;27(5):141-195. doi: 10.21315/mjms2020.27.5.14. Epub 2020 Oct 27. PMID: 33154710; PMCID: PMC7605837.

12: Xian LLS, Nallaluthan V, De Jun Y, Lin-Wei O, Halim SA, Chuan CY, Idris Z, Ghani ARI, Abdullah JM. Examination Techniques of the First Cranial Nerve: What Neurosurgical Residents Should Know. Malays J Med Sci. 2020 Oct;27(5):124-129. doi: 10.21315/mjms2020.27.5.12. Epub 2020 Oct 27. PMID: 33154708; PMCID: PMC7605834.

13: Low PH, Mangat MS, Liew DNS, Wong ASH. Neurosurgical Services in the Northern Zone of Sarawak in Malaysia: The Way Forward Amid the COVID-19 Pandemic. World Neurosurg. 2020 Dec;144:e710-e713. doi: 10.1016/j.wneu.2020.09.045. Epub 2020 Sep 17. PMID: 32949798; PMCID: PMC7494498.

14: Vijian K, Teo EG, Kanesen D, Wong ASH. Initial leucocytosis and other significant indicators of poor outcome in severe traumatic brain injury: an observational study. Chin Neurosurg J. 2020 Feb 10;6:5. doi: 10.1186/s41016-020-0185-4. PMID: 32922934; PMCID: PMC7398244.

15: Goh CH, Abdullah JY, Idris Z, Ghani ARI, Abdullah JM, Wong ASH, Tharakan J, Win SM. Detailed Anatomical Volumetric Study of Deep Nuclei of Brain and Other Structures Between Parkinson's Disease Patients Who Had Deep Brain Stimulation and Control Group. Malays J Med Sci. 2020 May;27(3):53-60. doi: 10.21315/mjms2020.27.3.6. Epub 2020 Jun 30. PMID: 32684806; PMCID: PMC7337947.

16: Chia ZJ, Lim KS, Fong SL, Sim RS, Rajahram GS, Narayanan V, Tan CT. Attitudes toward epilepsy in East Malaysia using the Public Attitudes Toward Epilepsy (PATE) scale. Epilepsy Behav. 2020 Sep;110:107158. doi: 10.1016/j.yebeh.2020.107158. Epub 2020 Jun 5. PMID: 32512367.

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18: Goh CH, Lau BL, Teong SY, Law WC, Tan CS, Vasu R, Liew D. Comparing the outcome of monitored anaesthesia care and local anaesthesia for carpal tunnel syndrome surgery by neurosurgeons. Med J Malaysia. 2019 Dec;74(6):499-503. PMID: 31929475.

19: Ng PM, Low PH, Liew DN, Wong AS. Radiation-induced malignant rhabdoid tumour of the hypothalamus in an adult: A case report. World J Clin Oncol. 2019 Nov 24;10(11):375-381. doi: 10.5306/wjco.v10.i11.375. PMID: 31815097; PMCID: PMC6894999.

20: Lau BL, Che Othman MI, Fathil MFMD, Liew DNS, Lim SS, Bujang MA, Wong ASH. Does Putting Back Hyperostotic Bone Flap in Meningioma Surgery Cause Tumor Recurrence? An Observational Prospective Study. World Neurosurg. 2019 Jul;127:e497-e502. doi: 10.1016/j.wneu.2019.03.183. Epub 2019 Mar 26. PMID: 30926555.

21: Kho GS, Abdullah JM. Management of Severe Traumatic Brain Injury in Pregnancy: A Body with Two Lives. Malays J Med Sci. 2018 Sep;25(5):151-157. doi: 10.21315/mjms2018.25.5.14. Epub 2018 Oct 30. PMID: 30914871; PMCID: PMC6419882.

22: Shiraku H, Nakashima M, Takeshita S, Khoo CS, Haniffa M, Ch'ng GS, Takada K, Nakajima K, Ohta M, Okanishi T, Kanai S, Fujimoto A, Saitsu H, Matsumoto N, Kato M. <i>PLPBP</i> mutations cause variable phenotypes of developmental and epileptic encephalopathy. Epilepsia Open. 2018 Nov 1;3(4):495-502. doi: 10.1002/epi4.12272. PMID: 30525118; PMCID: PMC6276781.

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25: Haldeman S, Nordin M, Chou R, Côté P, Hurwitz EL, Johnson CD, Randhawa K, Green BN, Kopansky-Giles D, Acaroğlu E, Ameis A, Cedraschi C, Aartun E, Adjei- Kwayisi A, Ayhan S, Aziz A, Bas T, Blyth F, Borenstein D, Brady O, Brooks P, Camilleri C, Castellote JM, Clay MB, Davatchi F, Dudler J, Dunn R, Eberspaecher S, Emmerich J, Farcy JP, Fisher-Jeffes N, Goertz C, Grevitt M, Griffith EA, Hajjaj-Hassouni N, Hartvigsen J, Hondras M, Kane EJ, Laplante J, Lemeunier N, Mayer J, Mior S, Mmopelwa T, Modic M, Moss J, Mullerpatan R, Muteti E, Mwaniki L, Ngandeu-Singwe M, Outerbridge G, Rajasekaran S, Shearer H, Smuck M, Sönmez E, Tavares P, Taylor-Vaisey A, Torres C, Torres P, van der Horst A, Verville L, Vialle E, Kumar GV, Vlok A, Watters W 3rd, Wong CC, Wong JJ, Yu H, Yüksel S. The Global Spine Care Initiative: World Spine Care executive summary on reducing spine-related disability in low- and middle-income communities. Eur Spine J. 2018 Sep;27(Suppl 6):776-785. doi: 10.1007/s00586-018-5722-x. Epub 2018 Aug 27. PMID: 30151809.

26: Johnson CD, Haldeman S, Nordin M, Chou R, Côté P, Hurwitz EL, Green BN, Kopansky-Giles D, Randhawa K, Cedraschi C, Ameis A, Acaroğlu E, Aartun E, Adjei- Kwayisi A, Ayhan S, Aziz A, Bas T, Blyth F, Borenstein D, Brady O, Brooks P, Camilleri C, Castellote JM, Clay MB, Davatchi F, Dudler J, Dunn R, Eberspaecher S, Emmerich J, Farcy JP, Fisher-Jeffes N, Goertz C, Grevitt M, Griffith EA, Hajjaj-Hassouni N, Hartvigsen J, Hondras M, Kane EJ, Laplante J, Lemeunier N, Mayer J, Mior S, Mmopelwa T, Modic M, Moss J, Mullerpatan R, Muteti E, Mwaniki L, Ngandeu-Singwe M, Outerbridge G, Rajasekaran S, Shearer H, Smuck M, Sönmez E, Tavares P, Taylor-Vaisey A, Torres C, Torres P, van der Horst A, Verville L, Vialle E, Kumar GV, Vlok A, Watters W 3rd, Wong CC, Wong JJ, Yu H, Yüksel S. The Global Spine Care Initiative: methodology, contributors, and disclosures. Eur Spine J. 2018 Sep;27(Suppl 6):786-795. doi: 10.1007/s00586-018-5723-9. Epub 2018 Aug 27. PMID: 30151808.

27: Johnson CD, Haldeman S, Chou R, Nordin M, Green BN, Côté P, Hurwitz EL, Kopansky-Giles D, Acaroğlu E, Cedraschi C, Ameis A, Randhawa K, Aartun E, Adjei- Kwayisi A, Ayhan S, Aziz A, Bas T, Blyth F, Borenstein D, Brady O, Brooks P, Camilleri C, Castellote JM, Clay MB, Davatchi F, Dudler J, Dunn R, Eberspaecher S, Emmerich J, Farcy JP, Fisher-Jeffes N, Goertz C, Grevitt M, Griffith EA, Hajjaj-Hassouni N, Hartvigsen J, Hondras M, Kane EJ, Laplante J, Lemeunier N, Mayer J, Mior S, Mmopelwa T, Modic M, Moss J, Mullerpatan R, Muteti E, Mwaniki L, Ngandeu-Singwe M, Outerbridge G, Rajasekaran S, Shearer H, Smuck M, Sönmez E, Tavares P, Taylor-Vaisey A, Torres C, Torres P, van der Horst A, Verville L, Vialle E, Kumar GV, Vlok A, Watters W 3rd, Wong CC, Wong JJ, Yu H, Yüksel S. The Global Spine Care Initiative: model of care and implementation. Eur Spine J. 2018 Sep;27(Suppl 6):925-945. doi: 10.1007/s00586-018-5720-z. Epub 2018 Aug 27. PMID: 30151805.

28: Kopansky-Giles D, Johnson CD, Haldeman S, Chou R, Côté P, Green BN, Nordin M, Acaroğlu E, Ameis A, Cedraschi C, Hurwitz EL, Ayhan S, Borenstein D, Brady O, Brooks P, Davatchi F, Dunn R, Goertz C, Hajjaj-Hassouni N, Hartvigsen J, Hondras M, Lemeunier N, Mayer J, Mior S, Moss J, Mullerpatan R, Muteti E, Mwaniki L, Ngandeu-Singwe M, Outerbridge G, Randhawa K, Torres C, Torres P, Vlok A, Wong CC. The Global Spine Care Initiative: resources to implement a spine care program. Eur Spine J. 2018 Sep;27(Suppl 6):915-924. doi: 10.1007/s00586-018-5725-7. Epub 2018 Aug 27. PMID: 30151804.

29: Rohof O, Chen CK. The response to radiofrequency neurotomy of medial branches including a bipolar system for thoracic facet joints. Scand J Pain. 2018 Oct 25;18(4):747-753. doi: 10.1515/sjpain-2018-0048. PMID: 30001215.

30: Falavigna A, Ramos MB, Wong CC, Barbagallo G, Brodke D, Al-Mutair A, Ghogawala Z, Riew KD. Commentary: Worldwide Knowledge and Attitude of Spine Surgeons Regarding Radiation Exposure. Neurosurgery. 2018 Oct 1;83(4):E153-E161. doi: 10.1093/neuros/nyy243. PMID: 29878162.

31: Lee LY, Idris Z, Beng TB, Young TY, Chek WC, Abdullah JM, Hieng WS. Outcomes of Minimally Invasive Surgery Compared to Open Posterior Lumbar Instrumentation and Fusion. Asian J Neurosurg. 2017 Oct-Dec;12(4):620-637. doi: 10.4103/ajns.AJNS_331_16. PMID: 29114274; PMCID: PMC5652086.

32: Falavigna A, Dozza DC, Teles AR, Wong CC, Barbagallo G, Brodke D, Al-Mutair A, Ghogawala Z, Riew KD. Current Status of Worldwide Use of Patient-Reported Outcome Measures (PROMs) in Spine Care. World Neurosurg. 2017 Dec;108:328-335. doi: 10.1016/j.wneu.2017.09.002. Epub 2017 Sep 8. PMID: 28893693.

33: Rajapathy SK, Idris Z, Kandasamy R, Hieng AWS, Abdullah JM. Inflammatory Biomarkers and Their Value in Predicting Survival and Outcome among Patients with Spontaneous Intracerebral Haemorrhage. Malays J Med Sci. 2017 May;24(3):51-65. doi: 10.21315/mjms2017.24.3.7. Epub 2017 Jun 30. PMID: 28814933; PMCID: PMC5545618.

34: Rai VRH, Phang LF, Sia SF, Amir A, Veerakumaran JS, Kassim MKA, Othman R, Tah PC, Loh PS, Jailani MIO, Ong G. Effects of immunonutrition on biomarkers in traumatic brain injury patients in Malaysia: a prospective randomized controlled trial. BMC Anesthesiol. 2017 Jun 15;17(1):81. doi: 10.1186/s12871-017-0369-4. PMID: 28619005; PMCID: PMC5472912.

35: Ng BHK, Kho GS, Sim SK, Liew DNS, Tang IP. Cavernous sinus fungal infection: a rare case. Br J Neurosurg. 2019 Jun;33(3):283-284. doi: 10.1080/02688697.2017.1335857. Epub 2017 Jun 9. Erratum in: Br J Neurosurg. 2017 Oct;31(5):631. PMID: 28597698.

36: Chih AN, Hieng AW, Rahman NA, Abdullah JM. Subperiosteal Drainage versus Subdural Drainage in the management of Chronic Subdural Hematoma (A Comparative Study). Malays J Med Sci. 2017 Mar;24(1):21-30. doi: 10.21315/mjms2017.24.1.3. Epub 2017 Feb 24. PMID: 28381926; PMCID: PMC5346000.

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1)
Lau BL, Vijian K, Liew DNS, Wong ASH. Factors affecting diagnostic yield in stereotactic biopsy for brain lesions: a 5-year single-center series. Neurosurg Rev. 2021 Oct 10. doi: 10.1007/s10143-021-01671-6. Epub ahead of print. PMID: 34628562.
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  • Last modified: 2021/10/11 10:47
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