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Focal Brainstem Gliomas. Advances in Intra-operative Management

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Specialty Neurology
Date 2015 Apr 13
PMID 25864061
Citations 5
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Abstract

Improved neuronavigation guidance as well as intraoperative imaging and neurophysiologic monitoring technologies have enhanced the ability of neurosurgeons to resect focal brainstem gliomas. In contrast, diffuse brainstem gliomas are considered to be inoperable lesions. This article is a continuation of an article that discussed brainstem glioma diagnostics, imaging, and classification. Here, we address open surgical treatment of and approaches to focal, dorsally exophytic, and cervicomedullary brainstem gliomas. Intraoperative neuronavigation, intraoperative neurophysiologic monitoring, as well as intraoperative imaging are discussed as adjunctive measures to help render these procedures safer, more acute, and closer to achieving surgical goals.

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References
1.
YASARGIL M, Teddy P, Roth P . Selective amygdalo-hippocampectomy. Operative anatomy and surgical technique. Adv Tech Stand Neurosurg. 1985; 12:93-123. DOI: 10.1007/978-3-7091-7008-3_2. View

2.
LAPRAS C, Bognar L, Turjman F, Villanyi E, Mottolese C, Fischer C . Tectal plate gliomas. Part I: Microsurgery of the tectal plate gliomas. Acta Neurochir (Wien). 1994; 126(2-4):76-83. DOI: 10.1007/BF01476414. View

3.
Ghodsi M, Mortazavi A, Shahjouei S, Hanaei S, Esmaeili A, Nejat F . Exophytic glioma of the medulla: presentation, management and outcome. Pediatr Neurosurg. 2014; 49(4):195-201. DOI: 10.1159/000362621. View

4.
Sala F, Krzan M, Deletis V . Intraoperative neurophysiological monitoring in pediatric neurosurgery: why, when, how?. Childs Nerv Syst. 2002; 18(6-7):264-87. DOI: 10.1007/s00381-002-0582-3. View

5.
Al-Mefty O, Ayoubi S, Smith R . The petrosal approach: indications, technique, and results. Acta Neurochir Suppl (Wien). 1991; 53:166-70. DOI: 10.1007/978-3-7091-9183-5_27. View