Journal of Neuro-Oncology

, Volume 28, Issue 2, pp 193-205

First online:

Surgical indication and technical considerations in the management of benign brain stem gliomas

  • Shlomi ConstantiniAffiliated withDivision of Pediatric Neurosurgery, New York University Medical CenterDepartment of Neurosurgery, Ichilov and Dana Medical Center
  • , Fred EpsteinAffiliated withDivision of Pediatric Neurosurgery, New York University Medical Center

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The treatment of brain stem gliomas has evolved over the last few decades, reflecting advances in imaging (MR), microsurgical techniques and biological understanding. The aim of this chapter is to provide a preoperative classification for intrinsic brain stem lesions that will predict histopathology and biological behavior from the clinical syndrome and the MR appearance. Such a classification system may help selecting children with brain stem tumors that can benefit from surgery. Technical considerations, potential surgical complications, and the ways to avoid them are discussed.

Key words

brain tumors children brain stem neurosurgery irradiation