Child's Nervous System

, Volume 29, Issue 2, pp 303–306

Primary Ewing's sarcoma of the skull: radical resection and immediate cranioplasty after chemotherapy. A technical note

Technical Note

DOI: 10.1007/s00381-012-1974-7

Cite this article as:
Castle, M., Rivero, M. & Marquez, J. Childs Nerv Syst (2013) 29: 303. doi:10.1007/s00381-012-1974-7



The current standard treatment of Ewing's sarcoma is chemotherapy followed by surgery, making an immediate cranial reconstruction in a one-step surgical procedure possible.


We describe the technique used to repair a cranial defect after the resection of a primary Ewing's sarcoma of the skull in a one-step surgical procedure.


Bone repair with a custom-made cranioplasty immediately after resection of a primary Ewing's sarcoma of the skull avoids deformities and late complications associated with reconstructive surgery after radiotherapy and not interfere with radiotherapy and neither with follow-up.


A one-step surgical procedure after chemotherapy for primary Ewing's sarcoma of the skull could be safer, less aggressive and more radical; avoiding deformities and late complications.


Primary Ewing's sarcomaSkullSurgeryCranioplasty

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of NeurosurgeryDonostia University HospitalDonostiaSpain
  2. 2.Department of NeurosurgeryVirgen del Rocio University HospitalSevilleSpain
  3. 3.Neurosurgical DepartmentHospital Universitario DonostiaSan SebastianSpain