Summary
Fifteen cases of large thalamic gliomas were treated by laser surgery and CUSA under × 8 magnification and subsequently they were subjected to radiotherapy. More than 50% of the tumours were located in the dominant hemisphere and therefore an interhemispheric approach was carried out to avoid disturbances of speech and field defects. Nine patients had astrocytomas grade II and the remaining six had astrocytomas grades III–IV. The quality and survival has been gratifying in the less malignant gliomas. The operative technique and use of Laser and CUSA is highlighted.
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References
Flam, M. E. S., Ransohoff, J., Wuchinich, D.,et al., Preliminary experience with ultrasonic aspiration in neurosurgery. Neurosurgery2 (1978), 240–245.
Heppner, F., The laser scalpel on the nervous system. In: Laser Surgery II (Kaplan, L., ed.), pp. 79–80. Jerusalem: Academic Press. 1978.
Kelly, P. J., Kall, B., Goerass, S.,et al., Precision resection of intraaxial CNS lesions by CT based stereotactic craniotomy and computer monitor carbon dioxide laser. Acta Neurochir. (Wien)68 (1983), 1–9.
Kelly, P. J., Alker, Jr., J. G., A method for stereotactic laser microsurgery in the treatment of deep seated CNS intracranial neoplasm. Appl. Neurophysiol.43 (1980), 210–215.
Kelly, P. G., Alker, Jr., G. J., A microstereotactic approach to deep seated central nervous system neoplasms using carbon dioxide laser. Surg. Neurol.15 (1981), 331–334.
Kiessling, M., Anagnostopoulos, J., Lombeck, G.,et al., Diagnostic potential of stereotactic biopsy of brain tumor. A report of 400 cases. In: Tumors of the central nervous system in infancy and childhood (Voth, D., Gatjahr, P., Langmaid, C., eds.), pp. 247–256. Berlin-Heidelberg-New York: Springer. 1982.
Prakash, B., Tandon, P. N., Banerji, A. K.,et al., Tumors of the third ventricle. Neurol. (India)25 (1977), 166–169.
Saunders, M. L., Young, H. F., Becker, P., Povlishook, J. T.,et al., The use of the laser in neurological surgery. Surg. Neurol.14 (1980), 1–10.
Shibuya, N., Okamura, K., Kobayashi, T.,et al., Unilateral germinoma involving basal ganglion and thalamus. J. Neurosurg.55 (1981), 55–62.
Stellar, S., Polanyi, T. G., Bredmeier, H. C., Experimental studies with carbon dioxide laser as a neurosurgical instrument. Med. Bio. Eng.8 (1970), 549–558.
Takiyawa, T., Laser surgery of brain tumors. No Skinkei Geka9 (1978), 743.
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Prakash, B. Surgical approach to large thalamic gliomas. Acta neurochir 74, 100–104 (1985). https://doi.org/10.1007/BF01418796
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DOI: https://doi.org/10.1007/BF01418796