Clinical Neuroscience

Subgroups of brain stem tumors in childhood

PARAICZ Ervin, VAJDA János, CZIRJÁK Sándor, TÓTH Katalin

MAY 20, 1994

Clinical Neuroscience - 1994;47(05-06)

Neuroimaging (MR, CT) and surgical (microsurgery, CUSA, laser) techniques have revolutionised the neurosurgeon's view on tumours within the brain stem and emanated new perspective in their management. With the growing experience, it has nowadays become evident that the wide variety of tumours here and the very different ways they are treated call for a detailed classification of these tumours. Features such as MR and CT appearance, contrast uptake, exact localisation and also the neurological signs they evoke might be the sound basis for creating subgroups in this special cohort of brain tumour patients. Exophitic tumours growing dorsally into the 4th ventricle24 and intrinsic tumours of the cervicomedullary junction' have a favourable prognosis while the diffusely growing hypodens gliomas (high grade in many cases) or exophitic tumours growing laterally do not exhibit follow up longer than 6–15 months.

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