Clinical Neuroscience

Surgery of brain stem tumors

NYÁRY István1, VAJDA János1, PARAICZ Ervin1, TÓTH Katalin1

MAY 20, 1994

Clinical Neuroscience - 1994;47(05-06)

In 1939 Bailey et al. described the treatment of brain stern tumors as a "pessimistic chapter" in the history of neurosurgery. Because of the anatomi­cal location and the tendency to infiltrate along fibre tracts, the early signs and symptoms of brain stem tumor are frequently misleading. This insidious development in the absence of papilla edema makes early diagnosis difficult. Since microneurosurgery was introduced as a routine procedure, it has enab­led previously impossible results to be achieved in about all fields of neurosurgery. Lesions which had been regarded as inoperable, could be approached with more optimism than ever before. Such a field in neurosurgery, showing trernendous improvement in recent years, is the surgery of brain stem lesions.

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  1. National Institute of Neurosurgery, Budapest, Hungary

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