Far lateral supracerebellar infratentorial approach for the treatment of upper brainstem gliomas: clinical experience with pediatric patients

Surgical exposure of intrinsic lesions located lateral to the brainstem still represents a challenging task. The aim of this study was to assess the feasibility of the extracerebral far lateral supracerebellar infratentorial (FLSI) approach for the treatment of gliomas located in the upper brainstem...

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Bibliographic Details
Published in:Child's nervous system 2005-12, Vol.21 (12), p.1037-1041
Main Authors: Vougioukas, Vassilios I, Omran, Heymut, Gläsker, Sven, Van Velthoven, Vera
Format: Article
Language:English
Subjects:
Adolescent
Brain Stem Neoplasms - surgery
Cerebellum - pathology
Cerebellum - surgery
Child
Child, Preschool
Female
Glioma - surgery
Humans
Magnetic Resonance Imaging - methods
Male
Neurosurgical Procedures - methods
Retrospective Studies
Treatment Outcome
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Summary:Surgical exposure of intrinsic lesions located lateral to the brainstem still represents a challenging task. The aim of this study was to assess the feasibility of the extracerebral far lateral supracerebellar infratentorial (FLSI) approach for the treatment of gliomas located in the upper brainstem in the pediatric population. Between 1992 and 2002, seven patients (mean age 8.7 years) with tumors of glial origin (WHO I-IV) located mainly in the pontomesencephalic region were operated with the FLSI approach in a sitting position. Satisfactory extent of resection without additional morbidity was achieved. In a carefully selected pediatric patient population, the FLSI approach proved to be a feasible and effective surgical route for the treatment of upper brainstem gliomas.
ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-005-1140-6