RT Journal Article
SR Electronic
T1 Focal brainstem gliomas
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 98
OP 106
DO 10.17712/nsj.2015.2.20140621
VO 20
IS 2
A1 Abdulrahman J. Sabbagh
A1 Ahmed M. Alaqeel
YR 2015
UL http://nsj.org.sa/content/20/2/98.abstract
AB Improved neuronavigation guidance as well as intraoperative imaging and neurophysiologic monitoring technologies have enhanced the ability of neurosurgeons to resect focal brainstem gliomas. In contrast, diffuse brainstem gliomas are considered to be inoperable lesions. This article is a continuation of an article that discussed brainstem glioma diagnostics, imaging, and classification. Here, we address open surgical treatment of and approaches to focal, dorsally exophytic, and cervicomedullary brainstem gliomas. Intraoperative neuronavigation, intraoperative neurophysiologic monitoring, as well as intraoperative imaging are discussed as adjunctive measures to help render these procedures safer, more acute, and closer to achieving surgical goals.