Surgery for posterior fossa ependymomas in adults

被引：6

作者：

Laviv, Yosef ^{[1
]}

Germano, Isabelle M. ^{[2
]}

Mahadevan, Anand ^{[3
]}

Kasper, Ekkehard M. ^{[4
]}

机构：

[1] Tel Aviv Univ, Rabin Med Ctr, Dept Neurosurg, 39 Zeev Jabotinsky Rd, IL-4941492 Petah Tiqwa, Israel

[2] Mt Sinai Med Ctr, Dept Neurosurg, New York, NY 10029 USA

[3] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Radiat Oncol, Boston, MA 02215 USA

[4] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Neurosurg, Dept Surg, Boston, MA USA

来源：

JOURNAL OF NEUROSURGICAL SCIENCES | 2018年 / 62卷 / 01期

关键词：

Ependymoma; Posterior fossa; Telovelar; Transvermian; TRANSCEREBELLOMEDULLARY FISSURE APPROACH; INTRACRANIAL EPENDYMOMAS; PROGNOSTIC-FACTORS; CEREBELLAR MUTISM; CEREBELLOMEDULLARY FISSURE; 4TH-VENTRICLE TUMORS; BRAIN-STEM; CHILDREN; TELOVELAR; RESECTION;

D O I：

10.23736/S0390-5616.17.04190-X

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Ependymomas of the posterior fossa in adults are relatively rare, represent less than 1% of adult intracranial gliomas. Most of the cases are WHO grade II. Due to their rarity, there are no randomized studies regarding the best management of these tumors. It seems that surgical resection has a major role in their management. Unlike the scenario in children, these tumors can be cured by gross total resection without adjuvant therapy in the majority of cases. Hence, knowing the different surgical approaches, with their pros and cons, is important in order to offer the patient the best treatment. In this paper, we review the current literature on surgery for ependymomas of the posterior fossa in adults, and the advantages and risks of the principal surgical approaches, namely the telo-velar and the transvermian, are discussed.

引用

页码：63 / 70

页数：8

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