Impact of CT in the neurosurgical management of intracranial tumors
✍ Scribed by J. Brismar; L.-G. Strömblad; L. G. Salford
- Publisher
- Springer
- Year
- 1978
- Tongue
- English
- Weight
- 342 KB
- Volume
- 16
- Category
- Article
- ISSN
- 0028-3940
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✦ Synopsis
A total of 103 brain tumor patients examined with CT, radionuclide brain scan, and angiography or pneumoencephalography, and all surgically verified, were studied to evaluate the impact of CT on the neurosurgical handling of brain tumors. CT alone was usually sufficient for optimal handling of astrocytoma patients, angiography in most meningioma cases, and pneumoencephalography in cases with sellar, suprasellar, and some other midline tumors. Information obtained only through CT sometimes altered the therapy. Sometimes it led to biopsy instead of a meaningless attempt at a 'radical' excision: in other cases it permitted a 'radical' excision otherwise not possible.
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Among 100 childhood brain tumors treated at Kobe Children's Hospital from May 1970 to June 1985, 18 of the children presented with symptoms during the first year of life. This paper analyzes these 18 cases. Supratentorial tumors (78%) were more common than infratentorial ones, and 67% of all the tum