Brain Stem Gliomas historical perspective
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Umair Hamid, M.D[2]
Overview
In the era preceding modern imaging, all brainstem gliomas were regarded as a solitary pathological entity with poor prognosis.[1] In the late 1960s, Matson suggested that all brainstem tumors were malignant and were deemed inoperable regardless of their histopathological characteristics or location. [2]This assertion was questioned shortly thereafter by Pool, who was one of the first to report tumor resection in the brainstem, which in the case described was inside the aqueduct. [3] In 1980, Hoffman et. al [4] described the dorsally exophytic group of brainstem gliomas as a distinct subgroup, and reported that these lesions were surgically curable with aggressive resection. Over the past 3 decades, the treatment of brainstem gliomas has notably progressed as a result of the gradual advancements in microsurgical techniques, sophisticated imaging technology and, most importantly, the availability of MRI. These modalities have revealed that brainstem gliomas are a heterogeneous group of tumors. [5]
References
- ↑ Alaqeel AM, Sabbagh AJ (2014). "Pediatric brainstem tumors. Classifications, investigations, and growth patterns". Neurosciences (Riyadh). 19 (2): 93–9. PMID 24739404.
- ↑ Matson DD. Tumors of the posterior fossa. In: Matson DD, Ingraham FD, editors. Neurosurgery of Infancy and Childhood.2nd ed. Springfield (IL): Charles C. Thomas; 1969. p. 469-477
- ↑ Pool JL (1968). "Gliomas in the region of the brain stem". J Neurosurg. 29 (2): 164–7. doi:10.3171/jns.1968.29.2.0164. PMID 5673314.
- ↑ Hoffman HJ, Becker L, Craven MA (1980). "A clinically and pathologically distinct group of benign brain stem gliomas". Neurosurgery. 7 (3): 243–8. doi:10.1227/00006123-198009000-00007. PMID 7207742.
- ↑ Epstein F, Wisoff JH (1988). "Intrinsic brainstem tumors in childhood: surgical indications". J Neurooncol. 6 (4): 309–17. PMID 3221258.