Medulloblastoma surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgical intervention alone is not recommended as a single therapeutic modality for the management of medulloblastoma. Surgical excision of medulloblastoma may be done either via a [[posterior fossa]] craniectomy approach or a suboccipital [[craniectomy]] approach. Complications following surgery may include [[ | Surgical intervention alone is not recommended as a single therapeutic modality for the management of medulloblastoma. Surgical excision of medulloblastoma may be done either via a [[posterior fossa]] craniectomy approach or a suboccipital [[craniectomy]] approach. Complications following surgery may include [[aseptic meningitis]], [[haematoma]] formation, and posterior fossa syndrome.<ref name="pmid23245832">{{cite journal| author=Bartlett F, Kortmann R, Saran F| title=Medulloblastoma. | journal=Clin Oncol (R Coll Radiol) | year= 2013 | volume= 25 | issue= 1 | pages= 36-45 | pmid=23245832 | doi=10.1016/j.clon.2012.09.008 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23245832 }} </ref> | ||
==Surgery== | ==Surgery== | ||
Revision as of 02:14, 2 October 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]
Overview
Surgical intervention alone is not recommended as a single therapeutic modality for the management of medulloblastoma. Surgical excision of medulloblastoma may be done either via a posterior fossa craniectomy approach or a suboccipital craniectomy approach. Complications following surgery may include aseptic meningitis, haematoma formation, and posterior fossa syndrome.[1]
Surgery
- Surgical intervention alone is not recommended as a single therapeutic modality for the management of medulloblastoma.[1]
- Surgical excision of medulloblastoma may be done either via:
- A posterior fossa craniectomy approach
- A suboccipital craniectomy approach
- The two main objectives of medulloblastoma surgical excision are:
- Resection of the primary brain tumor with the least possible postsurgical residual mass
- Relieve the elevated intracranial pressure among patients with obstructive hydrocephalus
- Gentle suction of medulloblastoma is preferred over surgical dissection due to the friable nature of the mass.
- A ventriculoperitoneal shunt may be inserted in 50% of the cases following surgery to manage refractory hydrocephalus.
- Complications following surgery may include:
- Aseptic meningitis
- Posterior fossa syndrome
- Cervical instability
- Haematoma formation
- GI bleeding due to shunt placement
References
- ↑ 1.0 1.1 Bartlett F, Kortmann R, Saran F (2013). "Medulloblastoma". Clin Oncol (R Coll Radiol). 25 (1): 36–45. doi:10.1016/j.clon.2012.09.008. PMID 23245832.