Medulloblastoma surgery: Difference between revisions
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* The two main objectives of medulloblastoma surgical excision are: | * The two main objectives of medulloblastoma surgical excision are: | ||
:* Resection of the primary brain tumor with the least possible postsurgical residual mass | :* Resection of the primary brain tumor with the least possible postsurgical residual mass | ||
:* Relieve | :* 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. | * Gentle suction of medulloblastoma is preferred over surgical dissection due to the friable nature of the mass. | ||
* A | * A ventriculoperitoneal shunt may be inserted in 50% of the cases following surgery to manage refractory hydrocephalus. | ||
* Complication following surgery may include: | * Complication following surgery may include: | ||
:* Aseptic meningitis | :* [[Aseptic meningitis]] | ||
:* Posterior fossa syndrome | :* Posterior fossa syndrome | ||
:* Cervical instability | :* Cervical instability | ||
:* Haematoma formation | :* [[Haematoma]] formation | ||
:* GI bleeding due to shunt placement | :* [[GI bleeding]] due to shunt placement | ||
==References== | ==References== | ||
Revision as of 01:36, 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.[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 via a:
- 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.
- Complication 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.