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Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Uncal decompression in gliomatosis cerebri
J Pérez-Bovet1, J Rimbau Muñoz, S Martín Ferrer
1Neurosurgery Department, University Hospital Dr. Josep Trueta, Girona, Spain. sgf_39@hotmail.com
Neuro-Chirurgie
|April 27, 2013
Summary
Gliomatosis cerebri, a rare brain tumor infiltration, can be managed with decompressive lobectomy. This procedure relieved intracranial pressure, enabling further treatment and extending survival in a patient with gliomatosis cerebri.
Area of Science:
- Neuro-oncology
- Neurosurgery
Background:
- Gliomatosis cerebri involves infiltrative glioma affecting multiple cerebral lobes.
- Standard treatments include chemotherapy and radiotherapy, with limited surgical options.
Observation:
- A 48-year-old woman with gliomatosis cerebri underwent a decompressive temporal lobectomy.
- This intervention aimed to alleviate intracranial hypertension.
Findings:
- The decompressive lobectomy successfully relieved intracranial hypertension.
- This allowed for subsequent treatment, resulting in a survival of 23 months.
Implications:
- Decompressive lobectomy may be a viable option in selected gliomatosis cerebri cases.
- This surgical approach can facilitate other treatment modalities and improve patient outcomes.
