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Child's Nervous System
Published in: Child's Nervous System 10/2016

01-10-2016 | Special Annual Issue

Cerebral hemispheric low-grade glial tumors in children: preoperative anatomic assessment with MRI and DTI

Author: Charles Raybaud

Published in: Child's Nervous System | Issue 10/2016

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Abstract

Purpose

The aims of this study are to analyze how the nature and the behavior of low-grade glial tumors (LGGT) in children may correlate with the anatomy of the cerebral hemispheres and to evaluate the consequent impact of diffusion tensor imaging (DTI) techniques in the presurgical assessment.

Methods

This is a combined review of a series of 155 cases of LGGT and of the recent literature on the subject.

Results

The cases retrieved from our data bank were divided in central hemispheric tumors (basal ganglia and thalami) (36 cases), glioneuronal cortical-based tumors (49 cases), and glial tumors of the cerebral mantle (70 cases). A close correlation was found in the thalamus between the primary location of the tumor (juxta-ventricular, inferior, lateral, bilateral) and its extension (ventricular lumen, midbrain and mesial temporal, globus pallidus, respectively) which may relate to the connectivity. Among the glioneuronal tumors, most gangliogliomas were located in the temporal lobe and especially in the mesial temporal structures. In addition, the morphologic feature of the ganglioglioma was different there from the neocortical areas. As a complementary approach, DTI data may assist in evaluating the structure and the extension of the LGGT, in addition to planning the surgical strategy.

Conclusions

In the cerebral hemispheres like in the rest of the central nervous system, there is some degree of correlation between the anatomy and the nature, appearance, and behavior of the LGGT in children.
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Metadata
Title
Cerebral hemispheric low-grade glial tumors in children: preoperative anatomic assessment with MRI and DTI
Author
Charles Raybaud
Publication date
01-10-2016
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 10/2016
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3188-x

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