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Published in: Child's Nervous System 10/2009

01-10-2009 | Invited Paper

Surgical management of supratentorial ependymomas

Authors: Aabir Chakraborty, William Harkness, Kim Phipps

Published in: Child's Nervous System | Issue 10/2009

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Abstract

Introduction

Supratentorial ependymomas are rare neoplasms accounting for just ten to 15 new cases in the UK per year. This article discusses the surgical management of these tumours.

Materials and methods

We present our experience over the past 12 years looking, in particular, at the location, histological grading, postoperative complications, survival and progression-free survival. A literature review of publications discussing the surgical management of ependymoma over the past 10 years is then presented.

Results

The data shows that complete surgical resection confers a significant survival advantage. There appears to be conflicting data with respect to prognosis when comparing supratentorial to infratentorial ependymoma.

Conclusion

The authors suggest complete excision and advocate, where appropriate, the use of pre and intra-operative functional mapping and second-look surgery. The trade off neurological deficit in the pursuit of complete surgical excision in some instances should be considered.
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Metadata
Title
Surgical management of supratentorial ependymomas
Authors
Aabir Chakraborty
William Harkness
Kim Phipps
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 10/2009
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-009-0881-z

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