Editorial: The role of neurosurgery in medulla oblongata GBM, a challenge

Open access

A 43-year-old man with a short history, incomplete hemisymptomatic and cranial nerve IX and XII lesions, and an exophytic, unilateral (displaced pyramidal tract in DTI) ring-like medullary lesion shown on MRI.

Why not surgical exploration, if personal, even published, expertise in brainstem surgery and anatomical and neurophysiological knowledge about safe entry zones is practiced and documented convincingly in a video? The navigated resection of a circumscribed firmer tumor appears more like a lower-grade glioma than the finally diagnosed GBM—locally very rare in adults—avoiding additional neurological deficits. Intraoperative MRI could offer another potential for resection control.

It remains open how far “only biopsy” prior to tailored radio-chemotherapy—as a conventional procedure—would have changed the early and long-term outcomes.

If the inline PDF is not rendering correctly, you can download the PDF file here.

Article Information

Contributor Notes

Correspondence Rudolf Fahlbusch, International Neuroscience Institute, Hannover, Germany. fahlbusch@ini-hannover.de.INCLUDE WHEN CITING Published online October 1, 2019; DOI: http://thejns.org/doi/abs/10.3171/2019.10.FocusVid.Editorial1
TrendMD
Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 174 174 69
PDF Downloads 119 119 54
EPUB Downloads 0 0 0
PubMed
Google Scholar