Medulloblastoma surgery
Medulloblastoma Microchapters |
Diagnosis |
---|
Treatment |
Case studies |
Medulloblastoma surgery On the Web |
American Roentgen Ray Society Images of Medulloblastoma surgery |
Risk calculators and risk factors for Medulloblastoma surgery |
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 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.