Bilateral Thalamic Glioma
Department of Neuroradiology, University Hospital Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, England.Archives of neurology (Impact Factor: 7.42). 01/2009; 65(12):1666-7. DOI: 10.1001/archneur.65.12.1666
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- "Owing to diffuse and bilateral involvement of thalamus, surgical excision is difficult and no case of radical removal has been reported,[1–3510] so role of surgery is only to get tissue for histological diagnosis, which can be obtained by open surgery with different approaches such as interhemispheric transcallosal, infratentorial supracerebellar, or transsylvian transinsular approach or endoscopically or under stereotactic guidance. But in cases where there is a large tumor causing much mass effect, debulking should be tried. "
ABSTRACT: Bithalamic gliomas are extremely rare tumors of central nervous system. Although they are usually benign in nature, their outcome is poor because of the involvement of thalamic nuclei and inadequate surgical excision. Surgery is usually done to get tissue for diagnosis. Role of radiotherapy and chemotherapy is questionable. They are unique in their metabolic and neuroradiological properties. We report herein a 6-year-old male of bithalamic astrocytoma (WHO grade 2) who presented with raised intracranial pressure and tremors in right upper limb. The child had a very huge bithalamic mass which was debulked through the interhemispheric transcallosal approach in order to reduce the mass effect. He had a stormy post-operative course to recover gradually.Journal of Pediatric Neurosciences 04/2010; 5(1):45-8. DOI:10.4103/1817-1745.66672
- Movement Disorders 10/2009; 24(14):2162-3. DOI:10.1002/mds.22576 · 5.68 Impact Factor
- Movement Disorders 10/2009; 24(14):2161-2. DOI:10.1002/mds.22725 · 5.68 Impact Factor
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