Thalamic gliomas: Advances in the surgical management

Alice Hung, Adela Wu, Christopher Jackson, Michael Lim

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Thalamic glioma is a rare type of brain tumor with a high rate of morbidity and mortality. Secondary to its deep-seated location and proximity to numerous eloquent structures, it has historically been considered an "inoperable" tumor. However, with recent technological advances in imaging and operative techniques, surgical resection has gradually become a more safe and valuable option in the management of these tumors. Preoperative DTT allows the visualization of white fiber tracts neighboring the thalamus, allowing surgeons to plan safer surgical approaches. Intraoperative magnetic resonance imaging (MRI) and ultrasound (US) provide further guidance, as minimally invasive approaches, including surgical retraction devices and laser therapy, and can be used to increase precision and reduce iatrogenic disruption of healthy brain tissues. While many challenges still exist, tremendous progress has been made in the surgical management of thalamic gliomas.

Original languageEnglish (US)
Title of host publicationNew Techniques for Management of 'Inoperable' Gliomas
PublisherElsevier
Pages117-135
Number of pages19
ISBN (Electronic)9780128136348
ISBN (Print)9780128136331
DOIs
StatePublished - Aug 30 2019

Keywords

  • Diffusion tensor tractography
  • Endoscopic
  • Intraoperative ultrasound
  • Laser therapy
  • Surgery
  • Thalamic glioma
  • Tubular retractor systems

ASJC Scopus subject areas

  • Medicine(all)

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