Gross total surgical removal of malignant glioma from the medulla oblongata: report of two adult cases with reference to surgical anatomy.

Gross total surgical removal of malignant glioma from the medulla oblongata: report of two adult cases with reference to surgical anatomy. Research Abstract Details 

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Gross total surgical removal of malignant glioma from the medulla oblongata: report of two adult cases with reference to surgical anatomy. Abstract Text:

Kazuhiko Kyoshima,Keiichi Sakai,Tetsuya Goto,Akihiko Tanabe,Atsushi Sato,Hisashi Nagashima,Jun Nakayama,Kazuhiko Kyoshima,Keiichi Sakai,Tetsuya Goto,Akihiko Tanabe,Atsushi Sato,Hisashi Nagashima,Jun Nakayama,

Surgery was performed on the medulla oblongata of two adult patients with malignant glioma. Gross total resection of the tumors, located laterally or medially in the upper half of the medulla respectively, was achieved. The patient with the medially located tumor experienced significant postoperative neurological deterioration including sleep apnea. The other patient with the laterally located tumor showed symptomatic improvement without respiratory complications. The patient with an anaplastic astrocytoma survived approximately 4 years and the patient with a glioblastoma multiforme approximately 2 years. Although the upper half of the medulla is more critical than the lower half, a lateral approach to the upper half of the medulla appears to be relatively safer than a medial approach. Some cases of focal malignant gliomas in the medulla may be amenable to gross total resection in order to achieve improved outcome. Surgery can be undertaken when a tumor is unilateral and its margin appears relatively clear on magnetic resonance images.

Gross total surgical removal of malignant glioma from the medulla oblongata: report of two adult cases with reference to surgical anatomy. Publishing Authors By Initials

K Kyoshima,K Sakai,T Goto,A Tanabe,A Sato,H Nagashima,J Nakayama,K Kyoshima,K Sakai,T Goto,A Tanabe,A Sato,H Nagashima,J Nakayama,

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Gross total surgical removal of malignant glioma from the medulla oblongata: report of two adult cases with reference to surgical anatomy. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of clinical neuroscience : official journa

VOLUME: 11

Page Numbers: 75-80

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ISSN: 0967-5868

DAY: 3

MONTH: Jan

YEAR: 2004

Gross total surgical removal of malignant glioma from the medulla oblongata: report of two adult cases with reference to surgical anatomy. Information

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LANGUAGE: eng

NlmUniqueID: 9433352

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Grant and Affiliation Information for Gross total surgical removal of malignant glioma from the medulla oblongata: report of two adult cases with reference to surgical anatomy.

AFFILIATION: Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan. kaykyosh@hsp.md.shinshu-u.ac.jp

Country: Scotland

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MEDLINETA: J Clin Neurosci

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