Pediatric intramedullary spinal cord tumors. Critical review of the literature.

摘要: The objective of this review was to analyze the literature on management intramedullary spinal cord tumors determine whether enough information available for treatment guidelines be established. Using standard computerized search techniques, databases containing medical were queried keywords related tumors, beginning in 1966. Of 445 articles published English and with potential relevance, only 75 included final analyses. Based strength their recommendations controversial condition, divided into class I, II III data. There no I studies any aspect tumors. critical literature, gross total removal an ependymoma confirmed by immediate postoperative magnetic resonance imaging adjunctive high-grade using radiotherapy, or without chemotherapy, can recommended as standards therapy. With a guideline, radiotherapy should withheld after ependymomas radical resection low-grade astrocytomas. use intraoperative ultrasonography evoked potentials, important surgical adjuncts, also considered guidelines. astrocytomas is option.