Abstract
In broad outline, the purpose of this chapter is first, to offer a review of past philosophies in the management of brainstem tumours, covering roughly the last half-century; next, to revisit the functional neuroanatomy of the brainstem in relation to modern neurosurgical applications; and finally, to present and discuss specific microsurgical techniques that we have used in 130 cases to date. This latter aspect is still open to much discussion and even controversy as many readers continue to believe that surgery for intra-axial brainstem tumours carries too high a risk and is of doubtful ethical justification. The most stringent opinions hold that the brainstem should be not violated even to obtain biopsy samples or perform partial removal of the tumour.
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Bricolo, A., Turazzi, S. (1995). Surgery for Gliomas and Other Mass Lesions of the Brainstem. In: Symon, L., et al. Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 22. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6898-1_5
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