Brainstem glioma: Clinical significance and prognostic evaluation
Brainstem glioma: Clinical significance and prognostic evaluation
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Date
2019-06-01
Authors
Deshpande, Ravindra Pramod
Chandra Sekhar, Y. B.V.K.
Babu, Deepak
Satish Rao, I.
Panigrahi, Manas
Babu, Phanithi Prakash
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Abstract
In the present study, we have determined the prognostic value and observed the clinicopathological features of brainstem glioma. Overall, we found more number of male patients with brainstem glioma (male:female ratio: 1:6). All patients were subjected to surgery followed by chemotherapy. The tumor was mainly located at brainstem and thalamus. We have recorded the symptoms associated with onset of lesions and predominated by headache, vomiting and limb weakness. We observed the overall survival pattern in brain stem glioma cases and further among low and high grade subgroups. Patients with high grade brainstem glioma were recorded with the median survival of 15 months. There was a statistically significant difference in the survival pattern of low grade vs high grade group (p = 0.015, hazard ratio: 0.29, 95% CI of ratio: 0.058 to 0.71) Taken together, the clinical presentation provides valuable information to enhance the therapeutic measures for the brainstem glioma cases.
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Keywords
Brainstem,
Glioma,
Surgery
Citation
Interdisciplinary Neurosurgery: Advanced Techniques and Case Management. v.16