[Resection of cerebellar gliomas in childhood].
The linear incision of the cerebellum for the exposure of cerebellar tumours is considered to be insufficient, both with regard to access, survey and intraoperative traumatisation and the postoperative development. As vascular anastomoses in the pia mater are very strong and sufficient, resections of the cerebellar tissue are carried out above the tumour. The nucleus dentatus was examined in its extent on the specimen, especially with respect to its displacement by tumours. Median tumours push it laterally and rotate it, hemispherical tumours lead to the opposite effect. Malignant gliomas infiltrate it. Resection is carried out in the lobuli semilunaris inf. et biventer, in the vermis, in the upper and later sections of pyramis and partly in the medial hemisphere regions. Experiences were gained in 50 children; in all cases the tumour could be removed completely.
D000367:Age Factors; D002528:Cerebellar Neoplasms / Q000601:surgery*; D002648:Child; D005910:Glioma / Q000601:surgery*; D006801:Humans; D008722:Methods
Resektionsbehandlung der zerebellaren Gliome im Kindesalter.