title: [Brain metastases: a neurosurgical point of view].
abstract: The question of accessibility to the recent development of diagnostic and therapeutic tools for brain metastasis patients remains a problem. Advances in neurosurgery, new fields in chemotherapy, radiosurgery and different types of radiation therapy are accompanied by the need of dedicated staff time and materials. The limits of what we can offer to our patients regarding access to treatment and costs have to be clarified through a national consensus. Multimodal strategies must take in account the individual patient as well as accessibility to the different treatment tools. The most important problem remain the ongoing need for radiosurgery and various subtype of new radiotherapy methods.
authors.affiliation: Service de neurochirurgie, Hôpital de Hautepierre, 67098 Strasbourg Cedex.
authors.forename: Pierre
authors.initials: P
authors.lastname: Kehrli
authors.forename: Mireille
authors.initials: M
authors.lastname: Moumi
mesh_terms: D001932:Brain Neoplasms / Q000556:secondary* / Q000601:surgery*; D003131:Combined Modality Therapy; D017048:Health Care Costs; D006801:Humans; D011379:Prognosis; D016634:Radiosurgery / Q000191:economics / Q000379:methods*