BRAIN STEM TUMOURS F R C SGlas Professor

BRAIN STEM TUMOURS F. R. C. S(Glas) Professor & Head Department of Neurosurgery, Allied Hospital, Punjab Medical College, Faisalabad - Pakistan 12/14/2021 T. Salahuddin

BRAIN STEM TUMOURS During the past 10 years we have managed forty brain stem tumours and all of the material presented in this paper is derived from this surgical experience. Included in this material is a simple system of classification of brain stem tumours and surgical recommendations concerning which of the neoplasms should or should not be operated on. 12/14/2021 T. Salahuddin

BRAIN STEM TUMOURS Age Distribution Brain Stem 6. 6% 40 600 12/14/2021 T. Salahuddin

BRAIN STEM TUMOURS Male Female 12/14/2021 : : 24 16 T. Salahuddin

BRAIN STEM TUMOURS Clinical Features Ataxia Cranial Nerve Deficit Personality Problem Corticospinal Tract Signs Headaches & Vomiting 28 25 12 25 20 70% 62% 30% 62% 50% Tinnitis Hearing Loss Hiccughs Acute Hemiplegia Generalized Seizures 10 02 08 04 05 25% 05% 20% 12% 12/14/2021 T. Salahuddin

BRAIN STEM TUMOURS Classification 12345 - Diffused Focal Cystic Exophytic Cervico-medullary 12/14/2021 T. Salahuddin

BRAIN STEM TUMOURS Criteria for surgery - Focal tumours - All cystic - Cervicomedullary lesions 12/14/2021 T. Salahuddin

BRAIN STEM TUMOURS Operative Procedures 123 - Stereotactic Biopsies Total/Near total excision VP Shunt 12/14/2021 T. Salahuddin 02 19 19

BRAIN STEM TUMOURS HISTOPATHOLOGY Astrocytoma 05 Grade I, II Glioblastoma Multiform Grade III Tuberculomas Cavernomas Epidermoid Cyst 12/14/2021 12 02 01 01 T. Salahuddin

BRAIN STEM TUMOURS Morbidity and mortality Total/Near total 19 Unchanged neurology Clinical Improvement Morbidity Mortality 12/14/2021 02 10 05 02 T. Salahuddin Biopsy 02 02 -

Brain Stem 21 Patients Total/Subtotal 19 Glasgow Out Come Biopsy 02 Per-operative uneventful At Dischage 2 -Y 3 -Y 5 -Y 04 03 - with Dxt & Chemo n n n Good Mild Disability Moderate Disability Vegetative Died 12/14/2021 12 05 01 01 02 06 06 04 02 03 T. Salahuddin

BRAIN STEM TUMOURS Diffused 12/14/2021 Cystic Focal T. Salahuddin Tectal

BRAIN STEM TUMOURS 12/14/2021 T. Salahuddin