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KMID : 0359819750040010105
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Journal of Korean Neurosurgical Society
1975 Volume.4 No. 1 p.105 ~ p.110
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A case of brain stem glioma
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김형동/Kim, Hyung Dong
이정길/김대조/옥영철/이규웅/Rhee, Jung Kil/Kim, Dae Jo/Ok, Young Chul/Lee, Kyu Woong
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Abstract
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Intracranial gliomas` were found more commonly in childhood(70 to 80%) than in adulthood (40 to 45%).
The common infratentorial tumors in children were cerebellar astrocytoma(26. 9%), medullo. blastoma(18.5%) and brain stem glioma(l0.5%).
Brain stem gliomas were infiltrating type of tumor and frequently involved the pons and medulla.
An almost pathognomic syndrome of the brain stem gliomas consists in the presences of multiple bilateral cranial nerve abnormalities in combination; with involving signs of pyramidal tract and cerebro-dentato-rubro-thalamic tract in the absence signs of ´increased ICP,especially in the early stage.
These tumors take grave course because of clinical malignancy and lack of definite therapy. Once diagnosed, radiation therapy was at best palliative treatment. Sometimes surgical therapy could be attempted to find out currable cysts.
We have been experienced in a case of brain stem glioma recently that was confirmed with an autopsy; astrocytoma grade II to III, microscopically.
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