Cite

Copy

Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Install/Install App' to create a shortcut app

On the Horizon for Supratentorial Ependymomas in Children

This page was last updated on May 9th, 2017

  • Improving surgical resection: Local control is one of the most important prognostic factors. Improvements in extent of surgical resection will include stereotactic/neuronavigational surgical techniques and intraoperative imaging to ensure completeness of resection; and intraoperative nerve monitoring, motor cortex mapping, and motor evoked potentials to reduce the likelihood of neurological deficits caused by surgery.
  • Improving radiation therapy: Conformal radiotherapy, which limits the highest dosage to the tumor site while reducing dosage to normal tissue, is the best modality at present. Optimal dosage has still to be determined so as to control tumor and yet reduce the side effects.
  • Future role of chemotherapy: Chemotherapy may be used to bridge the interval before a second resection, make the tumor more amenable to complete resection at the time of the second procedure, reduce the morbidity of the second resection, and bridge the interval required while preparing a neurologically impaired child for daily radiation.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.