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

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

Management of Supratentorial Low-Grade Gliomas in Children

This page was last updated on May 9th, 2017

Initial Management at Presentation

The ideal treatment for LGGs remains controversial. Management can range from a conservative, wait-and-see approach, to a closed needle biopsy using either frame-based stereotaxy or computer-assisted neuronavigation, open surgery for an excisional biopsy or even radical tumor resection. Sometimes the conservative approach is taken due to the extremely slow growth of these tumors. Usually, however, initial management consists of some form of surgery.

Aims of surgery

  • Diagnosis: The tumor histology should be confirmed with biopsy at the time of surgery.
  • Debulking: As many tumor cells as possible should be removed without compromising the patient’s function.
  • Decompression: The healthy brain should be relieved of pressure being placed on it by the tumor.
  • Restoration of CSF pathways: If possible, any CSF pathways that may be compromised should be restored.

Surgical resection and survival

  • Survival is related to resection: The relationship between survival and the extent of surgical resection is clear and is widely documented (10). Consequently, total surgical resection is the primary treatment for most children, and, in fact, many benign tumors in children can be treated with surgical removal alone.

Adjunctive Therapies

  • Occasional radiation and or chemotherapy: It is sometimes is necessary to administer radiation and/or chemotherapy when complete resection of the tumor is not possible.


  • Every 6 months: Patients with LGGs should be seen in the out-patient clinic every 6 months for neurological examination and MRI.

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.