Abstract
Ten patients suffering from intramedullary pilocytic astrocytomas (WHO-classification: astrocytoma grade I) were investigated catamnesticly. Combined surgery and radiotherapy was performed. Seven patients received neutron irradiation postoperatively. In four cases the neurological symptoms were improved after follow-up periods ranging from 33 to 89 months. The three other patients died after 6 to 21 months. The autopsy findings of a 14 year old child are presented. Our results are compared with reports in the literature. In addition, long-term problems of the spinal column are discussed. It seems that the combined surgical and neutron therapy improves the prognosis of pencil gliomas.
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Rauhut, F., Reinhardt, V., Budach, V. et al. Intramedullary pilocytic astrocytomas — a clinical and morphological study after combined surgical and photon or neutron therapy. Neurosurg. Rev. 12, 309–313 (1989). https://doi.org/10.1007/BF01780847
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DOI: https://doi.org/10.1007/BF01780847