Clinical Assessment of Surgical Outcome of Supratentorial Deeply Seated Gliomas in an Egyptian Tertiary Hospital

Background: Gliomas is a broad category of brain tumor which accounting 33% and comes from Glial cells. Glial cells are the tissue that surrounds and supports neurons.

Method: This is a controlled randomized study. Patients having gliomas in supratentorial areas were evaluated pre-operatively both clinically and radiologically. Operative procedures included tumor biopsy, subtotal resection, near total resection and gross total resection. Postoperatively, patients were evaluated and followed up for about 1 year for their neurological outcome.

Results: Out of the 50 patients who were included in this study; thirty eight patients (76%) had excellent outcomes, five patients (10%) had good outcomes, seven patients (14%) had fair outcomes, and no patient (0%) had poor outcome.

Conclusion: management of gliomas in supratentorial areas still represents a challenge that requires a complex multi-factorial equation in order to achieve an accepted surgical outcome while maintaining proper functional neurological integrity, preoperative neuroimaging, including CT, MRI and a neuronavigation protocol, may be able to maximize the extent of resection and preserve long-term neurological function than using the traditional way of surgery.