paediatrics Brussels 17

Ependymoma - surgery

• GTR of tumors arising from floor or lateral aspect of 4V difficult as tumor applied to surface of brainstem and cranial nerves • Extent of resection most important prognostic factor • Intra-operative MRI optimal – enables ‘on table’ further resection • Post op imaging (24-48 hrs) to assess degree of resection • Second look surgery should be considered for residuum • Consensus MDT useful for further follow-up/surgery