Surgery

Abstract

The neurosurgical care of children with brain tumors has changed considerably in the past decade. The tumors are localized by computed tomography (CT) and magnetic resonance imaging (MRI) scans far more accurately, and with minimal morbidity, than by angiograms or ventriculograms. The operations are more frequently performed by pediatric neurosurgeons. The tumors are more likely to be biopsied stereotactically. Tumor removals are done with ultrasonic aspirators and lasers, more completely and with less trauma to surrounding brain than with forceps and scissors. Postoperative morbidity and mortality have declined. Children are more likely to be treated postoperatively in randomized clinical protocols.