Brain Edema-Tumor Quotient in Cranial Computer Tomography as a Preoperative Factor in Histological Prognosis

  • U. Wildförster
  • Th. Schneider
  • W. Delank
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 16)


Cranial computer tomography (CT) directly shows the perifocal edema surrounding intracerebral space-occupying lesions. LANGE et al. (4) reported in Zerebrale Computertomographie on this possibility. AMUNDSEN et al. (1) examined the diminution of absorption by the peritumoral structure in different groups of brain tumors. KAZNER et al. (3) worked out the relation of perifocal edema to the histological classification of brain tumors. WENDE et al. (5) studied 3750 patients with brain tumors in evaluating the differential diagnostic value of cranial CT, without especially focusing on the importance of the perifocal edema. ITO et al. (2) reported on this problem in 1986, without comparing the histological aspects. The question we posed is whether any further information relevant to preoperative histological diagnosis can be gained from the relation of brain edema to tumor in cranial CT.


Brain Tumor Malignant Glioma Pilocytic Astrocytoma Histological Differentiation Peritumoral Edema 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Amundsen P, Dugstad G, Syvertsen AH (1978) The reliability of computer tomography for the diagnosis and differential diagnosis of meningiomas, gliomas, and brain metastases. Acta Neurochirurgica 41:177–190PubMedCrossRefGoogle Scholar
  2. 2.
    Ito U, Reulen HJ, Huber P (1986) Spatial and quantitative distribution of human peritumoural brain oedema in computerized tomography. Acta Neurochirurgica 81:53–60PubMedCrossRefGoogle Scholar
  3. 3.
    Kazner E, Wende S, Grumme Th, Lanksch W, Stochdorph O (1981) Computertomographie der Hirngeschwülste. In: Computertomographie intra-kranieller Tumoren aus klinischer Sicht. Springer, Berlin Heidelberg New York, pp 22–25Google Scholar
  4. 4.
    Lange S, Grumme Th, Meese W (1977) Kap. 8: Neoplasmen. In: Zerebrale Computertomographie. Schering AG, Berlin Bergkamen, pp 81–110Google Scholar
  5. 5.
    Wende S, Kretzschmar K, Kishikawa T, Kazner E, Grumme Th, Lanksch W (1982) Der Wert der Computertomographie air die Differentialdiagnose der Hirntumoren. (2. Grazer CT-Symposium, Nr. 44) CT-Sonographie 2:54Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • U. Wildförster
    • 1
  • Th. Schneider
    • 1
  • W. Delank
    • 1
  1. 1.Knappschaftskrankenhaus Bochum-LangendreerNeurochirurgische UniversitätsklinikBochum 7Germany

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