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British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1986 Oct 18;293(6553):1015–1018. doi: 10.1136/bmj.293.6553.1015

Differences between neurological and neurosurgical approaches in the management of malignant brain tumours.

S J Wroe, P M Foy, M D Shaw, I R Williams, D W Chadwick, C West, G Towns
PMCID: PMC1341796  PMID: 3094741

Abstract

The management and outcome in 205 patients diagnosed as having cerebral gliomas over five years were reviewed. Patients referred to neurologists and neurosurgeons had similar clinical features and similar results on computed tomography. Patients referred to neurologists underwent burr hole biopsy less often and had better short term morbidity than patients referred to neurosurgeons, although final outcome was the same in both groups. Few patients underwent other surgical procedures. Referral for radiotherapy was usually by neurosurgeons, although this did not significantly affect long term survival. The implications for the management of patients with primary malignant brain tumours and the need for prospective studies are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. FRANKEL S. A., GERMAN W. J. Glioblastoma multiforme; review of 219 cases with regard to natural history, pathology, diagnostic methods, and treatment. J Neurosurg. 1958 Sep;15(5):489–503. doi: 10.3171/jns.1958.15.5.0489. [DOI] [PubMed] [Google Scholar]
  2. HITCHCOCK E., SATO R. TREATMENT OF MALIGNANT GLIOMATA. J Neurosurg. 1964 Jun;21:497–505. doi: 10.3171/jns.1964.21.6.0497. [DOI] [PubMed] [Google Scholar]
  3. Jennett B., Bond M. Assessment of outcome after severe brain damage. Lancet. 1975 Mar 1;1(7905):480–484. doi: 10.1016/s0140-6736(75)92830-5. [DOI] [PubMed] [Google Scholar]
  4. Kelly W. F., MacFarlane I. A., Longson D., Davies D., Sutcliffe H. Cushing's disease treated by total adrenalectomy: long-term observations of 43 patients. Q J Med. 1983 Spring;52(206):224–231. [PubMed] [Google Scholar]
  5. Marshall D. H., Nordin B. E. The effect of 1alpha-hydroxyvitamin D3 with and without oestrogens on calcium balance in post-menopausal women. Clin Endocrinol (Oxf) 1977 Dec;7 (Suppl):159s–168s. doi: 10.1111/j.1365-2265.1977.tb03377.x. [DOI] [PubMed] [Google Scholar]
  6. ROTH J. G., ELVIDGE A. R. Glioblastoma multiforme: a clinical survey. J Neurosurg. 1960 Jul;17:736–750. doi: 10.3171/jns.1960.17.4.0736. [DOI] [PubMed] [Google Scholar]
  7. Shetter A. G., Bertuccini T. V., Pittman H. W. Closed needle biopsy in the diagnosis of intracranial mass lesions. Surg Neurol. 1977 Nov;8(5):341–345. [PubMed] [Google Scholar]
  8. Teasdale G., Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul 13;2(7872):81–84. doi: 10.1016/s0140-6736(74)91639-0. [DOI] [PubMed] [Google Scholar]
  9. Urbanic R. C., George J. M. Cushing's disease--18 years' experience. Medicine (Baltimore) 1981 Jan;60(1):14–24. [PubMed] [Google Scholar]
  10. Walker M. D., Alexander E., Jr, Hunt W. E., MacCarty C. S., Mahaley M. S., Jr, Mealey J., Jr, Norrell H. A., Owens G., Ransohoff J., Wilson C. B. Evaluation of BCNU and/or radiotherapy in the treatment of anaplastic gliomas. A cooperative clinical trial. J Neurosurg. 1978 Sep;49(3):333–343. doi: 10.3171/jns.1978.49.3.0333. [DOI] [PubMed] [Google Scholar]

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