211393 Clinical analysis of 14 cases of supratentorial parenchymal ependymomas

/Chen Wenyu(陳文裕，Tianjin Huanhu Hosp，Tianijn 300060)…∥Chin J Neurosurg.-2011，27(3).-300 ～302

ObjectiveTo study the clinical feature，image，treatment and prognosis of supratentorial parenchymal ependymomas.Methods14 cases of patients suffered from supratentorial parenchymal ependymomas were treated.There were 10 ependymomas and 4 malignant ependymomas.Tumor located in frontal lobe in 4 cases，parietal in 8，and occipital in 2.There were 3 substantial tumors and 11 cystic tumors.ResultsAll the patients received operation.Complete surgical removal was achieved in 10 cases and partial removal in 4.All the cases were followed-up from 3 months to 4 years.3 patients with recurrent tumors received the second operation，among them one patient died 4 months later.One patient with recurrent tumor did not receive the second operation and died 6 months later.12 patients are still alive.ConclusionThe preoperative diagnosis of supratentorial parenchymal ependymomas is difficult.Complete removal of tumor is important for good prognosis.Microsurgical techniques combined with navigation are helpful for complete removal of tumor.12 refs，3 figs.