Background: Thalamic tumors (TTs) are rare which represent about 4% of all brain tumors.
Patients: The present study reports four cases of TTs Of which 3 cases were male and 1 female, aged 10 to 20 years (mean age= 14.2 years). Symptoms of raised intracranial pressure (75%), and hemiparesis (50%) were the most frequent manifestations in our TTs patients.. All patients had a low-grade glioma. All cases were operated through transcortical or transsylvian-transinsular approaches. Gross-total resection was accomplished in 3 patients and subtotal resection (STR) in 1. Although hydrocephalus was frequent, only 2 patients required a ventriculoperitoneal shunt placement. After the follow-up period (average time of 12 months, range 3–24 months), adjuvant therapy was not administered for our patients. At the last clinical visit, 4 patients were alive, of which 3 cases showed the normal neurological examination results. The outcomes for the remaining patients were classified as mild (n=3) and moderate disability (n=1).
Conclusion: In thalamic tumor patients, prompt diagnosis and treatment are essential to reduce the neurological morbidity and the risk of death. It seems, thalamic tumors can be resected with low mortality and morbidity.
Copyright. In accordance with Bethesda Statement on Open Access Publishing (released June 20, 2003, available from: http://www.earlham.edu/~peters/fos/bethesda.htm), all works published in JIVR are open access and are immediately available to anyone on the website of the journal without cost. JIVR is an open-access journal distributed under the terms of the Creative Commons Attribution 3.0 License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.