A clinical study of Thalamic gliomas and its treatment modalities.

Abstract

Background: Thalamic gliomas are one of the challenging tumors to manage. Retrospective study of 11cases of thalamic glioma including adult and pediatric patient treated over the period of 2 years (from October 2013 to July 2015) was done at our institute. Aims and Objective: To study clinical feature and treatment modality of thalamic glioma. Materials and method: Retrospective analysis of 11 patients diagnosed with thalamic glioma by imaging and stereotactic biopsy was done. Patients presenting with hydrocephalus underwent ventriculo peritoneal shunting. Results: 11 patients were diagnosed with thalamic glioma, Pilocytic Astrocytoma 6 (54.54%), Fibrillary astrocytoma 4 (36.36%), Glioblastoma multiformae 1 case (9.09%).10 patients under went stereotactic biopsy and in 3 patients v.p shunting was done. Conclusion: Thalamic gliomas can be diagnosed accurately with MRI and MRS. Stereotactic biopsy of thalamic glioma involves lesser morbidity and gives tissue diagnosis. Combined approach of treatment including surgery, radiotherapy is used to improve survival.