Brazilian Neurosurgery (Mar 2025)

The Impact of Surgery on Butterfly Gliomas – A Real-life Study of Biopsy versus Surgical Resection

  • Helder Picarelli,
  • Vitor Macedo Brito Medeiros,
  • Pedro Henrique Fonseca de Castro,
  • Guilherme Bezerra Carneiro,
  • Bruno Massanori Matsumura,
  • Augusto Magno Tranquezi Cordeiro,
  • Vitor Nagai Yamaki,
  • Eberval Gadelha Figueiredo,
  • Manoel Jacobsen Teixeira

DOI
https://doi.org/10.1055/s-0045-1801859
Journal volume & issue
Vol. 44, no. 01
pp. e8 – e14

Abstract

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Introduction Although the extent of resection affects the overall survival of patients with gliomas, cytoreduction in patients with butterfly gliomas (BGs) remains controversial. Contemporary studies suggest that wide removal is feasible, but there is a lack of controlled, randomized, multicenter studies on the subject. The aim of the present study was to evaluate the impact of maximal safe resection (MSR) as a primary treatment strategy in patients with BG.

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