{"id":"d422cfc9-b612-41f4-a529-fa089a0921ee","slug":"supratentorial-brain-tumors-are-there-indications-for-urgent-resection","title":"Supratentorial brain tumors: Are there indications for urgent resection?","authors":["Samer S. Hoz","Hosam AL-Jehani","Zahraa F. Al-Sharshahi","Wamedh E. Matti","Mohammed A. Al-Dhahir","Hussein J. Kadhum"],"abstract":"Background: Supratentorial brain tumors (STBTs) often present with progressive neurological symptoms, typically managed in an elective setting. However, certain cases may require immediate surgical intervention due to acute neurological deterioration, such as obstructive hydrocephalus or pituitary apoplexy. This letter discusses the circumstances that may necessitate urgent resection of STBTs. Summary: A retrospective analysis of 58 patients who underwent urgent resection of STBTs revealed that all presented with altered consciousness and significant midline shift on CT scans. The average Glasgow Coma Scale (GCS) was 9, and 40% exhibited hemiparesis or hemiplegia. The findings suggest that specific clinical factors may indicate the need for urgent surgical intervention. Conclusion: Establishing criteria for urgent resection of STBTs could enhance neurosurgical decision-making and improve patient outcomes. Further research is needed to define medical treatment failure and develop management algorithms for these cases. Keywords: supratentorial, brain tumors, urgent resection, neurological deterioration, surgical management, Glasgow Coma Scale, midline shift, retrospective analysis","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d422cfc9-b612-41f4-a529-fa089a0921ee/featured/hero-1781562510673.png","publishDate":"2021-04-26T00:00:00.000Z","doi":"10.25259/SNI_219_2021","categories":["Neuro-oncology","Letter to the Editor"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/d422cfc9-b612-41f4-a529-fa089a0921ee/pdf"}