MRI-guided laser interstitial thermal therapy for deep-seated gliomas in children with neurofibromatosis type 1: report of two cases

Childs Nerv Syst. 2023 Mar;39(3):787-791. doi: 10.1007/s00381-022-05660-y. Epub 2022 Sep 15.

Abstract

Purpose: Nearly a quarter of neurofibromatosis type 1 (NF 1)- associated diencephalic low-grade tumors are refractory to chemotherapy. Addition of alternative treatment options with laser interstitial thermal therapy will have a positive impact on the outcome of these patients.

Methods: We report on two illustrated cases of pediatric NF1- associated, chemoresistant, WHO grade 1 pilocytic astrocytomas treated with laser interstitial thermal therapy (LITT).

Results: Both tumors responded favorably to LITT.

Conclusion: LITT should be considered as a treatment option for chemoresistant deep-seated NF1-associated low-grade gliomas.

Keywords: Deep-seated gliomas; Laser interstitial thermal therapy; Neurofibromatosis type 1; Thalamic tumors.

Publication types

  • Case Reports

MeSH terms

  • Astrocytoma* / diagnostic imaging
  • Astrocytoma* / therapy
  • Brain Neoplasms* / complications
  • Brain Neoplasms* / diagnostic imaging
  • Brain Neoplasms* / therapy
  • Child
  • Glioma* / complications
  • Glioma* / diagnostic imaging
  • Glioma* / therapy
  • Humans
  • Laser Therapy*
  • Lasers
  • Magnetic Resonance Imaging
  • Neurofibromatosis 1* / complications
  • Neurofibromatosis 1* / diagnostic imaging
  • Neurofibromatosis 1* / therapy