• Mirza Pojskić, Krešimir Rotim, Bruno Splavski, and Kenan I Arnautović.
• 1Department of Neurosurgery, University of Marburg, Marburg, Germany; 2Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 4University of Applied Health Sciences, Zagreb, Croatia; 5School of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 6Semmes-Murphey Neurologic & Spine Institute, Memphis, TN, United States; 7Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, United States.
• Acta Clin Croat. 2020 Sep 1; 59 (3): 505-512.

AbstractAstrocytoma is the second most common intramedullary tumor of predominantly low-grade malignancy in adult patients. Adult astrocytomas have better-quality prognosis compared with astrocytomas in children. Although a standardized surgical management protocol for spinal cord glioma is currently unavailable, surgery of low-grade astrocytoma should be aimed at gross total resection to preserve neurological function and to improve the outcome. Herein, we present a personal case series of four consecutive adult spinal cord astrocytoma patients who were operated on during the last few years. Tumor resection was performed in all patients utilizing microsurgical technique and intraoperative neurophysiologic monitoring. We also provide a literature review of the treatment of intramedullary astrocytoma in adults and discuss contemporary surgical management and prognosis.

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