Management of Infratentorial Ependymomas in Children
Initial Management at Presentation
Surgery: Treatment of infratentorial ependymomas nearly always begins with surgery. Total resection, if achievable, is far superior to incomplete resection, since other treatments are rarely stabilizing and never curative.
Radiotherapy may prolong event-free survival: Radiotherapy after radical tumor resection lengthens event-free survival time in patients with infratentorial ependymomas of the posterior fossa.
Chemotherapy used with infants: Chemotherapy can delay progression of infratentorial ependymomas and is used with infants who are too young for radiation.
Office visits: Initially, frequent office visits are used to monitor for signs of developing hydrocephalus. After frequent initial visits postoperatively, subsequent visits are planned to coincide with scheduled MRIs.
Postoperative imaging: A brain MRI with and without contrast is typically performed during the first 3 days after surgery and then 3, 6, 9, and 12 months after surgery. Subsequent scanning can be done every 6 months for the next 2 years and then yearly thereafter if there has been no recurrence.