Managing SEGAs – C. E. Deopujari, M.Ch., D. Muzumdar, M.Ch., V. Badami, B.S., B.A.
Close observation of SEGA at foramen m agnum: There should be a low threshold for treatment. If the tumor grows to more than 1cm, symptoms develop, findings on eye exam change or there are radiological changes there are changes, treatment may be indicated.
Communication: There should be good communication with the epileptologist or child neurologist who is treating the patient
Prefer open resection: Microsurgical excision is preferred at present unless the surgeon is expereinced and proficiency in the endoscopic excision of brain tumors.
Hydrocephalus: The patient must remain under close observation for hydrocephalous in the immediate postoperative period
Medical treatment: Medical treatment is not yet standardized
Radiotherapy not indicated: There is no role for radiation therapy in the treatment of SEGAs.