Malignant glioma management.

The many options neurologic surgeons have for the treatment of malignant gliomas are reviewed. Although virtually no malignant gliomal tumor can be cured by surgical resection alone, in the majority of cases, some combination of open resection or stereotactic surgery can produce a diagnosis, ameliorate symptoms, decrease the intracranial pressure, improve neurologic status, remove most of the tumor, and deliver other therapeutic agents. The techniques of both open resection and stereotactic surgery are discussed.