Pediatric thalamic incidentalomas: a retrospective analysis of their characteristics, evolution, management, and prognostic factors for progression
Most pediatric thalamic incidentalomas are small, stable, and likely low-grade. However, approximately one-fifth exhibit progressive features, warranting prolonged surveillance. Larger initial volume, extra-thalamic extension, and contrast enhancement are significant predictors of progression and may justify earlier intervention. Individualized management remains essential, balancing natural history with surgical risk.
Authors
- Adéla Bubeníková
- Martin Kynčl (ORCID: https://orcid.org/0000-0001-6210-6351)
- Zdeněk Pavelka
- Michal Zápotocký (ORCID: https://orcid.org/0000-0002-9013-2546)
- Miroslav Koblížek (ORCID: https://orcid.org/0000-0002-8422-732X)
- David Sumerauer (ORCID: https://orcid.org/0000-0003-4988-9974)
- Jakub Táborský (ORCID: https://orcid.org/0000-0003-2600-7086)
- Ondřej Bradáč (ORCID: https://orcid.org/0000-0003-4364-5522)
- Jana Táborská (ORCID: https://orcid.org/0000-0002-3901-2223)
- Vladimír Beneš (ORCID: https://orcid.org/0000-0002-7269-0392)
- Katarína Horčičáková (ORCID: https://orcid.org/0009-0008-6954-8687)
Institutions
- Charles University (CZ)
- Masaryk University (CZ)
- University Hospital in Motol (CZ)
- University Hospital Brno (CZ)
Publication Details
- Journal
- Acta Neurochirurgica
- Published
- 2025-08-08
- DOI
- https://doi.org/10.1007/s00701-025-06632-2
- Primary Topic
- Glioma Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Univerzita Karlova v Praze
- Ministerstvo Zdravotnictví Ceské Republiky