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Journal of Neurosurgical Sciences 2020 Jun 11

DOI: 10.23736/S0390-5616.20.05054-7


lingua: Inglese

Natura non facit saltus: a phase 2 proposal to manage brain tumors cases from the neuro-oncology section of the Italian Society of Neurosurgery (SINch®)

Filippo F. ANGILERI 1 , Giovanni SABATINO 2, Luigi M. CAVALLO 3, Federico PESSINA 4, Tamara IUS 5, Oreste DE DIVITIIS 3, Felice ESPOSITO 3, Gianluca GRIMOD 6, Giovanni RAFFA 1, Giannantonio SPENA 6, Salvatore CARDALI 1, Vincenzo ESPOSITO 7, 8, Antonino GERMANÓ 1, Francesco MAIURI 3, Marco FONTANELLA 9, Marco CENZATO 10, on behalf of the neuro-oncology section of the Italian Society of Neurosurgery (SINch®)

1 Neurosurgery, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy; 2 Neurosurgery Unit, Department of Neurosciences, Università Cattolica del Sacro Cuore, Fondazione Policlinico “A. Gemelli”, Rome, Italy; 3 Division of Neurosurgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, School of Medicine and Surgery, Federico II University of Naples, Naples, Italy; 4 Department of Biomedical Sciences, Humanitas University, Milan, Italy; 5 Neurosurgery Unit, Department of Neurosciences, Santa Maria della Misericordia University Hospital, Udine, Italy; 6 Neurosurgery Unit, Department of Neurosciences, A. Manzoni Hospital, Lecco, Italy; 7 Sapienza University, Rome, Italy; 8 Giampaolo Cantore Department of Neurosurgery, IRCCS Neuromed, Pozzilli, Isernia, Italy; 9 Unit of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy; 10 Department of Neurosurgery, Grande Ospedale Metropolitano Niguarda, Milan, Italy


The Coronavirus (COVID 19) pandemic has fast spread throughout the world in more than 200 countries, resulting in the need for a de-prioritization of elective medical care to face the demands of the global health crisis. Although the acute and catastrophic phase of the pandemic seems to have been left behind, it is also clear that the virus will not disappear soon, and we must live with it for a period of unpredictable length, the COVID-19 era. In this setting, a common coordinated approach to treat patients harboring brain tumors is urgently required to guarantee the best updated oncological care and to reduce the risk of viral infection during hospitalization. The study group on Neuro-oncology of Italian Society of Neurosurgery, SINCh gathered pieces of evidence and data and would like to suggest a practice protocol of care for neurosurgical oncologic procedures in the COVID-19 era. The present document is aimed at summarizing current evidence and expert opinions to help neurosurgeons in taking decisions on their patients harboring different brain tumors.

KEY WORDS: Brain tumor; COVID-19; Neurosurgery; Pituitary adenoma; Glioma

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