A Novel Approach in Cerebellar Cystic Pilocytic Astrocytoma Surgery: Spherical Coordinate System Serebellar Kistik Pilositik Astrositom Cerrahisinde Yeni Bir Yaklaşım: Küresel Koordinat Sistemi


Taçyıldız A. E., Sofuoğlu Ö. E., GİRGİN R. B.

Medical Journal of Bakirkoy, cilt.21, sa.1, ss.121-126, 2025 (ESCI, Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.4274/bmj.galenos.2024.2024.8-7
  • Dergi Adı: Medical Journal of Bakirkoy
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL
  • Sayfa Sayıları: ss.121-126
  • Anahtar Kelimeler: Cystic pilocytic astrocytoma, spherical coordinate system
  • İnönü Üniversitesi Adresli: Evet

Özet

Achieving gross total resection is the primary prognostic factor in pilocytic astrocytomas. The spherical coordinate system (SCS) is an alternative to the Cartesian system for defining a point’s location in space. While the Cartesian system uses X, Y, and Z axes, the SCS utilizes ρ (distance from the origin), θ (the angle with the positive X-axis, 0 to 360 degrees), and ϕ (the angle with the positive Z-axis, 0 to 180 degrees). A 73-year-old female patient presented with headaches, dizziness, and gait disturbance over the past month, along with nausea and vomiting. She had previously undergone cerebellar tumor surgery in February 2020, and two years later, similar solid and cystic structures reappeared, suggesting a residual tumor. In such cases, using the SCS may help reduce remnant tumor rates and minimize the need for secondary operations.