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September 4, 2026Child s Nervous SystemOpen Access

Laser interstitial thermal therapy in pediatric neurosurgery: a prospective nationwide study on indications, safety, and early outcomes

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Authors

SNSilas Haahr NielsenJFJon Foss-SkiftesvikTMTorstein Melling

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Overview

Prospective cohort study demonstrates favorable safety and seizure control from laser interstitial thermal therapy in pediatric patients, suggesting it is a viable minimally invasive option.

Key Points

  • To evaluate the indications, safety profile, and early clinical outcomes of MRI-guided laser interstitial thermal therapy (LITT) in children, including the feasibility of concurrent stereotactic biopsy.
  • Prospective cohort study of consecutive pediatric patients (age ≤ 18 years, N=27) treated with LITT at the Danish national referral center from June 2021 to October 2025.
  • Indications included drug-resistant epilepsy (n=18) and intracranial tumors (n=9), with 10 patients undergoing same-session stereotactic biopsy.
  • Outcomes measured included intraoperative adverse events, new neurological deficits, hospital stay, 30-day readmissions, Engel class seizure status, and tumor response on follow-up MRI.
  • Zero intraoperative complications or 30-day readmissions occurred; transient neurological deficits developed in 8 patients and persistent deficits in 3, with hospital stay ≤ 2 days for 23 of 27 patients.
  • In epilepsy cases, seizure freedom (Engel class I) was achieved in 71% of patients at 6 months, 63% at 12 months, and 57% at 24 months.
  • Tumor control was documented on follow-up MRI in 4 of 5 cases over a median follow-up of 15 months, and same-session stereotactic biopsy was successfully performed in 10 patients without biopsy-related complications.

Cite This Study

Nielsen et al. (2026) studied this question.

synapsesocial.com/papers/6a9a85345d9e33f25c630cefhttps://doi.org/10.1007/s00381-026-07438-y
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