Neurosurgical Techniques for Disruption of the Blood-Brain Barrier for Glioblastoma Treatment

The blood-brain barrier remains a main hurdle to drug delivery to the brain. The prognosis of glioblastoma remains grim despite current multimodal medical management. We review neurosurgical technologies that disrupt the blood-brain barrier (BBB). We will review superselective intra-arterial mannito...

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Bibliographic Details
Main Authors: Analiz Rodriguez (Author), Stephen B. Tatter (Author), Waldemar Debinski (Author)
Format: Book
Published: MDPI AG, 2015-08-01T00:00:00Z.
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Summary:The blood-brain barrier remains a main hurdle to drug delivery to the brain. The prognosis of glioblastoma remains grim despite current multimodal medical management. We review neurosurgical technologies that disrupt the blood-brain barrier (BBB). We will review superselective intra-arterial mannitol infusion, focused ultrasound, laser interstitial thermotherapy, and non-thermal irreversible electroporation (NTIRE). These technologies can lead to transient BBB and blood-brain tumor barrier disruption and allow for the potential of more effective local drug delivery. Animal studies and preliminary clinical trials show promise for achieving this goal.
Item Description:1999-4923
10.3390/pharmaceutics7030175