A practice pathway for the management of gliomas of the anterior visual pathway an update and an evidence-based approach

Purpose: To propose a practice pathway based upon the available medical lit erature for the management of optic pathway gliomas. Methods: A computerize d Medline search of the English language literature on optic pathway glioma s from 1966 to 1998 was made. A practice pathway for the management of thes e tumors was developed based upon the available evidence. Results: The resu lts of the practice pathway are summarized in an easy-to-follow, user-frien dly treatment algorithm. Conclusion: The treatment of optic pathway gliomas is controversial. The use of an evidence-based practice pathway may assist the clinician in the management of these difficult cases.