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Çukurova Üniversitesi Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Adana Brainstem gliomas are usually seen in pediatric age group. Historically, brainstem glioma, regardless of its pathological character has been considered as a malignant tumor because of its infiltrative growth pattern. Recently, operative treatment is proposed to the patient after evaluation of his/her neurologic status and radiologic appearance of the tumor. Besides the advances in microneurosurgery and neuroanesthesia, modern neuroradiological techniques such as magnetic resonance imaging provide grateful assistance to patient selection for surgery. Five brain-stem tumors are operated in our clinic; two were dorsally exophytic and three were both cervicomedullary and cystic tumors. There were no operative mortality and morbidity. We observed that a satisfactory result could be obtained especially in cystic and cervicomedullary tumors compared with other types, but the resection of exophytic portion of tumors is not advantageous in terms of survival. Anahtar Kelimeler : Astrocytoma, brain-stem tumor, magnetic resonance imaging