Affiliations: Kanchi Kamakoti CHILDS Trust Hospital Chennai,
Note:  Correspondence: Chidambaram Balasubramaniam, New No. 12 (Old.
26) Second Main Road, C.I.T. Colony, Mylapore, Chennai-4. India. Tel:
0091-044-4992970; E-mail: email@example.com
Abstract: This report is based on the experience in the management of 17
children with neoplasms involving the anterior visual pathway (i.e. the optic
nerves and chiasm). Although gliomas are the commonest tumors other neoplasms
are also seen in this location. Hence there is a need for histologic
verification before all neoplasms seen here are managed as gliomas. Surgical
excision without compromising the neurologic, visual and endocrine state is
suggested as the main option. Chemotherapy and or radiation can be considered
as adjuvants depending on the age of the patient. Radiation is best avoided in
children less than four years of age. (J Pediatr Neurol 2003; 1(2): 89–94).