How do you manage an unresectable high-grade glioma of the distal cord/cauda equina?

Doses may vary by institution. Our typically practice is to cover the gross disease to 54 to 50.4 Gy in 1.8’s for conus/cauda and then approximately two vertebral bodies above and below to 50.4-45 Gy (for instance if the superior extent is in true cord, then it’s typically prescribed to 45 Gy with p...