Jan 1, 1986

Intracranial tumors in the first year of life

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
K SakamotoY Tanaka

Abstract

Among 100 childhood brain tumors treated at Kobe Children's Hospital from May 1970 to June 1985, 18 of the children presented with symptoms during the first year of life. This paper analyzes these 18 cases. Supratentorial tumors (78%) were more common than infratentorial ones, and 67% of all the tumors were located in the central neural axis. Initial symptoms were cranial enlargement (56%), vomiting (17%), cranial deformity (11%), blepharoptosis, respiratory distress, and ataxia. Histological diagnosis of the tumors was as follows: teratoma (3 cases), medulloblastoma (3), glioblastoma (2), astrocytoma (2), ependymoma (2), craniopharyngioma (1), choroid plexus papilloma (1), hamartoma (1), lipoma (1), melanotic progonoma (1), and an undetermined type, probably medulloblastoma (1). Seventeen of the patients underwent craniotomy for tumor resection (4 total, 4 subtotal and 7 partial removal, and 2 biopsies). Additional therapeutic methods used separately and in various combinations included ventriculoperitoneal shunt, subduralperitoneal shunt, ventricular drainage, radiotherapy and chemotherapy. Nine patients died (average 98 days) after surgery. Of the 9 survivors, 6 are still alive after more than 5 years. Five of the 6 are ment...Continue Reading

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Mentioned in this Paper

Hospitals, Pediatric
Supratentorial Neoplasms
Ataxia as Late Effect of Cerebrovascular Disease
Iron in various other combinations
Neoplasms
Mentally Disabled Persons
Respiratory Distress Syndrome, Newborn
Administration of Antineoplastic Agent
Excision
Congenital Hamartoma

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