2013, Number 2
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Rev Cubana Neurol Neurocir 2013; 3 (2)
Presentation forms and diagnostic delay of pediatric brain neoplasms
Olazábal AI
Language: Spanish
References: 18
Page: 126-131
PDF size: 311.37 Kb.
ABSTRACT
Objective: To determine the most frequent signs and symptoms as presentation of brain neoplasms and the average time between onset of symptoms and positive diagnosis.
Methods: A retrospective study was performed in the Pediatric Hospital of Camagüey in a period of 15 years of all cases diagnosed as brain tumors. The sample was 73 patients. The variables studied were related to each other.
Results: The most frequent clinical presentation was ataxia (46 %), diagnosed primarily in children younger than 5 years. Headache was one symptom of presentation in 28 patients (38.3 %). Nausea and vomits was included in the onset manifestations in 35.6 % of the sample. Histologically, the tumor more regularly diagnosed was medulloblastoma. The average time between onset of symptoms and positive diagnosis was 7 months for infratentorial lesions and 5 months for supratentorial lesions.
Conclusions: The delay in the diagnosis of brain tumors in children may be important prognostic implications. The recognition of different forms of presentation and the appropriate use of imaging may improve the prognosis of these patients.
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