2017, Number 3
Clinical-imaging description of brainstem tumors in the childhood
Language: Spanish
References: 12
Page: 809-819
PDF size: 342.95 Kb.
ABSTRACT
Introduction: brainstem tumors represents about 10 to 25% of the tumors of the nervous system in the child and 20% to 25% of infratentorial tumors.Objective: to describe the clinical-imaging findings in patients with brain stem tumors.
Method: a retrospective study was done in children with the diagnosis of brainsteam tumor from the Octavio de la Concepción y de la Pedraja Pediatric Teaching Hospital; Cuba from January 2004 to December 2016.
Results: there was a predominance of females in the age group between 0 – 5 years forl 58.3%. The commonest symptoms occurring at any time were headache (25%) and the patsy of cranial nervous was the neurological signs present at diagnosis. The median symptom interval was two months between onset of symptoms and diagnosis in 81.2% of patients. The diffuse location of the tumor in the brainstem predominated over the focal distribution in 66.6% with epicenter in the encephalic bridge. The therapeutic option of choice was based on radiotherapy, chemotherapy and monoclonal therapy Hr3 in all diffuse brain stem tumors.
Conclusion: magnetic resonance examination is the most suitable imaging technique in the brainsteam` tumors study.
REFERENCES
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Schumacher M, Schulte Mönting J, Stoeter P, Warmuth Metz M, Solymosi L. Magnetic resonance imaging compared with biopsy in the diagnosis of brainstem diseases of childhood: a multicenter review. J Neurosurg. 2007[citado 24 may 2017]; 106(2 supl); 111-119.Disponible en: http://thejns.org/doi/abs/10.3171/ped.2007.106.2.111
Jalali R, Raut N, Arora B, Gupta T, Dutta D, Munshi A, et al. Prospective Evaluation Of Radiotherapy With Concurrent And Adjuvant Temozolomide In Children With Newly Diagnosed Diffuse Ntrinsic Pontine Glioma. Int J Radiat Oncol Biol Phys. 2010[citado 24 may 2017]; 77(1):113-118.Disponible en: http://www.sciencedirect.com/science/article/pii/S0360301609005975