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Symptoms before and after Posterior Fossa Surgery in Pediatric Patients
- Source :
- Pediatric Neurosurgery. 48:21-25
- Publication Year :
- 2012
- Publisher :
- S. Karger AG, 2012.
-
Abstract
- The posterior fossa syndrome (PFS) is common after cerebellar tumor resection in pediatric patients. It is characterized by postoperative mutism and ataxia and associated with persistent abnormalities in mood and cognition. Method: A 2-year prospective study of children and adolescents with cerebellar tumors identified by neuroimaging was performed at the Children’s Hospital Los Angeles. Results: There were 8 girls and 14 boys in the study, aged 14 months to 17 years. The tumor sizes ranged from 2 to 6.5 cm in diameter. The patients presented with ataxia, headache, vomiting, depressed or irritable mood and inattention. Symptoms of PFS were present postoperatively in all except for the 2 patients with lateral tumors. The symptoms began before resection, were most prominent immediately after surgery, and improved over time. Neuropsychological assessment of 10 patients documented a persistent cognitive decrement. Conclusion: This small, descriptive study provides information on the natural history of pediatric posterior fossa tumors from before surgery through the postoperative period.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
Ataxia
Adolescent
Posterior fossa
Infratentorial Neoplasms
Neuropsychological Tests
Resection
Cerebellar tumor
Humans
Medicine
Postoperative Period
Prospective Studies
Cerebellar Neoplasms
Child
Prospective cohort study
Posterior Fossa Syndrome
business.industry
Infant
Cerebellar Neoplasm
General Medicine
Surgery
Child, Preschool
Infratentorial Neoplasm
Preoperative Period
Pediatrics, Perinatology and Child Health
Female
Neurology (clinical)
Symptom Assessment
medicine.symptom
business
Subjects
Details
- ISSN :
- 14230305 and 10162291
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Pediatric Neurosurgery
- Accession number :
- edsair.doi.dedup.....ca72ef8e0dde99d8bc7c807119a4b05a