Neurological evaluation of children and adolescents with brain tumor, based on ambulatory-oriented follow-up

Neurological evaluation of children and adolescents with brain tumor, based on ambulatory-oriented follow-up

Alternative title Avaliação neurológica de crianças e adolescentes com tumor cerebral através de acompanhamento ambulatorial
Author Serafim, Alexandre Autor UNIFESP Google Scholar
Vilanova, Luiz Celso Pereira Autor UNIFESP Google Scholar
Silva, Najla Saba Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
University of Taubaté
Abstract Taken as proved that brain tumors are the second most frequent childhood neoplasm - only outnumbered by leukemias - we have undertaken a clinical perspective study with seventy brain tumor patients ranging from one to fifteen years of age, throughout a four-year period (1993-1997), based on ambulatory-oriented follow-up. Forty-one male and twenty-nine female patients were analyzed, in that a slightly higher number of infratentorial tumors was observed (thirty-eight cases), compared to those supratentorially located (thirty-two cases). The most repeatedly observed during the study was the medulloblastoma (twenty-one patients), followed by the astrocytoma (fifteen patients) and the germinoma (eleven patients). It should be pointed out that during the ambulatory follow-up 75,5% of patients developed neurological sequels. A tumor recurrence was noticed in 34,3% of them, while 21,4% eventually died.

Considerando que os tumores cerebrais correspondem à segunda neoplasia mais freqüente na infância, sendo apenas superados pelas leucemias, realizamos um estudo clínico prospectivo em setenta pacientes com tumor cerebral, com idade variando de um a quinze anos, por um período de quatro anos (1993-1997), através de acompanhamento ambulatorial. Avaliamos quarenta e um pacientes do sexo masculino e vinte e nove do sexo feminino. Observamos uma freqüência discretamente maior de tumores infratentoriais (38 casos) em relação aos de localização supratentorial (32 casos). O tumor mais freqüentimente observado foi o meduloblastoma (21 casos), seguido pelo astrocitoma (15 casos) e pelo germinoma (11 casos). No acompanhamento ambulatorial, observamos que 75,5% dos pacientes evoluíram com sequelas neurológicas. Em 34,3% houve recidiva tumoral e 21,4% dos pacientes evoluíram para óbito.
Keywords infratentorial
supratentorial
sequels
brain tumors
infratentorial
supratentorial
sequelas
tumores cerebrais
Language English
Date 2001-12-01
Published in Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 59, n. 4, p. 849-853, 2001.
ISSN 0004-282X (Sherpa/Romeo)
Publisher Academia Brasileira de Neurologia - ABNEURO
Extent 849-853
Origin http://dx.doi.org/10.1590/S0004-282X2001000600003
Access rights Open access Open Access
Type Article
SciELO ID S0004-282X2001000600003 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/1299

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