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Child's Nervous System

, Volume 2, Issue 3, pp 126–129 | Cite as

Intracranial tumors in the first year of life

  • Keizo Sakamoto
  • Norio Kobayashi
  • Hiroshi Ohtsubo
  • Yuichiro Tanaka
Original Papers

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 mentally retarded and 4 are physically handicapped to some degree.

Key words

Intracranial tumor Increased head size hydrocephalus Computed tomography First year of life 

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Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • Keizo Sakamoto
    • 1
  • Norio Kobayashi
    • 1
  • Hiroshi Ohtsubo
    • 1
  • Yuichiro Tanaka
    • 1
  1. 1.Department of NeurosurgeryKobe Children's HospitalKobeJapan

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