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Tumeurs Cerebrales de l'enfant en milieu Canadien-Francais

Published online by Cambridge University Press:  18 September 2015

F. Renevey ,
Y. Amyot ,
G. Geoffroy  and
M. Vanasse
F. Renevey
Affiliation:
Service de Neurologie, Département de Pédiatric, Hôpital Sainte-Justine, Université de Montréal, Montréal, Québec, Canada
Y. Amyot
Affiliation:
Service de Neurologie, Département de Pédiatric, Hôpital Sainte-Justine, Université de Montréal, Montréal, Québec, Canada
G. Geoffroy*
Affiliation:
Service de Neurologie, Département de Pédiatric, Hôpital Sainte-Justine, Université de Montréal, Montréal, Québec, Canada
M. Vanasse
Affiliation:
Service de Neurologie, Département de Pédiatric, Hôpital Sainte-Justine, Université de Montréal, Montréal, Québec, Canada
*
Hôpital Ste-Justine, 3175 Chemin Côte Ste-Catherine, Montréal, Québec, Canada, H3T 1C5
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Summary:

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Between 1964 and 1976, we have seen 197 cases of cerebral tumors in children. We have studied the frequency of each histological group of tumors, their localization, the results of the clinical investigation, their clinical manifestations and the prognosis for each group.

This study has confirmed that in children brain tumors are more frequently localized in the posterior fossa (56.4%). As in other series, tumors derived from the glia represent nearly 80% of the total. Clinically, increased intra-cranial pressure is the most frequent manifestation of posterior fossa lesion (75% of cases) while cerebellar involvement was seen in 60% of these childdren. Brain stem lesions and supratentorial tumors are more insidious in their presentation and their clinical manifestations more diversified.

The EEG appeared useful in the investigation of brain tumors and showed irregularities in 78% of our patients. However, a more specific diagnosis required more invasive techniques such as angiography, pneumoencephalography or ventriculography.

As in previous series, the mortality rate remained high in the children we have followed, particularly for some groups of tumors (glioblastoma, medulloblastoma, brain stem lesions). It is to be hoped that with the introduction of the CT Scan, the improvement of neurosurgical techniques and the use of immuno and chemotherapy, the prognosis may be improved.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 6 , Issue 3 , August 1979 , pp. 329 - 335
Copyright
Copyright © Canadian Neurological Sciences Federation 1979

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