2
Med. (Bagh), 2003, Vol. 4S , No.
outcome of cerebellar tumors in children
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Abstract
Background
70
fumors originate in the posterior fossa. proper.
represent 15-30% of brain
wnt for 12-28% of all pediatric bra
ger patients, with nearly 5
ic aim of this study” ist evaluate the efi
ne a
Accepted Octoliee 2002sac. Med. (Bagldad), 2003, Vol. 45 , No. 1-2 e
patients and methods: Twen
amore were studied retvospectvely. They were ad
Surgical Specialties Hospital from 1995 102001, Al patients had CT seaw
‘nd nine of thes had IRI of brain
Ms + All patients were presented with sigus and symptoms of increased
intracranial jressure, Children below 10 years of age account for 69%.
were 16 males (1) and ten females (39%), with a male to feuale ratio 16:
tnean duration of presenting symptoms was Sot months (lnwnth- to 2 yeu).
jydroeephalus was present hr 23 paticuts (88.4%). Fourteen patients (53.9%)
had astrveytonsa, eleven (42.3%) nd Medalloblasiona and ane patient (3.87%)
hued ependyimuin. The mean duration of follow wp period was 17.5 months,
Nineteen paticnts. were improved postoperaively (73%). The mortality rate was
153%.
jusion : The a
idanvental. Total ro
ly diagnosis and teeatment of these tumors are
(oval of the tasior oF tle mural nodule is estenGal for
atric tumors. Iydrveeph
Posterior fossa. Leptomeningest
better outcome. Key words: Corebellunn. Pe
‘Astroeytoma. Medulloblastona
icastases
in children, Hetween $4-70% of all
€ posterior fossa proper (ID)
adults, icy represent
cently thought to
sim of the fos ant has thus been
wor of the posterior fassa (13). The
‘Cerebellar tumors are com
childhood brain tuners originate in
Medulloblastonas are far commone
15.20% of rain tumors in children."
originate frum cells of the sube
fermed primitive neurycctode
expression of a mcier of the
Aevelopmcntal comtvl gence uf dhe PAX family (PANG) in aedullolitatouna gives
fipport ta the hypothesis that medulloblastoma originates in the external
ravular layer of the developing corebellum (19). Cerchellar astrveycamas
represent 3.5% of all pe cranial brain tumors, 10% of pediatric
primary iniracranial brain tumors, approximately 25% of pediatri posterior
fossa brain (amines, ad 8% of gliomas (18). Fpenudyomas consprise only 6-10
amd may extent inte the brainstem, cerebellar hemispheres, eerchellopantine
angle, amd cistema mia to SAU virus may he
wt ependy ona
as conducted in the Neurosurgical Department at Al:
‘aching Hospital, ducing the period Jan
14 years of age sere studied retrospective
Tomography (C1) sean of the bra
of them liad Mayuetic Res
performed in 22. patients (4.6%) prior to surgery ofthe (umor due tn prescace
of hydrocephalus anda safety burr hole in ane patient. AIL patients had,
183J, Fae. Med. (Baghdad), 2003, Vol, 45 , Now 1-2
31%). The follow up period
"The age of the patients ranged between 310 14 y
years, They were 16 nas (61%) snd 1 females (9%) with a rato of 1.631.
ig. (1) Age and gender Bighteen patients (69%) were helow 10 years of age.
“ayens 610 Tt
years years
Symproms
[Headache
i (88.4%) with marked vent
ai inns (48.5%) often, Sold tumors were seem in 13 patients
(60%). (medullablasiona in 10. astrvcylonia In 2, ependymoma in 1). Cys
lesions were semi in 3 pails (11.5%) with aserueyLoma, while eysic and solid
tnayses. were seen in 10 paticnts (38.5%) (asiroeyloma in 9 and mattulfoblastonia
I I patient). Pevitunoral edna was see in IT patients (423%).
1st