[Tumors of the third ventricle in children: review of 46 cases].
In the national series, 46 patients out of 262 (17.5%) were children under 15 years of age. Most of them presented with gliomas (50 %), choroid plexus tumors were recorded in 8 cases (17%). Intracranial hypertension revealed the tumor in 80% of children, endocrine disorders were recorded in 8 patients. A stereotactic procedure was performed in 7 patients, 1 had ventriculoscopy, and a direct surgical approach to the third ventricle was performed in 37 patients, in one case after the failure of the endoscopic procedure. Two patients with a radiological appearance of hamartoma received no treatment. Most of patients were operated on via a transcortical approach (27 cases). The overall mortality in this series is 9%. The death was directly correlated to the surgical procedure (1 case), or to recurrence of the tumor (3 cases). The final outcome analysis recorded neurological impairment in 50% of cases, neuropsychological deficit in 58 % of patients, and residual endocrine disorders in 41%. Social independence was recovered by 82% of the children, and 68% returned to normal school attendance.
Lejeune
J P
JP
Clinique Neurochirurgicale, Hôpital Roger-Salengro, CHRU, 59037 Lille Cedex.
Le Gars
D
D
Vinchon
M
M
D000293:Adolescent; D002551:Cerebral Ventricle Neoplasms / Q000175:diagnosis / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D020542:Third Ventricle
Tumeurs du troisième ventricule chez l'enfant: analyse de 46 cas.