Neurological evaluation of children and adolescents with brain tumor, based on ambulatory-oriented follow-up.
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.
Serafim
A
A
Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Vilanova
L C
LC
Silva
N S
NS
D000293:Adolescent; D000553:Ambulatory Care; D001254:Astrocytoma / Q000453:epidemiology; D001932:Brain Neoplasms / Q000453:epidemiology* / Q000401:mortality; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D018237:Germinoma / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008297:Male; D008527:Medulloblastoma / Q000453:epidemiology* / Q000401:mortality; D009364:Neoplasm Recurrence, Local; D010045:Outpatients; D011446:Prospective Studies; D015173:Supratentorial Neoplasms / Q000453:epidemiology / Q000401:mortality