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Astrocitomas do cerebelo na infância: experiência em 25 casos Cerebellar astrocytomas in childhood: experience on 25 cases

By Nilton Domingos Cabral, Orildo Ciquini Jr., Hamilton Matushita, Valdir Delmiro Neves and José Píndaro Pereira Plese

Abstract

É relatada a experiência do Serviço de Neurocirurgia do Hospital das Clínicas da FMUSP com o tratamento neurocirurgia) de 25 crianças com astrocytoma do cerebelo no período de 1982 a 1994. São analisados incidência, quadro clínico, localização, forma de apresentação, anatomia patológica, recidivas e tratamento. A série incluiu crianças até 10 anos com pico de incidência (7 casos ) aos 7 anos. Os sintomas iniciais mais frequentes foram: cefaléia, vômitos e distúrbios da marcha. Não houve mortalidade cirúrgica. Os autores concluem que a ressecção cirúrgica radical é a melhor forma de tratamento para estes tumores e que a radioterapia somente está indicada para tumores histologicamente malignos.<br>The experience with the surgical treatment of cerebellar astrocytomas in 25 children is reported. The clinical presentation, incidence, CT-scan diagnostic studies, pathology, recurrence and treatment aspects are discussed. The series included children until 10 years old with peak (7 cases) in the 7th year of age. The more frequent opening symptoms were: headache, vomit and gait disturbances. No surgical mortality occurred in the series. The autors conclude that surgical radical resection is the best therapeutics for this type of tumor and that radiotherapy is indicated only for tumors with malignant histology

Topics: astrocytoma cerebelar, tumor intracraniano, infância, cerebellar astrocytoma, intracranial rumor, childhood, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571, Internal medicine, RC31-1245, Medicine, R, DOAJ:Neurology, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Academia Brasileira de Neurologia (ABNEURO)
Year: 1997
DOI identifier: 10.1590/S0004-282X1997000100013
OAI identifier: oai:doaj.org/article:bee06dd267c746bb9e7ddcef5b915ed2
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