Pediatric Posterior Fossa Brain Tumor Surgical Outcome

Objective:  The study analyzed the complications and satisfactory surgical outcomes of posterior fossa brain tumor surgery in Lahore Medical City Lahore. Materials and Methods:  A prospective study was conducted and included 40 children who were diagnosed with posterior fossa brain tumors by history, physical examination, and later radiologically were admitted and operated on at the Pediatric Neurosurgery Department in Lahore medical City Lahore between the period of March 2021 and March 2022. Results:  There were 26 (65%) male and 14 (35% females) individuals among the 40 patients. The average age was 12.5 years. This study found that great surgical outcomes were observed in 10 instances (25 percent), good outcomes in 20 cases (50%), and bad outcomes in 10 cases (25%). The most frequent clinical manifestations were headache (38%), vomiting (30%), ataxia (10%), blurred vision (10%), and cranial nerve palsy (12.5%). The best prognosis is shown in children with Pilocytic astrocytoma, followed by ependymoma, while the poorest outcome is seen in children with medulloblastoma. Conclusion:  Pediatric neurosurgeons continue to face particular difficulty in the surgical treatment of posterior fossa brain tumors. Our study compares the outcomes, complications, and surgical outcomes to prior clinical investigations

Single Burr Hole Evacuation of Extradural Hematoma in Pediatric Population: An Experience from the Biggest Children Hospital of Pakistan

Objective:  To observe the outcome of single burr hole evacuation of EDH in a pediatric population. Material and Methods:  We included 52 children who had had a head injury and were diagnosed with EDH on a CT scan. Over three months, they were all admitted to the pediatric neurosurgery ward. Serial CT scans and neurological evaluations were performed on all of the youngsters regularly to monitor their progress. Results:  52 pediatric and adolescent patients were included. The age range was 6 months to 18 years. There were 30 male and 22 female patients. All of the children have EDH as a result of head injuries sustained in various accidents. All of the youngsters underwent surgery to remove EDH through a single burr hole. On the second postoperative day, five infants underwent reoperation owing to neurological deterioration, and two children died. The result was good (mRS 0) in 44/52 (84.6%) instances, mild deficits (mRS 1–2) in 4/52 (7.6%), and severe impairments (mRS 3–5) in 2/52 (3.84%) cases six months after the event. Conclusion: Although, EDH is a life-threatening surgical disease if not treated promptly, EDH evacuation by a single burr hole has a satisfactory prognosis in the juvenile population, with fewer complications and recurrences