Functional Basis of Posterior Fossa Tumor Symptoms and Signs

Pascual-Castroviejo, I

doi:10.1007/978-1-4613-9299-6_2

Cited by 1 publication

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References 35 publications

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“…The clinical presentation of a child with posterior fossa mass is dependent on the anatomical location, histologic type and the presence or absence of hydrocephalus (8). Because posterior fossa is only one tenth of the intracranial volume and contains structures that are responsible for vital functions, tumours in this region are quite challenging to the health care team.…”

Section: Introductionmentioning

confidence: 99%

Posterior cranial fossa tumours in children at Kenyatta National Hospital, Nairobi

Wanyoike

2004

E Af Med Jrnl

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Background:The management of children with posterior fossa tumours is a challenge to health care professionals worldwide. Difficulties in diagnosis especially in children less than three years is well documented. Limited diagnostic modalities and lack of awareness of the symptoms and signs as well as societal perception of children's complaints contributes to late presentation. Kenyatta National Hospital Neurosurgical unit is the only specialized unit among the public hospitals in Kenya where such patients are referred. . Twenty four were females while thirteen were males giving a male: female ratio of 1:1.8. The age varied between 2-16 years with a mean of 6.7 years. Cerebellar symptoms were the most common mode of presentation (30%) followed by headaches and vomiting. Twenty percent of our patients were blind at presentation probably due to chronic effects of raised intracranial pressure. Out of 11 patients with histological diagnosis of meduloblastomas, over 99%, were females and only one was a male. Astrocytomas were evenly distributed at five males and six females. The mean duration of symptoms was 3.7 months while it took eight weeks between time of diagnosis and treatment. Conclusion: Posterior fossa tumours in our set-up are more common in females than in males, M:F ratio of 1:1.8. Over 90% of medulloblastomas are found in female children making it a predominantly female tumour as opposed to available literature. The delay in diagnosis is probably due to lack of information both to the parents and health care providers and expensive diagnostic tools. A high index of suspicion, and a good history and clinical examination is required in the diagnosis of posterior fossa tumours in children especially those below three years.

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Section: Introductionmentioning

confidence: 99%

Posterior cranial fossa tumours in children at Kenyatta National Hospital, Nairobi

Wanyoike

2004

E Af Med Jrnl

View full text Add to dashboard Cite

show abstract

Functional Basis of Posterior Fossa Tumor Symptoms and Signs

Cited by 1 publication

References 35 publications

Posterior cranial fossa tumours in children at Kenyatta National Hospital, Nairobi

Posterior cranial fossa tumours in children at Kenyatta National Hospital, Nairobi

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