Diagnosis and Management of Brain Tumors in Children

Authors

  • Taslim S. Soetomenggolo Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Hardiono Pusponegoro Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Jimmy Passat Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Dwi Putro Widodo Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Sofyan Ismael Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta

DOI:

https://doi.org/10.14238/pi35.7-8.1995.185-9

Keywords:

brain tumors; malignancy; solid tumors; nausea; vomiting; papiledema; astrocytomas; medulloblastomas

Abstract

Brain tumors are the second most common malignancy and the most common solid tumors found in childhood. During 11 months 19 patients with brain tumors were hospitalized at the Department of Child Health, Dr. Cipto Mangunkusurno Hospital, Jakarta, 10 of them were males. The youngest patient was 5 months old and the oldest was 13 years old. The important signs and symptoms in establishing diagnosis were the non-localizing signs and symptoms, i.e., nausea and vomiting. The most frequent localizing signs and symptoms were papilledema, cranial nerves palsy, ataxia and incoordination, hemiparesis, visual disturbances, and optic atrophy. Focal seizures were rare.

Most of the tumors were in infratentorial region, and metastatic tumors were rare. The mortality of this series was high due to the severity of the disease. The most frequent of tumors are astrocytomas and medulloblastomas.

References

1. Menkes JH, Till K. Tumors of the nervous system. In: Menkes JH, Ed, Textbook of child neurology, 4th edition, London: Lea & Febiger 1990; 526-82.
2. Cohen ME, Duffner PK. Brain tumors in children. In: Cohen ME, Duffner PK, Eds, Brain tumors in children, principles of diagnosis and treatment, 2nd edition, New York: Raven Press 1994; 13-146.
3. Cohen ME, Duffner PK. Tumors of the brain and spinal cord including leukemic involvement. In: Swaiman KF, Ed, Pediatric neurology principles and practice, Toronto: Mosby Co., 1989; 661-714.
4. Bailey P, Cushing H. In: A classification of the tumors of the glioma group on a histogenetic basis with a correlated study of prognosis. Philadelphia: JB Lippincott 1926 (Cited by Cohen ME, DuffnerPK, 1994).
5. Cohen ME, Duffner PK. Neoplastic diseases. In: David RB, Ed, Pediatric neurology for the clinician, Connecticut: Appleton & Lange 1992; 385-406.
6. Fenichel GM. Brain tumors. In: Fenichel GM, Ed, Clinical pediatric neurology. Tokyo: WB Saunders 1993; 323-5.
7. Farwell JR, Dohrman GJ, Flannery JT. Central nervous system tumors in children. Cancer 1977; 40:3123-32.
8. Ertel lJ. Brain tumors in children. Cancer. 1980; 30:306-21.

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Published

2018-10-08

How to Cite

1.
Soetomenggolo TS, Pusponegoro H, Passat J, Widodo DP, Ismael S. Diagnosis and Management of Brain Tumors in Children. PI [Internet]. 2018Oct.8 [cited 2025Apr.20];35(7-8):185-9. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1984

Issue

Section

Pediatric Neurology