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- Title
Posterior Fossa Mid-Line Space Occupying Lesions Diagnosis and Surgical Outcome.
- Authors
Abd-allah, A. N. M.; Hammad, O. Y.; Elshehaby, A. M. N.; Morad, S. H.; Abdelkareem, E. M.
- Abstract
Background: posterior fossa tumors are more common in children that in adults. Between 54% and 70% of all childhood brain tumors originate in the posterior fossa. About 15-20% of brain tumors in adults occur in the posterior fossa. Certain types of poeterior fossa tumors, such as medulloblastoma, pineoblastoma, ependymomas, primitive neuroectodermal tumors, and astrocytomas of the cerebellum and brain stem, occur more frequently in children. Aim of the Work: the aim of this study was to review the preoperative diagnostic modalities, surgical procedures and outcome for different midline posterior fossa space occupying lesions. Patients and Methods: this is retrospective study has been conducted on 50 patients with posterior fossa midline space occupying lesions during the period March 2013 to October 2015, at Department of Neurosurgery, Ain Shams University. All Patients have been subjected to preoperative clinical assessment; thorough history taking, complete general and neurological examination according to Ain Shams University neurosurgical sheet. Results: this study was conducted on 50 patients with midline posterior fossa space occupying lesions. All of them underwent a midline suboccipital approach. The pre and post-operative data were collected and analyzed. This study included 50 patient, 26 female (52%) and 24 male (48%) patients. The mean age ranges from 1 year to 60 years. Conclusion: surgery is the treatment of choice for the cases of posterior fossa mid line lesions especially in children and adolescents to decreases the risk of disabilities and increases the survival.
- Subjects
INFRATENTORIAL brain tumors; NEUROECTODERMAL tumors; SURGICAL diagnosis; NEUROLOGIC examination; OPERATIVE surgery; BRAIN tumors; BRAIN stem
- Publication
QJM: An International Journal of Medicine, 2020, Vol 113, pi156
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcaa055.005