Effects of hydrocephalus after cerebellar tumor: a case-by-case approach
Autor: | Nicola J. Pitchford, Emma E. Davis, David Walker, Tim Jaspan, Donald McArthur |
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Rok vydání: | 2010 |
Předmět: |
Shunt placement
Male medicine.medical_specialty Cerebellum Pediatrics Neuropsychological Tests Neurosurgical Procedures Central nervous system disease Developmental Neuroscience Cerebellar tumor Medicine Humans Cerebellar Neoplasms Chi-Square Distribution business.industry Infant Cognition medicine.disease Hydrocephalus Surgery medicine.anatomical_structure Neurology Child Preschool Pediatrics Perinatology and Child Health Female Neurology (clinical) business Cognition Disorders Chi-squared distribution Shunt (electrical) |
Zdroj: | Pediatric neurology. 44(3) |
ISSN: | 1873-5150 |
Popis: | Although hydrocephalus affects approximately 80% of children with a posterior fossa tumor, its impact on neurodevelopmental outcomes remains unclear. We investigated the effects of hydrocephalus severity on the development of cognitive, motor, academic, and attention skills in 15 children with cerebellar injury after treatment for a tumor sustained during preschool years. Significant impairment was indicated by scores 2 S.D.s or more below the test norm mean. Results indicated substantial intra-individual and interindividual variation, with little consistent influence of hydrocephalus severity on outcomes. Generally, children with moderate hydrocephalus were least impaired, but the child without hydrocephalus performed most poorly. Those who received a shunt generally performed higher on many of the cognitive, but not motor, tests. Thus, when considering differences within and across individuals, neither hydrocephalus severity nor shunt placement alone is a strong predictor of neurodevelopmental outcomes. |
Databáze: | OpenAIRE |
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