David Okon Udoh, Ali Elijah
Usiholo, Mojisola Olutayo Udoh,
Department of Surgery
University of Benin
Teaching Hospital,
P.M.B. 1111, Benin City, Edo
State, Nigeria.
E-mail: davidudoh07@gmail.com
ABSTRACT
Intracranial tumours are a mixed group of
neoplasms originating from intracranial tissues with varying degrees of
malignancy. In children, they are predominantly solid tumours and are second
only to hematological malignancies.About
two thirds are infratentorial, unlike in adults, gliomas constituting the
majority. Though of great concern, literature is almost silent on the pattern
of this disease from the Niger Delta regions of Nigeria.
Study
Objective/Setting: To document the epidemiology, management and
outcomes of childhood brain tumours in our teaching hospital setting in the
Niger Delta region of Nigeria.
Methodology:
Demographic, clinical, radiological and
histopathological data of 57 patients aged ≤ 17 years treated for intracranial
tumours from inception of our
neurosurgical unit in 2006 June to 2019 April were documented. Outcomes were
also documented. Data was statistically analysed using SPSS 21.0.
Results:
Childhood intracranial tumours represented
approximately 8.0% of paediatric neurosurgical admissions and 27% of all
intracranial tumours. Of the 57 patients studied, 37 were male (60%) and 23 (40%)
were female i.e. ratio 1.5: 1. The age at presentation was 2 to 17 years; mean
age was 9.79 (median 9.0) years in boys and 9.91 (median 10.5) years in girls.
The duration of symptoms was 2 weeks to 48 months, forty-two percent presenting
after 6 months of onset of symptoms. Headaches (65%), altered sensorium or
frank coma (58%) and vomiting (44%) were the commonest symptoms. There were
almost equal numbers of supra- and infratentorial tumours and 54% were gliomas.
Cystic cerebellar astrocytoma (25%) followed by craniopharyngioma (14%),
medulloblastomas (9%) and pineal region tumour (9%) were the most frequent
histological types. Forty-eight patients underwent tumour resections. Mortality
was 23%.
Conclusion:
Intracranial tumours in children, though less
common than congenital anomalies of the neuraxis, are associated with a very
high mortality in paediatric neurosurgical patients. Besides the location and
histological type, late presentation influences outcome significantly.
Keywords: Intracranial Tumours; Childhood; Predominantly Solid; Cystic Cerebellar Astrocytomas; Paediatric Neurosurgical.
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