Brain Tumors in Children

In black children the rate was found to be lower (24.3) for leukemia but the same (23.9) for central-nervous-system neoplasms.4 Whites Blacks Leukemia 42.1 24.3 CNS neoplasms 23.9 23.9 Table 1 Neoplasms in Children Children Under 15 Years of Age Incidence Per 1,000,000 Insofar as sex predominance is...

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Bibliographic Details
Published in:Pediatric annals 1978-08, Vol.7 (8), p.90-101
Main Authors: Ertel, Inta J, Boesel, Carl
Format: Article
Language:English
Subjects:
Adults
Anatomy
Back pain
Brain
Brain cancer
Child Health
Children & youth
Educational Change
Electroencephalography
Evidence
Families & family life
Headaches
Intracranial pressure
Laboratories
Laboratory Procedures
Leukemia
Nausea
Nervous system
Optics
Patients
Personality Change
Radiology
Seizures
Sutures
Tomography
Tumors
Vision
Vomiting
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Summary:In black children the rate was found to be lower (24.3) for leukemia but the same (23.9) for central-nervous-system neoplasms.4 Whites Blacks Leukemia 42.1 24.3 CNS neoplasms 23.9 23.9 Table 1 Neoplasms in Children Children Under 15 Years of Age Incidence Per 1,000,000 Insofar as sex predominance is concerned, the incidence of medulloblastoma is inexplicably higher in boys, with a male-to-female ratio as high as 2:1.4 There is little or no sex predominance in other brain tumors reported in several surveys and in our own series.4,5 Classification The cell types of brain tumors that occur in children are listed in Table 2. Of the triad of headache, nausea, and vomiting, 50 per cent to 100 per cent of the patients in various reported series showed at least one of these three signs.8,16,17 The headache is frequently transient, dull, and mild in intensity. Since all these symptoms may be mild and nonspecific, they are frequently overlooked by the family for an extended period of time. Usually useful Sometimes useful Neurologic examination Electroencephalogram Developmental assessment Cerebrospinal fluid examination Ophthalmologic examination Pneumoencephalogram Skull roentgenogram Angiogram Brain scan (pertechnetate) Ventriculography Computed axial tomography (with contrast injection) Myelography Table 5 Diagnostic Procedures for Detection of Brain Tumors Ophthalmologic Evaluation Examination by an ophthalmologist for minimal eye signs may be of value, particularly in looking for constriction of visual fields or early papilledema. Increased digital markings of the cranial vault may suggest the presence of increased intracranial pressure but are not necessarily abnormal in themselves, as digital markings may be present in normal children.
ISSN:0090-4481
1938-2359
DOI:10.3928/00904481-19780801-08