OPERATED PEDIATRIC POSTERIOR FOSSA TuMOURs IN BENGHAZI MEDICAL CENTER FROM 2015 TO 2016

Abstract

BACKGROUND: Brain tumors in children have totally different clinical appearances, anatomical distribution, histopathological dian nosis, and clinical prognosis compared with adults. Materials and Methods: A retrospective study was conducted in the Department of Neurosurgery, Benghazi Medical Center which included all pediatric cases of posterior fossa tumor that presented or were referred to the Center and were considered for surgery from a period between the 1st Jan 2015 to 31st.Dec.2016. RESULTS: Four children, two males and two females, with the mean age of 8.75 years (4-12) were registered. The presenting symptoms were cerebellar (3), headache (2), and vomiting (2). The four cases underwent ventriculoperitoneal shunt before tumour resection surgery. Gross total resection was performed in all cases. The thirty days mortality was 25. The most common microscopic anatomy diagnosis was primitive neuroectodermal neoplasm (PNET) (4). Adjuvant therapy was planned by the oncologist according to histopathology results. CONCLUSION: Further studies should be conducted in this field for the greater understanding of the clinical presentation and management of these tumors, and judicious use of modern neurosurgical techniques should lead to more efficacious results and outcome, followed by adjuvant therapy if necessary.