353 Comparison of Ocular Outcomes in Pediatric Posterior Fossa Tumors

Gadgil, Nisha; Stormes, Katie; Shah, Veeral S.; Lam, Sandi

doi:10.1093/neuros/nyy303.353

Cited by 2 publications

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“…In Nisha and colleagues' study about pediatric posterior fossa tumors, abnormal ophthalmologic exam was found in initial examination in 40% of patients [12], compare to our study, ocular and neuro-ophthalmic presentation were found in a higher percentage…”

Section: Location Of Tumorsupporting

confidence: 50%

Neuro-Ophthalmic and Clinical Characteristics of Brain Tumors in Children in Macau

Ng¹,

Marques²,

Hei³

2019

Act Scie Paedia

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Section: Location Of Tumorsupporting

confidence: 50%

Neuro-Ophthalmic and Clinical Characteristics of Brain Tumors in Children in Macau

Ng¹,

Marques²,

Hei³

2019

Act Scie Paedia

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“…Ophthalmological signs and symptoms were present in 15 out of 16 patients (93.75%). This is higher in comparison to a study of posterior fossa tumours by Gadgil ., the reason for which can be attributed to the retrospective nature of their study and neglect of ocular presentation at initial evaluation as reported by the authors [ 21 ]. In our prospective study, detailed ophthalmological examination was done at the time of presentation by the ophthalmology team.…”

Section: Discussionmentioning

confidence: 99%

Neuroophthalmic Manifestations of Intracranial Tumours in Children

Kotecha

Gotecha

Chugh

et al. 2021

Case Reports in Ophthalmological Medicine

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Background. All children between 0 and 16 years presenting with brain tumours confirmed by Magnetic Resonance Imaging (MRI) and treated surgically in our institute were included in this study. Objective. The aim of this study is to evaluate the neuroophthalmic and clinical characteristics of intracranial space occupying lesions in children. Methods. Neuroophthalmic manifestations along with location of the tumour by contrast-enhanced MRI, type of surgical intervention, and postoperative histopathological diagnosis were evaluated. Results. In pediatric brain tumours, male preponderance was seen and supratentorial location was more common in general, while in older children, infratentorial tumours were more common than supratentorial tumours. Headache, vomiting, and cerebellar signs were the commonest neurological features. Diminution of vision, diplopia, and strabismus were the commonest ophthalmic symptoms. Papilledema, ophthalmoparesis, and nystagmus were the most frequent ophthalmological signs. Neurological manifestations of seizures, altered sensorium and motor deficits were more frequently seen in supratentorial tumours, while cranial nerve involvement and ataxia were seen in infratentorial tumours. Ophthalmological manifestations including diplopia, strabismus, ophthalmoparesis, and nystagmus were more frequently seen in infratentorial tumours. Astrocytoma was the most frequent histopathological diagnosis followed by medulloblastoma. Conclusion. Diagnosis of pediatric intracranial tumours is complex and requires a multidisciplinary approach for prompt management. An ophthalmologist should have a high index of suspicion for brain tumours especially in patients presenting with common ocular symptoms like diminution of vision, diplopia, and strabismus without any neurological symptoms.

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353 Comparison of Ocular Outcomes in Pediatric Posterior Fossa Tumors

Cited by 2 publications

References 0 publications

Neuro-Ophthalmic and Clinical Characteristics of Brain Tumors in Children in Macau

Neuro-Ophthalmic and Clinical Characteristics of Brain Tumors in Children in Macau

Neuroophthalmic Manifestations of Intracranial Tumours in Children

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