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Ultima descărcare din IBN: 2023-05-10 12:07 |
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616.831.7-007-02-092-053.2 (1) |
Neurology. Neuropathology. Nervous system (971) |
SM ISO690:2012 GRÎU, Corina, LITOVCENCO, Anatolii, LUPUŞOR, Nadejda, CUZNEȚ, Ludmila, LACUSTA, Victor, HADJIU, Svetlana. Sindromul de fosă posterioară la copiii operați cu tumori cerebelare. In: Buletin de Perinatologie, 2020, nr. 3(88), pp. 49-54. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 3(88) / 2020 / ISSN 1810-5289 | ||||||
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CZU: 616.831.7-007-02-092-053.2 | ||||||
Pag. 49-54 | ||||||
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Introduction. According to literature, posterior fossa syndrome occurs in about 30% of children aft er the removal of cerebellar tumors, most common being medulloblastomas. The severity and prognosis of posterior fossa syndrome are variable. Aim of the study was to estimate symptoms of posterior fossa syndrome in children operated for cerebellar tumors in order to improve recovery. Material and methods: In this prospective study, 14 children (aged 7 to 18 years) operated for cerebellar tumors during the years 2018-2019, who were treated in the neurosurgery department of IMSP IMC, were examined. Clinical and neurophysiological examinations were performed. Results. In an average interval of 24 - 144 hours aft er the surgery, 12 (85.7%) children developed posterior fossa syndrome that lasted from a few weeks to 6.5 months: balance and coordination disorders – 9 (64.3%), speech and communication disorders (cerebellar mutism) – 6 (42.8%), impaired motor control and hypotonia – 12(85,7%), eating disorders – 5 (35.7%), emotional lability – 12 (85.7%), cognitive disorders and learning diffi culties – 7 (50%), vegetative disorders (bradycardia, orthostatic syncope, hypotension, hyperhidrosis, fl atulence, asthenia, sleep disorders) – 12(85.7%) children. Neurophysiological examinations confi rmed the involvement of the vegetative nervous system. Conclusions. We can conclude that the involvement of the vegetative nervous system conditions posterior fossa syndrome and is an important cause of maladaptation in children operated for cerebellar tumors, impairing their recovery. Early recognition of posterior fossa syndrome facilitates the selection of recovery methods and prevents complications. |
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Cuvinte-cheie posterior fossa syndrome, cerebellar tumors, опухоли мозжечка, синдром задней черепной ямки |
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