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Articolul urmator |
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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: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 534. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 534-534 | ||||||
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Background. According to literature, PFS occurs in about 30% of children after the removal of cerebellar tumors, most common being medulloblastomas. The severity and prognosis of PFS are variable. Objective of the study. The aim of the study was to estimate symptoms of PFS in children operated for cerebellar tumors in order to improve recovery. Material and Method. In a 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 after the surgery, 12(85.7%) children developed PFS 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 lability12(85.7%), cognitive disorders and learning difficulties- 7(50%), vegetative disorders (bradycardia, orthostatic syncope, hypotension, hyperhidrosis, flatulence, asthenia, sleep disorders)- 12(85.7%) children. Neurophysiological examinations confirmed the involvement of the vegetative nervous system. Conclusion. The involvement of the vegetative nervous system conditions PFS and is an important cause of maladaptation in children operated for cerebellar tumors, impairing their recovery. Early recognition of PFS facilitates the selection of recovery methods and prevents complications. |
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Cuvinte-cheie posterior fossa syndrome, cerebellar tumors, tumori cerebelare, simptome postoperatorii |
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