Abstract
Cerebellar astrocytomas are the most common intracerebral tumor afflicting pediatric patients (Larson 1990). Surgical excision remains the primary mode of treatment (Campbell and Scott), and the extent of surgical resection has been demonstrated to correlate to prognosis (Pencalet et al, J Neurosurg 90(2):265–273, 1999).
Thus, the surgical approach to cerebellar astrocytomas can be regarded as an important and fundamental operation for pediatric neurosurgeons. There remains much personal preference in practice, and surgical technique can be influenced by factors such as the presence of a cyst wall, evidence of a “transitional” tumor, and presurgical hydrocephalus. An evidenced-based approach is presented here in this section, with a view to outcome, including complications and prognosis.
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References
Akalan N (2009) Intracranial tumours in childhood. In: Practical handbook of neurosurgery, Springer, Berlin, Part 6, pp 1043–1059
Akay KM, Izci Y, Baysefer A, Atabey C, Kismet E, Timurkaynak E (2004) Surgical outcomes of cerebellar tumors in children. Pediatr Neurosurg 40(5):220–225
Auer RN, Rice GP, Hinton GG, Amacher AL, Gilbert JJ (1981) Cerebellar astrocytoma with benign histology and malignant clinical course. Case report. J Neurosurg 54(1):128–132
Catsman-Berrevoets CE, van Dongen HR, Mulder PG, Geuze D, Paquier PF, Lequin MH (1999) Tumour type and size are high risk factors for the syndrome of “cerebellar” mutism and subsequent dysarthria. J Neurol Neurosurg Psychiatry 67:755–757
Chang T, Teng MM, Lirng JF (1993) Posterior cranial fossa tumours in childhood. Neuroradiology 35(4):274–278
Desai KI, Nakdarni TD, Muzumdar DP, Goel A (2001) Prognostic factors for cerebellar astrocytoma in children: a study of 102 cases. Pediatr Neurosurg 35:311–317
DiRocco C Cerebellar (1999) astrocytomas. In: Choux M, DiRocco C, Hockley A, Walker M (eds) Pediatric neurosurgery. Churchill Livingstone, London, p 451
Dirven CM, Mooij JJ, Molenaar WM (1997) Cerebellar pilocytic astrocytoma: a treatment protocol based upon analysis of 73 cases and a review of the literature. Childs Nerv Syst 13(1):17–23
Due-Tønnessen BJ, Helseth E (2007) Management of hydrocephalus in children with posterior fossa tumors: role of tumor surgery. Pediatr Neurosurg 43:92–96
Garcia DM, Latifi HR, Simpson JR, Picker S (1989) Astrocytomas of the cerebellum in children. J Neurosurg 71:661–664
Gudrunardottir T, Sehested A, Juhler M, Schmiegelow K (2011) Cerebellar mutism: review of the literature. Childs Nerv Syst 27(3):355–363
Krieger MD, Gonzalez-Gomez I, Levy ML, McComb JG (1997) Recurrence patterns and anaplastic change in a long-term study of pilocytic astrocytomas. Pediatr Neurosurg 27(1):1–11
Lee YY, Van Tassel P, Bruner JM, Moser RP, Share JC (1989) Juvenile pilocytic astrocytomas: CT and MR characteristics. AJR Am J Roentgenol 152(6):1263–1270
Morreale VM, Ebersold MJ, Quast LM, Parisi JE (1997) Cerebellar astrocytoma: experience with 54 cases surgically treated at the Mayo Clinic, Rochester, Minnesota, from 1978 to 1990. J Neurosurg 87(2):257–261
Pencalet P, Maixner W, Sainte-Rose C, Lellouch-Tubiana A, Cinalli G, Zerah M, Pierre-Kahn A, Hoppe-Hirsch E, Bourgeois M, Renier D (1999) Benign cerebellar astrocytomas in children. J Neurosurg 90(2):265–273
Pollack IF, Hurtt M, Pang D, Albright AL (1994) Dissemination of low grade intracranial astrocytomas in children. Cancer 73:2869–2878
Raimondi AJ (1998) Pediatric neurosurgery. Theoretical principles art of surgical techniques. Springer, Berlin
Rekate HL, Grubb RL, Aram DM, Hahn JF, Ratcheson RA (1985) Muteness of cerebellar origin. Arch Neurol 42(7):697–698
Riva D (1997) The neuropsychology of the cerebellum. In: Choux M, DiRocco C, Hockley A, Walker M (eds) Pediatric neurosurgery. Churchill Livingstone, London, pp 452–453
Villarejo F, de Diego JM, de la Riva AG (2008) Prognosis of cerebellar astrocytomas in children. Childs Nerv Syst 24(2):203–210
Yonemasu Y (1985) Cerebellar mutism and speech disturbance as a complication of posterior fossa surgery in children. 13th Annual Meeting of the Japanese Society for Pediatric Neurosurgery, Tsukuba
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Jacobson, E., Lai, G.K., Maixner, W.J. (2015). Approaches to Cerebellar Astrocytoma in Pediatric Patients. In: Özek, M., Cinalli, G., Maixner, W., Sainte-Rose, C. (eds) Posterior Fossa Tumors in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-11274-9_27
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DOI: https://doi.org/10.1007/978-3-319-11274-9_27
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