Journal of Neuro-Oncology

, Volume 80, Issue 3, pp 295–303 | Cite as

Intelligence and adaptive function in children diagnosed with brain tumour during infancy

  • Robyn Stargatt
  • Jeffrey V. Rosenfeld
  • Vicki Anderson
  • Timothy Hassall
  • Wirginia Maixner
  • David Ashley
Clinical – Patient Studies



Late effects of treatment in children diagnosed and treated for brain tumours in infancy is a major concern. Assessment of infants presenting with brain tumours is difficult and there is little information available regarding the development of infants prior to treatment and hence the impact of the tumour itself on developmental outcomes.


To describe the development of children diagnosed with brain tumours in infancy and to document their cognitive and adaptive function at school entry.


Infants were psychologically evaluated at the time of diagnosis of a brain tumour and during their fifth or sixth year in preparation for school entry.


Children diagnosed with brain tumours in infancy display developmental delays in a number of areas of adaptive function. By the time these children are school age they display further compromise in cognitive and academic skills and adaptive behaviour. Higher levels of deficit at follow-up were associated with tumour location in the supratentorium, younger age at diagnosis and longer time since diagnosis. The effect of radiotherapy could not be determined because of differing degrees of developmental compromise in the treatment groups at baseline.


Brain tumours in infancy confer a risk of poor developmental progress at the time of diagnosis. These children display additional compromise of development by the time they reach school age. Research protocols evaluating the impact of treatment in infants diagnosed with brain tumours need to take account of the developmental status of the child at diagnosis.


Brain tumour Infants Neuropsychology Intelligence Adaptive function 


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This project was funded by grants received from the Bluey Day Foundation, Melbourne Australia. Thank you to Ms. Natalie Grapsas, nurse co-ordinator for assistance with organisation of referrals. Most importantly thank you to the children and families who participated.


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Copyright information

© Springer Science+Business Media B.V. 2006

Authors and Affiliations

  • Robyn Stargatt
    • 1
    • 6
  • Jeffrey V. Rosenfeld
    • 2
  • Vicki Anderson
    • 1
  • Timothy Hassall
    • 3
  • Wirginia Maixner
    • 4
  • David Ashley
    • 5
  1. 1.Department of PsychologyMurdoch Childrens’ Research Institute, Royal Children’s HospitalMelbourneAustralia
  2. 2.Department of Neurosurgery & SurgeryAlfred Hospital & Monash UniversityMelbourneAustralia
  3. 3.Department of Haemotology/OncologyRoyal Children’s HospitalBrisbaneAustralia
  4. 4.Department of NeurosurgeryRoyal Children’s HospitalMelbourneAustralia
  5. 5.Children’s Cancer CentreRoyal Children’s HospitalMelbourneAustralia
  6. 6.Department of PsychologyRoyal Children’s HospitalParkvilleAustralia

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