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Treatment factors associated with outcomes in children less than 3 years of age with CNS tumours

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Abstract

Introduction

This study aimed to document cognitive outcomes in children treated for brain tumours with surgery and/or chemotherapy before the age of 3 years and to investigate the relationship between treatment factors and cognitive outcome.

Materials and methods

Participants were 31 children aged 7–14 years who had been diagnosed and treated for brain tumours under the age of 3 years. Neuropsychological assessment included tests of cognitive functioning (WASI), memory (CMS) and executive functioning (BADS-C).

Results and discussion

IQ and memory functioning scores were within the normal range but executive function was significantly below the expected level. Lower socio-economic status, younger age at treatment, having undergone more than one surgical intervention, motor problems and speech and language difficulties were found to be related to cognitive functioning. Although this group of children have good outcomes in terms of IQ and memory they have significant difficulties with executive functioning.

Conclusion

Further research in this area is needed to allow for development of appropriate support packages for those who are most at risk.

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Authors and Affiliations

  1. University College London, London, UK

    Catherine Ward & Stephen Butler

  2. Great Ormond Street Hospital for Children NHS Trust, London, UK

    Kim Phipps, Carlos de Sousa & Dianne Gumley

  3. Psychosocial and Family Services, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London, WC1N 3JH, UK

    Dianne Gumley

Authors
  1. Catherine Ward
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  2. Kim Phipps
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  3. Carlos de Sousa
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  4. Stephen Butler
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  5. Dianne Gumley
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Corresponding author

Correspondence to Dianne Gumley.

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Ward, C., Phipps, K., de Sousa, C. et al. Treatment factors associated with outcomes in children less than 3 years of age with CNS tumours. Childs Nerv Syst 25, 663–668 (2009). https://doi.org/10.1007/s00381-009-0832-8

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  • DOI: https://doi.org/10.1007/s00381-009-0832-8

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