Clinical analysis of neuroendoscopic surgery for 30 children with cerebellar tumors
10.3760/cma.j.cn101070-20240131-00066
- VernacularTitle:神经内镜下手术治疗儿童小脑肿瘤30例临床分析
- Author:
Fang LIU
1
;
Xiaohua ZHANG
;
Jun WANG
;
Zhuo CHEN
;
Nini AN
;
Ying TAN
;
Yu ZENG
;
Jian LIU
;
Jun LIU
;
Junwu FU
;
Ke DAI
;
Chao WANG
Author Information
1. 上海儿童医学中心贵州医院神经外科，贵阳 550002
- Keywords:
Child;
Cerebellar tumor;
Neuroendoscopy
- From:
Chinese Journal of Applied Clinical Pediatrics
2024;39(8):589-591
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value and surgical experience of neuroendoscopic resection for pediatric patients with cerebellar tumors.Methods:This was a case series study.The clinical data and outcomes of 30 pediatric patients with cerebellar tumors treated through neuroendoscopic surgery in the Department of Neurosurgery, the Guizhou Hospital of Shanghai Children′s Medical Center and Guizhou Provincial People′s Hospital from January 2021 to January 2024 were retrospectively analyzed.Results:Twenty-six patients underwent total resection, 3 patients underwent subtotal resection, and 1 patient underwent biopsy.Postoperative pathological findings showed 9 cases of medulloblastoma, 3 cases of ependymoma, 17 cases of astrocytoma (5 cases of World Health Organization Grade Ⅰ, 3 cases of Grade Ⅱ, and 9 cases of Grade Ⅲ), and 1 case of cerebellar benign lesion.During the perioperative period, malignant arrhythmia occurred and induced death in 1 case, cerebellar mutism occurred in 12 cases, and ataxia occurred in 22 cases.During the 1-36 months of follow-up, 2 cases developed communicating hydrocephalus at the 2 nd and the 6 th month, respectively, and improved after ventriculoperitoneal shunt; cerebellar mutism was relieved to varying degrees after an average postoperative follow-up period of (115±23) days(46-194 days), and ataxia was alleviated after an average postoperative follow-up period of (127±42) days(27-173 days).Tumors relapsed in 5 cases during the last follow-up. Conclusions:Neuroendoscopy provides an alternative to the microscope for experienced operators to achieve the surgical exposure requirements during the resection of pediatric cerebellar vermis tumors.
