Fetal brain tumors

Date
2003-08-01Author
Cavalheiro, S.
Moron, A. F.
Hisaba, W.
Dastoli, P.
Silva, N. S.
Type
ArtigoISSN
0256-7040Is part of
Childs Nervous SystemDOI
10.1007/s00381-003-0770-9Metadata
Show full item recordAbstract
Introduction: Fetal intracranial tumors are rare and their evolution is usually poor. With routine use of antenatal ultrasound imaging, a larger number of such tumors have been diagnosed. Methods: During the period from January 1992 to January 2002, 18 cases diagnosed as intracranial tumors in the fetal stage were treated in the Neurosurgery and Obstetrics Departments of the Federal University of São Paulo and in the Fetal Medicine Service of the Maternity Hospital Santa Joana. Results: the tumors most frequently found were those of the choroid plexus and teratomas. Out of those 18 cases, 11 patients presented with fetal hydrocephalus, and 5 of them, who were less than 34 weeks old (gestational age), underwent repeated cephalocenteses while awaiting better conditions for delivery. Two fetuses died while in utero before any intervention had taken place and 16 underwent craniotomy after birth. Twelve of those patients are still alive, 9 of whom are considered normal. the 3 others are slightly or moderately retarded.
Citation
Childs Nervous System. New York: Springer-verlag, v. 19, n. 7-8, p. 529-536, 2003.Keywords
teratomachoroid plexus
papilloma
anaplastic astrocytoma
craniopharyngioma
intracranial pressure
cephalocentesis
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