XXXX : characteristics and surgical outcomes of a contemporary series of 21 cases in an Egyptian referral center.

@entity1 @entity6910 @entity424 @entity1313 @entity5 @entity816 @entity2846 @entity44
OBJECTIVE: To investigate the demographic, clinical, radiological, pathological and surgical features and outcomes of @entity1313 , the second most common @entity5 in @entity1 . @entity1 AND METHODS: We conducted a retrospective study in the Department of Pediatric Neurosurgery at the @entity6910 El-Reish @entity1 's Hospital from 2005 to 2008. RESULTS: Out of 451 @entity1 with primary @entity1313 (age 0-14 years), 21 @entity1 (<1 year) underwent surgery, representing 4.7% of total cases. The most common @entity5 was @entity2846 (23.8%), followed by @entity44 (19%) then @entity816 and @entity424 (14.3% each). Of the 21 surgical cases, 90% were intra-axial, 80% were in the supratentorial region, and 57% were intraventricular. There was only 1 case of intraoperative mortality (4.8%). Gross total excision was achieved in 65%, debulking in 30%, and biopsy in 5%. Three @entity1 received chemotherapy, but none received radiotherapy. The statistically significant predictors of prognosis were the extent of resection and @entity5 grade. CONCLUSION: Although the prognosis for @entity1313 is worse than for older @entity1 , an overall promising outcome with low operative morbidity and mortality was achieved using gross total excision and appropriate adjuvant chemotherapy as part of a multidisciplinary approach.
