Immediate Postoperative Care
Fig. 56.1 Extensive acoustic schwannoma in a 14-year old girl with dysostosis cleidocranialis and complete leftsided hearing loss (a). Early postoperative CAT scan after removal in sitting position. Extensive air…
Epidermoid Tumors
Tumor location and extension No. of cases (40) CPA alone 15 CPA with transtentorial extension 3 CPA with middle fossa extension 5 CPA with foramen magnum extension 9 CPA with…
Rehabilitation for Children with Posterior Fossa Tumors
Range of rehabilitation team health professionals who may be required for a child with posterior fossa tumor Pediatric rehabilitation specialist Occupational therapist Speech pathologist Physiotherapist Dietician Clinical nurse specialist Neuropsychologist…
Cerebellar Astrocytomas: Pathology
Fig. 28.1 Pilocytic astrocytomas are tumors of low to moderate cellularity exhibiting an often biphasic pattern with varying proportions of compacted bipolar cells (top left and right) with Rosenthal fibers…
Anterior Skull Base Approaches to the Posterior Fossa
Fig. 11.1 Tumor types affecting the ventral craniovertebral junction in 46 children (Composite data derived from the experience of Great Ormond Street Hospital, London, and Iowa Hospital, USA [2, 15])…
Clinical Presentation and Neurologic Evaluation in Posterior Fossa Tumors in Children
Fig. 5.1 Head tilt (torticollis) in a boy with posterior fossa tumor (chordoma) 5.1.6 Cerebellar Mutism This sign is mostly seen after neurosurgical operations; however, it is also rarely seen…
Meningioma
Fig. 55.1 (a) Isointense appearance of a posterior fossa meningioma in a 9-year-old girl. Despite the big size of the lesion, there is no obstruction of the four ventricle. (b)…
Ependymoma
Fig. 23.1 Perivascular pseudorosettes Fig. 23.2 Ependymal rosettes 23.2 WHO Subtypes and Grading According to WHO 2007 classification, main histological variants include classic, cellular, clear cell, papillary, tanycytic, and myxopapillary…
Hydrocephalus in Pediatric Patients with Posterior Fossa Tumors
Predictor Score Age <2 years 3 Presence of papilledema (later replaced with transependymal edema) 1 Moderate/severe hydrocephalus 2 Cerebral metastases 3 Preop estimated tumor diagnosis Medulloblastoma 1 Ependymoma 1 Dorsally…
Median Suboccipital Approach
Fig. 8.1 Suboccipital surface of the cerebellum The fourth ventricle, tentlike in appearance, is located between the cerebellum and brain stem. Dorsally, the roof is divided into superior and inferior…
