caa a22 4500 463180607 CHVBK 20180406164838.0 cr unu---uuuuu 170326e20070801xx s 000 0 eng 10.1007/s00381-007-0323-8 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0323-8 Posterior fossa tumors in children: how long does it take to establish the diagnosis? [Elektronische Daten] [Lutz Dörner, Michael Fritsch, Andreas Stark, Hubertus Mehdorn] Objective: The aim of this study is to evaluate, for our patient population, the time interval from the first chart-documented symptom to the radiological diagnosis in children and infants with posterior fossa tumors. Materials and methods: We retrospectively analyzed 50 consecutive children (36 men, 14 women) with posterior fossa tumor treated at our department between January 1999 and December 2003. The mean age at time of diagnosis was 98months (6months-16years). The mean follow up was 27months (6-61months). The diagnoses included astrocytoma (n = 17), medulloblastoma (n = 15), ependymoma (n = 6), and other tumors (n = 12). Results: The mean time interval between onset of symptoms and radiographic diagnosis was 142days (5-535days), the median was 59days. The mean time for Grade I and II tumors was 238days (n = 19) and for tumors Grade III and IV 117days (n = 31). The most common presenting symptoms were headache, nausea, vomiting, ataxia, and oculomotor deficits. Approximately half of the patients were initially diagnosed and treated for other diseases (gastrointestinal infection, appendicitis, psychological behavioral problems, cervical spine strains, different ophthalmologic entities). Specialists (ophthalmologists, orthopedics) tended to diagnose and treat their specific diagnoses (e.g., strabism, torticollis). Parents play a significant role in the process of establishing the correct diagnosis. Conclusion: We conclude that further information and education regarding symptomatology and diagnosis of posterior fossa tumors in children is necessary. Communication has to be improved between parents and referring physicians of all specialties and neurosurgeons. Springer-Verlag, 2007 Posterior fossa tumor nationallicence Patient management nationallicence Diagnostic delay nationallicence Diagnostic interval nationallicence Pediatric brain tumor nationallicence Dörner Lutz Department of Neurosurgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 10, 24105, Kiel, Germany aut Fritsch Michael Department of Neurosurgery, Universitätsklinikum Greifswald, Moritz-Arndt Universität Greifswald, Greifswald, Germany aut Stark Andreas Department of Neurosurgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 10, 24105, Kiel, Germany aut Mehdorn Hubertus Department of Neurosurgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 10, 24105, Kiel, Germany aut Child's Nervous System Springer-Verlag 23/8(2007-08-01), 887-890 0256-7040 23:8<887 2007 23 381 https://doi.org/10.1007/s00381-007-0323-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0323-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dörner Lutz Department of Neurosurgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 10, 24105, Kiel, Germany aut NATIONALLICENCE 700 1- Fritsch Michael Department of Neurosurgery, Universitätsklinikum Greifswald, Moritz-Arndt Universität Greifswald, Greifswald, Germany aut NATIONALLICENCE 700 1- Stark Andreas Department of Neurosurgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 10, 24105, Kiel, Germany aut NATIONALLICENCE 700 1- Mehdorn Hubertus Department of Neurosurgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 10, 24105, Kiel, Germany aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/8(2007-08-01), 887-890 0256-7040 23:8<887 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer