Diagnosis and microsurgical treatment of infratentorial medulloblastomas in children(report of 28 cases)
WANG Chen
WANG Li-gang
HU-Li
TANG Yi-feng
YANG Kong-bin
Abstract：Objective To explore the diagnosis and microsurgical skills of infratentorial medulloblastomas in children.Methods The clinical data of 28 children with the infratentorial medulloblastomas which were pathologically proved after the surgery between January, 2010 and October, 2017 were analyzed retrospectively. Of these 28 children, 10 underwent microsurgery via the cerebellomedullary fissure approach and 18 via cerebellomedullary fissure combined with cerebellar vermis microincision approach according to the relationship of the tumors with the fourth ventricle and cerebellum. Results The tumors were totally resected in 25 children(89.2%)and subtotally in 3(10.8%).No children perioperatively died and there were no postoperative complications related to the surgery in all the children.During a mean follow-up of 50 months(8~79 months),23 of 27 patients,including 14 returning to school, took care of themselves and 4 of 27 patients died.Conclusion The correct choice of surgical approach before the operation and skilled microsurgical technique are the keys to good curative effect and reducing complications in the children with infratentorial medulloblastomas.
Keywords：Infratentorial medulloblastomasChildrenMicrosurgerySurgical approach
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 305-307 )