Poster électronique

Particularités pédiatriques des tumeurs de la fosse cérébrale postérieure
D. Basraoui, H. Akkad, J. Yacoubi, O. Essadki, A. Ousehal - Marrakech - Maroc
Congrès 2011
Résumé
Objectifs
Illustrer l'intérêt de l'imagerie, essentiellement l'IRM, dans le diagnostic positif, le bilan d'extension, ainsi que le contrôle post-thérapeutique des tumeurs de la fosse cérébrale postérieure chez l'enfant.
Matériels et méthodes
Etude rétrospective portée sur 60 cas de tumeurs infra-tentorielles pédiatriques, colligés sur une période de 9 ans (2003 à 2011), explorés par TDM et IRM cérébrales, avec confirmation histologique dans tous les cas.
Résultats
L'âge moyen de nos patients était de 8 ans et 6 mois, avec une prédominance masculine. La symptomatologie clinique était dominée par l'hypertension intracrânienne et le syndrome cérébelleux. Nous avons recensé 21 cas de médulloblastome, 13 astrocytomes, 9 gliomes du tronc cérébral, 9 épendymomes, 6 kystes arachnoïdiens, un kyste dermoïde et un hémangioblastome.
Conclusion
Les tumeurs de la fosse cérébrale postérieure sont les tumeurs cérébrales les plus fréquentes chez l'enfant. L'IRM reste l'examen de choix permettant de réaliser un bilan précis de ces tumeurs et d'apprécier leurs rapports avec les structures adjacentes, car l'infiltration du tronc cérébral contre-indique tout geste chirurgical.
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2017-04-11 11.35 :
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