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Hjernesvulster hos barn

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Definisjon:
Hjernesvulster hos barn skyldes i all hovedsak genetisk disposisjon, enkelte medfødte tilstander disponerer
Forekomst:
Vanligste solide svulst hos barn under 15 år. Årlig insidens ca 4/100 000
Symptomer:
Hos spedbarn kan det være få symptomer ut over økende hodeomkrets. Trykksymptomer vanligere hos eldre barn, obs hodepine som er mest uttalt om morgenen
Funn:
Ved klinisk undersøkelse kan det påvises ataksi, diplopi, nystagmus, dysartri, feilstillinger i nakke og solnedgangsblikk. Obs endokrine forstyrrelser
Diagnostikk:
Bildediagnostikk som MR og CT vil påvise svulsten
Behandling:
Avhenger av type kreft og lokalisasjon samt barnets alder, bestråling benyttes ikke hos de yngste barna
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  13. Due-Tønnessen BJ, Helseth E, Scheie D, Skullerud K, Aamodt G, Lundar T. Long-term outcome after resection of benign cerebellar astrocytomas in children and young adults (0 - 19 years): report of 110 consecutive cases. Pediatr Neurosurg 2002; 37: 71 - 80. PubMed  
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  25. Due-Tønnessen B, Helseth E, Skullerud K, Lundar T. Choroid plexus tumors in children and young adults: report of 16 consecutive cases. Childs Nerv Syst 2001; 17: 252 - 6. PubMed  
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  • Terje Johannessen, professor i allmennmedisin, Trondheim

Tidligere fagmedarbeidere

  • Eirik Helseth, dr.med, seksjonsoverlege, Nevrokirurgisk avdeling, Rikshospitalet Oslo