Weight and height deficits in children with brain stem tumors

被引:4
|
作者
Lehman, RAW
Krishnamurthy, S
Berlin, CM
机构
[1] Univ S Florida, Coll Med, Dept Neurol Surg & Rehabil, Tampa, FL 33620 USA
[2] SUNY Hlth Sci Ctr, Dept Neurosurg, Syracuse, NY 13210 USA
[3] Penn State Univ, Milton S Hershey Med Ctr, Coll Med, Dept Pediat, Hershey, PA 17033 USA
关键词
D O I
10.1177/000992280204100504
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Weight deficit is common among children with brain stem tumors and is often accompanied by height deficit. Among 22 consecutive children (! 18 years) with brain stem tumor, 16 had weight deficit (less than or equal to20th percentile) (p<1.4e-7). Eleven were at or less than the 5th percentile, and 5 were less than the 1st weight percentile. Eight also had height deficit (less than or equal to20th percentile) (p<0.06). Misdiagnoses occurred: failure to thrive in 5, growth retardation in 2, and anorexia nervosa in 2. Delay between these diagnoses and that of brain tumor averaged 4.5 years. Detailed neuroradiologic study seems worthwhile if weight deficit is extreme and either unexplained or uncorrectable, or if the weight deficit is accompanied by an abnormality suggestive of intracranial disease.
引用
收藏
页码:315 / 321
页数:7
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