Experience in the Diagnosis and Treatment of Central Nervous System Tumors in Children Under 2 Years at Baca Ortiz Pediatric Hospital - Quito, Ecuador, 2016-2019

Authors

Carlos Gabriel Flores-Enderica, Neurosurgery Postgraduate Resident at San Francisco University of Quito
Alicia Fernanda Torres-Merino, Specialist in Pediatric Neurosurgery at Baca Ortiz Pediatric HospitalFollow
José Rodolfo Bernal-C, Specialist in Pediatric Neurosurgery and Service Leader at Baca Ortiz Pediatric Hospital
Jesús Enrique Castro-V, Specialist in Pediatric Neurosurgery at Baca Ortiz Pediatric Hospital

Document Type

Original Article

Abstract

Context: Central nervous system tumors in children between 0 and 2 years of age are rare, so their diagnosis and treatment constitute an important challenge for any pediatric neurosurgical center, added, the comorbidities of this age, which condition the responsibility of improving therapeutics to obtain better survival.

Objective: to describe the diagnostic and therapeutic experience of a national reference neurosurgical service, in relation to central nervous system neoplasms in children under two years of age, in addition to establishing comorbidity and prognosis.

Materials and Methods: Cross-sectional, retrospective and descriptive study that includes all patients under 2 years of age who were diagnosed with a neoplastic lesion of the central nervous system, treated from January 1, 2016 to July 1, 2019 at the Hospital Pediatric Baca Ortiz from the city of Quito in Ecuador. Results and

Conclusions: Central nervous system tumors in children between 0 and 2 years of age are not frequent, in this series they corresponded to 5.09%, being the most frequent reason for irritability with 62.5%. 75% of the neoplasms were located at supratentorial level with a 1: 1 intra / extraaxial ratio. Neuroblastoma and choroidal plexus tumors were the most frequent histopathological diagnoses. Mortality had a percentage of 50%.

Recommended Citation

Flores-Enderica, Carlos Gabriel; Torres-Merino, Alicia Fernanda; Bernal-C, José Rodolfo; and Castro-V, Jesús Enrique (2024) "Experience in the Diagnosis and Treatment of Central Nervous System Tumors in Children Under 2 Years at Baca Ortiz Pediatric Hospital - Quito, Ecuador, 2016-2019," LATIN Neurosurgery Journal: Vol. 1: Iss. 2, Article 12.
Available at: https://www.latin-neurosurgery.org/home/vol1/iss2/12

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