Temporal lobe tumors in children neuropsychological implications correlated

Temporal lobe tumors in children – neuropsychological implications correlated to the degree of resection *Adrian Iliescu, Alexandru Tascu, Catalin Pascal, Iulia Vapor-Balalau, Aysa Arcan, Radu Rizea, Radu Stanescu **Dana Craiu, Catrinel Iliescu, Carmen Burloiu *Pediatric Neurosurgical Department “Bagdasar-Arseni” Hospital, Bucharest **Pediatric Neurological Department “Al. Obregia” Hospital, Bucharest

Introduction Temporal lobe tumors resection in children is closely related to their school performances and to the behavior in every-day life

Aim The purpose of this study is to determine the impact of gross total resection of the tumor on the neuropsychological profile of the patients

Material and methods 2002 -----2012 22 children Pre and postoperative MRI 4 ---16 years old (median age 8. 7 years) 11 girls and 11 boys All right-handed Pre and postoperative neurological exam Pre and postoperative neuropsychological assessment

Material and methods Developmental NEuro. PSYchological Assessment NEPSY II (Korkman, Kirk&Kemp, 2007) Assessment of the cognitive abilities related to disorders that are typically diagnosed in childhood and that are required for success in an academic environment Attention and executive functions Learning and memory Language and communication Social perception Visuospatial functions Sensorimotor functions

Material and methods Developmental NEuro. PSYchological Assessment NEPSY II (Korkman, Kirk & Kemp, 2007) Normal Curve At expected level Well Below Borderline Below expected Expected level zone III Above expected level zona IV zone V

Material and methods Above expected level Children whose scores fall within this range have skills that are more developed than 75% of their peers At expected level Children whose scores fall within this range have skills that are equal to 50% of their peers Borderline Children whose scores fall within this range that are not as developed as 75% of their peers Below expected level Children whose scores fall within this range have skills that are not so developed as 90% of their peers Well below expected level Children whose scores fall within this range have skills that are not so developed as 98% of their peers

Results

Results Cases C. V. L. M. F. S. M. A. P. A. S. I. I. I. L. A. L. M. M. E. M. I. P. E. R. C. T. C. B. I. CC. I. A. P. A. T. S. P. P. V. E. 15 years 4 years 5 years 6 years 4 years 15 years 9 years 16 years 4 years 15 years 11 years 10 years 4 years 15 years 11 years 8 years 10 years 14 years left temporal right temporal left temporal right temporal right temporal right temporal left temporal partial resection total resection total resection total resection total resection partial resection total resection IV to II I to III status quo III to I status quo IV to II II to IV status quo III to II IV to II status quo I to III status quo worsened better worsened better

Message Surgeons are essential for the future of their suffering little patients. Therefore, considering the child and not only the tumor, the life of a child might turn into an almost normal one. We stress the importance that early diagnosis and complete resection of the tumor is beneficial for the performance of the child.