16,883 results match your criteria: "Posterior Fossa Tumors"

Multinodular and vacuolating posterior fossa lesions of unknown significance: a long-term observational study and literature review.

Childs Nerv Syst

December 2024

Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, Hiroshima, 734-8551, Japan.

Multinodular and vacuolating neuronal tumor of the cerebrum (MVNT) is a rare tumefactive lesion requiring differentiation from glial tumors. Multinodular and vacuolating posterior fossa lesions of unknown significance (MV-PLUS) were initially reported in 2019 as posterior fossa lesions with characteristics similar to MVNT. MV-PLUS is often considered as a "leave-me-alone lesion" not necessitating surgical intervention.

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We identified a rare heterozygous germline loss-of-function variant in the tumor necrosis factor receptor-associated factor 2 (TRAF2) in a young adult patient diagnosed with medulloblastoma. This variant is located within the TRAF-C domain of the E3 ubiquitin ligase protein and is predicted to diminish the binding affinity of TRAF2 to upstream receptors and associated adaptor proteins. Integrative genomics revealed a biallelic loss of TRAF2 via partial copy-neutral loss-of-heterozygosity of 9q in the medulloblastoma genome.

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Background: Central nervous system (CNS) tumors are the leading cause of cancer-related deaths in children. While most cases come from low-middle income countries (LMIC) where their prognosis is worse, few epidemiological studies are conducted in these regions.

Methods: We conducted a registry-based cohort study for childhood CNS tumors at Children's Cancer Hospital, Egypt (CCHE) over 15 years.

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Rationale: This study aims to present a case of cerebellar dysplastic ganglioneuroma, which is commonly referred to as Lhermitte-Duclos disease (LDD). Furthermore, the study aims to provide an extensive review of the essential aspects of LDD, thereby providing essential information for its accurate diagnosis and effective treatment.

Patient Concerns: A 54-year-old woman was admitted with symptoms of headache, facial numbness, and a visible cerebellar mass.

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Article Synopsis
  • Children diagnosed with brain tumors often experience neurocognitive problems, and this study investigates the impacts of post-traumatic stress and sleep on their cognitive abilities.
  • The research included 60 children aged 6-16, who completed questionnaires and neurocognitive tests 51 days after diagnosis, revealing they scored lower in attention, inhibition, and verbal memory compared to age norms.
  • Findings suggest that factors like tumor location and early treatment affect cognitive functioning, but post-traumatic stress and sleep did not show a significant association at this early assessment stage.
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Background: Dermoid cysts result from embryonic fusion anomalies, with intracranial dermoid cysts being rare (0.1-0.7% of intracranial tumors).

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A Rare Case of Dual Primary Supratentorial Glioma and Infratentorial Meningioma.

J Neurol Surg Rep

October 2024

Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

 Gliomas and meningiomas are two common primary brain tumors, but occurring simultaneously in the same patient is a rare entity. The authors would like to report a case of coexistence of a superior parietal lobule diffuse glioma, IDH-wild type, histologically CNS WHO grade 3 and a left posterior fossa transitional meningioma, WHO grade 1; both the tumors were successfully removed in one-stage operation.  A 68-year-old female having hypertension, who presented to us with the chief complaints of involuntary shaking of her left lower limb associated with her left upper limb tingle, dizziness, and neck soreness.

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Purpose: Length of stay (LOS) is a critical metric of healthcare delivery. Prolonged LOS is associated with a heightened risk of adverse complications. We aimed to provide a comprehensive evaluation of LOS, specifically identifying variables associated with extended LOS (eLOS), in children and young adults following elective craniotomy for tumor resection.

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Article Synopsis
  • * A 17-year-old male presented with headaches and walking difficulties, leading to the discovery of a CPA lesion, which was surgically removed and diagnosed as medulloblastoma; he then received chemo-radiotherapy.
  • * After two years, the patient experienced new headaches and seizures, resulting in the identification of a metastatic tumor in the temporal lobe, also confirmed as medulloblastoma.
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Utilization of Motor Imagery Training for Improvement of Balance of Ataxic Children after Medulloblastoma Resection.

Sci Rep

November 2024

The Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Delta University for Science and Technology, International Coastal Road, Gamsa, Egypt.

This study investigated the effects of training using motor imagery on balance, gait parameters, and ataxia severity in children after they underwent medulloblastoma tumour resection. Fifty participated children, aged seven-nine years and diagnosed with cerebellar ataxia after medulloblastoma resection were selected from the Tumor Hospital of Cairo University. Two groups of patients were randomly divided: the study group and the control group.

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Article Synopsis
  • * Patients in the sitting position were generally younger and experienced higher rates of anesthetic complications and hypotension compared to those in the park-bench position.
  • * Despite the increased anesthetic risks in the sitting position, it was linked to lower postoperative mortality rates, highlighting the importance of evaluating each patient's risks when choosing their surgical position.
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Medulloblastoma, a malignant pediatric brain tumor, has a poor prognosis upon relapse, highlighting a critical clinical need. Our previous research linked medulloblastoma cell radioresistance to integrin-αvβ3 expression. β3-depleted (β3_KO) medulloblastoma cells exhibit lipid hydroxyperoxide accumulation after radiotherapy, indicating ferroptosis, a regulated cell death induced by ROS and inhibited by antioxidants such as cysteine, glutathione (GSH), and glutathione peroxidase 4 (GPx4).

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Purpose: There is an unmet need for new treatments for many central nervous system tumors. An expanding body of research supports the use of laser interstitial thermal therapy (LITT) in the treatment of gliomas, recurrent brain metastases, and radiation necrosis.

Methods: In this review, we highlight emerging indications for LITT, including its use adjacent to eloquent structures, in the posterior fossa, and for meningioma and tumors of the vertebral column.

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Article Synopsis
  • - Chromothripsis is a process where a single catastrophic event causes significant genomic rearrangements, but its variability across different tumor clones and response to treatments is not well understood.
  • - This study investigates chromothripsis in p53-deficient medulloblastoma and neural stem cells, focusing on the genomic and transcriptomic changes involved.
  • - The researchers analyze the order of genetic events, explore subclonal variation, and identify how chromothripsis influences cancer development, targeted therapies, and the fitness of neural progenitor cells.
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The Association of Linear Energy Transfer and Dose With Radiation Necrosis After Pencil Beam Scanning Proton Therapy in Pediatric Posterior Fossa Tumors.

Int J Radiat Oncol Biol Phys

November 2024

Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland; The Johns Hopkins Proton Therapy Center, Johns Hopkins University School of Medicine, Washington, District of Columbia. Electronic address:

Purpose: Proton therapy is the preferred treatment modality for most pediatric central nervous system tumors. The risk of radiation necrosis may be increased at the distal end of the beam because of an increase in linear energy transfer (LET) and relative biological effectiveness (RBE) dose. We report on the association of LET and dose with radiation necrosis after pencil beam scanning proton therapy in pediatric posterior fossa tumors using a case-control framework.

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The Abnormal Proliferation of Midbrain Dopamine Cells From Human Pluripotent Stem Cells Is Induced by Exposure to the Tumor Microenvironment.

CNS Neurosci Ther

November 2024

Department of Neurosurgery, Huashan Hospital, MOE Frontiers Center for Brain Science, Fudan University, Shanghai, China.

Article Synopsis
  • The study addresses the issue of tumorigenicity in stem cell therapies, highlighting the need for more accurate testing methods beyond traditional animal models.
  • Researchers exposed midbrain dopamine (mDA) cells from human pluripotent stem cells to a tumor microenvironment by coculturing with medulloblastoma, observing increased proliferation in both lab and living models.
  • Findings suggest that this abnormal proliferation is linked to the activation of specific genetic pathways and cytokines, indicating that such exposure can improve tumorigenicity assessment methods.
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Epidermoid cysts are uncommon accounting for less than 1% of all intracranial tumors. Among them, giant intradiploic epidermoid cysts of the posterior fossa i.e.

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Article Synopsis
  • * Research indicates that SUN2 expression is upregulated in medulloblastoma, particularly in the SHH subtype, correlating with poorer survival rates; this was analyzed using several data analysis platforms.
  • * Reduced SUN2 levels in medulloblastoma cells affect the expression of other genes, suggesting SUN2's role is crucial for gene expression regulation and may influence tumor development in a subtype-dependent manner.
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Background: Posterior fossa tumors (PFTs) comprise 15%-20% of adult brain tumors, with the reported frequency of hydrocephalus (HCP) ranging between 3.7% and 58%. Most HCP resolves after resection of PFTs, but studies report persistent or new-onset HCP occurring in between 2% and 7% of cases.

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Cerebellar high-grade gliomas (cHGG) are uncommon in adults, making up only about 1% of all high-grade gliomas. These tumours differ from supratentorial high-grade gliomas (sHGG) in terms of epidemiology, molecular traits, and the age of the patients. cHGG patients are typically younger and show a higher frequency of neurofibromatosis 1 (NF1) mutations, atypical RAS mutations, and H3K27M mutations.

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Article Synopsis
  • Pediatric posterior fossa tumors have complex diagnostic challenges due to their diverse features; this study evaluates the effectiveness of diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC) measurements to aid in tumor classification.* -
  • The study analyzed 59 patients under 18 with diagnosed posterior fossa tumors, measuring ADC values and ratios from tumor and normal brain tissues, finding significant differences in ADC values between various tumor types (pilocytic astrocytomas, ependymomas, and medulloblastomas).* -
  • Results indicate that ADC metrics can effectively differentiate these tumors, though the study suggests that future research should involve larger patient groups and advanced imaging methods to enhance diagnostic accuracy.*
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Article Synopsis
  • * Cavernomas and orbital cavernous hemangiomas are specific types of vascular malformations linked to HOD, but their combination is extremely rare, with only one previous case reported.
  • * A notable case involved a 26-year-old male with eye bulging and myoclonus, where MRI revealed HOD from cavernous malformations, highlighting the need to consider vascular issues as potential causes of HOD.
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