Introduction: Tumors of the central nervous system are the most common\ngroup of solid neoplasm in children and account for 20% to 25%. They are\ncommon in Sub-Saharan countries, despite the insufficiency of histological\ndiagnosis. No study has been performed concerning the pediatric brain tumors\nin the Republic of Congo. The aim of this study was to describe the\nconditions of neurosurgical management of pediatric tumors in Brazzaville.\nMaterials and Methods: We performed a retrospective and descriptive\nstudy, from January 2014 to December 2017 (48 months), into the neurological\nunit of the surgical department of Brazzaville. We included all patients\naged from 17 years old and below, hospitalized for a brain tumor. Results:\nWe have identified 11 cases of brain tumors. The average age was 8.1 ± 4.3\nyears old, a sex ratio of 0.57. Ten out of the eleven patients of our series have\nintracranial hypertension. We found six cases of infratentorial tumors and\nfive of supratentorial location. Only three cases had histology. Ten patients\nwere operated, limited by ventriculoperitoneal shunt in 6 cases, surgical resection\nin three cases, biopsy in one case. There were no possibilities of radiotherapy\nand chemotherapy during this period of study. Conclusion: A multidisciplinary\nteam must be organized to improve the management of pediatric\nbrain tumors in our context. Histological diagnosis and possibilities of\nradiotherapy are imperatively needed.
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