Seizure in a child with cerebellopontine angle tumour

IF 0.5 Q4 CLINICAL NEUROLOGY Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-03-01 Epub Date: 2025-01-27 DOI:10.1016/j.inat.2025.101990

Emmanuel Garba Sunday , Eno-Abasi Garba Sunday , Piel Panther Kuol , Ignatius N. Esene , Abdulbasit Opeyemi Muili , Nwafuluaku Emmanuel Chukwudi , Mubarak Jolayemi Mustapha , Yao Christian Hugues Dokponou , Nourou Dine Adeniran Bankole , Alvan-Emeka K. Ukachukwu

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Abstract

Background

Cerebellopontine angle (CPA) tumours in paediatric patients are rare. Cerebellar seizures are infrequent and scarcely discussed. Only one case of paediatric cerebellar seizure due to a CPA tumour is available in the literature.

Methods

We present a 4-year-old girl with features of cerebellar seizure and fever, who was initially managed for febrile convulsion for 8 months at various private facilities. We also conduct a comprehensive search of English-language medical literature on PubMed, Google Scholar, and grey literature using free Google search with the appropriate keywords.

Results

Twenty-three English-language medical literature were published, with 25 cases whose age at presentation ranged from 1 day to 122 months and male: female ratio of 1.18:1. Only one child with cerebellar seizure had CPA tumour, while the rest variously originated from the cerebellum, brainstem or within the fourth ventricle. The age at surgery ranged between one month to 122 months.

Conclusion

Cerebellar seizures should prompt consideration of posterior fossa lesions as a possible cause, provided there are no supratentorial lesions.

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儿童脑桥小脑角肿瘤的癫痫发作

背景：小儿脑桥小脑角（CPA）肿瘤是罕见的。小脑癫痫是罕见的，很少讨论。文献中只有一例小儿小脑癫痫是由于CPA肿瘤引起的。方法我们报告了一名4岁的女孩，她以小脑惊厥和发热为特征，在不同的私立医院接受了8个月的热惊厥治疗。我们还对PubMed、谷歌Scholar和灰色文献进行了全面的英文医学文献搜索，使用免费的谷歌搜索和适当的关键词。结果共发表英文医学文献23篇，其中发病年龄1 ~ 122月龄25例，男女比例为1.18:1。小脑性癫痫患儿中仅有1例有CPA肿瘤，其余均起源于小脑、脑干或第四脑室。手术年龄在1个月到122个月之间。结论小脑癫痫在没有幕上病变的情况下，应考虑后窝病变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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