Effects of Brain Tumors on Vision in Children.
Effects of Brain Tumors on Vision in Children.
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DOI：
10.1097/iio.0000000000000237
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发表时间：
2018-01-01
影响因子：
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通讯作者：
Peragallo, Jason H
中科院分区：
文献类型：
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作者：
Peragallo, Jason H
Despite advances in detection, treatment, and long-term care for survivors, cancer is the second most common cause of death in the United States. 1 Among children and adolescents, cancer is the most common cause of nonaccidental death, with central nervous systems being the second most common site of involvement. 1 Brain and central nervous system tumors are the most common solid tumor among children 0 to 14 years of age. 2, 3 The incidence of malignant central nervous system tumors in children and adolescents (aged birth to 19 y) has increased over the period of time between 2000 and 2008. 4 It is estimated that for the year 2018, 4610 children and young adults will have been diagnosed with a new brain or central nervous system neoplasm. 3 However, survival rates have been improving, likely due to a combination of new treatment modalities, improved surveillance methods for recurrence, improved surgical techniques and radiation therapies, as well as risk-adapted chemotherapeutic regimens. 5, 6 As children are more often transferring care to long-term survivorship clinics outcome measures are also moving toward quality of life measures, and beyond survival alone. 7, 8Treatment decisions for pediatric central nervous system tumor patients are often made by a multidisciplinary team, which may include the neuro-oncologist, neuroradiologist, neuro-ophthalmologist, neurosurgeon, and pediatric neurologist. Accurate data on visual function in a young, sick child may be difficult to obtain, but obtaining the highest quality data is important as treatment decisions may be made based on the observations of the ophthalmologist. Involvement of the ophthalmologist in care of the pediatric central nervous system tumor patient should be standard of care. Early assessment of the visual system in these children may not be performed for many reasons, including lack of awareness of providers of the potential
