Tumors of the anterior visual pathway in pediatric patients

Article type: Research Article

Authors: Balasubramaniam, Chidambaram | Balasubramaniam, Venkataraman

Affiliations: Kanchi Kamakoti CHILDS Trust Hospital Chennai, India

Note: [] Correspondence: Chidambaram Balasubramaniam, New No. 12 (Old. 26) Second Main Road, C.I.T. Colony, Mylapore, Chennai-4. India. Tel: 0091-044-4992970; E-mail: chidu@vsnl.com

Abstract: This report is based on the experience in the management of 17 children with neoplasms involving the anterior visual pathway (i.e. the optic nerves and chiasm). Although gliomas are the commonest tumors other neoplasms are also seen in this location. Hence there is a need for histologic verification before all neoplasms seen here are managed as gliomas. Surgical excision without compromising the neurologic, visual and endocrine state is suggested as the main option. Chemotherapy and or radiation can be considered as adjuvants depending on the age of the patient. Radiation is best avoided in children less than four years of age. (J Pediatr Neurol 2003; 1(2): 89–94).

Keywords: tumor, anterior visual pathway, chiasm gliomas

Journal: Journal of Pediatric Neurology, vol. 1, no. 2, pp. 89-94, 2003