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Visual functions in children with craniopharyngioma at diagnosis: A systematic review
Childhood craniopharyngioma is a rare and slow growing brain tumour, often located in the sellar and suprasellar region. It commonly manifests with visual impairment, increased intracranial pressure and hypothalamic and/or pituitary deficiencies. Visual impairment in childhood adversely affects a ch...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529266/ https://www.ncbi.nlm.nih.gov/pubmed/33002047 http://dx.doi.org/10.1371/journal.pone.0240016 |
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author | Nuijts, Myrthe A. Veldhuis, Nienke Stegeman, Inge van Santen, Hanneke M. Porro, Giorgio L. Imhof, Saskia M. Schouten–van Meeteren, Antoinette Y. N. |
author_facet | Nuijts, Myrthe A. Veldhuis, Nienke Stegeman, Inge van Santen, Hanneke M. Porro, Giorgio L. Imhof, Saskia M. Schouten–van Meeteren, Antoinette Y. N. |
author_sort | Nuijts, Myrthe A. |
collection | PubMed |
description | Childhood craniopharyngioma is a rare and slow growing brain tumour, often located in the sellar and suprasellar region. It commonly manifests with visual impairment, increased intracranial pressure and hypothalamic and/or pituitary deficiencies. Visual impairment in childhood adversely affects a child’s daily functioning and quality of life. We systematically reviewed the literature to provide an extensive overview of the visual function in children with craniopharyngioma at diagnosis in order to estimate the diversity, magnitude and relevance of the problem of visual impairment. Of the 543 potentially relevant articles, 84 studies met our inclusion criteria. Visual impairment at diagnosis was reported in 1041 of 2071 children (50.3%), decreased visual acuity was reported in 546 of 1321 children (41.3%) and visual field defects were reported in 426 of 1111 children (38.3%). Other ophthalmological findings described were fundoscopic (32.5%) and orthoptic abnormalities (12.5%). Variations in ophthalmological testing methods and ophthalmological definitions precluded a meta-analysis. The results of this review confirm the importance of ophthalmological examination in children with craniopharyngioma at diagnosis in order to detect visual impairment and provide adequate support. Future studies should focus on long-term visual follow-up of childhood craniopharyngioma in response to different treatment strategies to provide insight in risks and ways to prevent further loss of vision. |
format | Online Article Text |
id | pubmed-7529266 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-75292662020-10-02 Visual functions in children with craniopharyngioma at diagnosis: A systematic review Nuijts, Myrthe A. Veldhuis, Nienke Stegeman, Inge van Santen, Hanneke M. Porro, Giorgio L. Imhof, Saskia M. Schouten–van Meeteren, Antoinette Y. N. PLoS One Research Article Childhood craniopharyngioma is a rare and slow growing brain tumour, often located in the sellar and suprasellar region. It commonly manifests with visual impairment, increased intracranial pressure and hypothalamic and/or pituitary deficiencies. Visual impairment in childhood adversely affects a child’s daily functioning and quality of life. We systematically reviewed the literature to provide an extensive overview of the visual function in children with craniopharyngioma at diagnosis in order to estimate the diversity, magnitude and relevance of the problem of visual impairment. Of the 543 potentially relevant articles, 84 studies met our inclusion criteria. Visual impairment at diagnosis was reported in 1041 of 2071 children (50.3%), decreased visual acuity was reported in 546 of 1321 children (41.3%) and visual field defects were reported in 426 of 1111 children (38.3%). Other ophthalmological findings described were fundoscopic (32.5%) and orthoptic abnormalities (12.5%). Variations in ophthalmological testing methods and ophthalmological definitions precluded a meta-analysis. The results of this review confirm the importance of ophthalmological examination in children with craniopharyngioma at diagnosis in order to detect visual impairment and provide adequate support. Future studies should focus on long-term visual follow-up of childhood craniopharyngioma in response to different treatment strategies to provide insight in risks and ways to prevent further loss of vision. Public Library of Science 2020-10-01 /pmc/articles/PMC7529266/ /pubmed/33002047 http://dx.doi.org/10.1371/journal.pone.0240016 Text en © 2020 Nuijts et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Nuijts, Myrthe A. Veldhuis, Nienke Stegeman, Inge van Santen, Hanneke M. Porro, Giorgio L. Imhof, Saskia M. Schouten–van Meeteren, Antoinette Y. N. Visual functions in children with craniopharyngioma at diagnosis: A systematic review |
title | Visual functions in children with craniopharyngioma at diagnosis: A systematic review |
title_full | Visual functions in children with craniopharyngioma at diagnosis: A systematic review |
title_fullStr | Visual functions in children with craniopharyngioma at diagnosis: A systematic review |
title_full_unstemmed | Visual functions in children with craniopharyngioma at diagnosis: A systematic review |
title_short | Visual functions in children with craniopharyngioma at diagnosis: A systematic review |
title_sort | visual functions in children with craniopharyngioma at diagnosis: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7529266/ https://www.ncbi.nlm.nih.gov/pubmed/33002047 http://dx.doi.org/10.1371/journal.pone.0240016 |
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