[Neurologic and psychosocial disorders in children with brain tumors]

We studied 15 tumor-free patients, that had already finished treatment at the university-hospital Essen. Beside from a neurological check-up our complete assessment included the following tests: CMM (Columbia Mental Maturity Scale), BM and CM (Raven Test), PPVT (Peabody Picture Vocabulary Test), BA (Following Directions), KP (Dotting), d2, HAWIK-Test (Mathematical part), LOS (Lincoln Oseretzky Motor Development Scale) and GFT (Göttinger Formreproduktionstest). A half structured interview of parents was performed, too. All, but two patients, had neurological disorders of different degrees. All these 13 patients had signs of ataxia. For the intelligence- and development-tests (CMM, BA, BM, CM and PPVT) the results for all patients were better than the 50th percentile, for the KP and LOS-test worse (40-47%). A diminished ability for concentration and slowness shows the d2-reached only a rate of 22 percent. The results of the HAWIK-test shows a test-age-equivalent, which is 3,4 years above the actual age. From the results of the GFT you can conclude, that these disorders are caused by brain damage. Parents mentioned during the interviews abnormalities in behaviour, interaction-problems between siblings and inadequate emotional reactions. For all these reasons we want to point out, that for an overall assessment of these patients and there families a well-planed therapeutical procedure including rehabilitive measures is necessary for diminishing the described disturbances as far as possible.