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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1994-12-21
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pubmed:abstractText |
Twenty-four children, aged 1.5-20 yr at diagnosis, with noncortical brain tumors, primarily medulloblastoma, have been followed for 3-4 yr for intellectual status. All the children received craniospinal irradiation, and 19 of 24 received chemotherapy as well. For the group as a whole. Full Scale IQ fell from 104 at baseline to 91 at final follow-up. Children younger than 7 yr at diagnosis showed a significant decrease in IQ as early as year 1, and all changes from baseline to years 3 and 4 were significant. In contrast, children older than 7 yr at diagnosis did not show a significant IQ change from baseline to year 3 or 4. The Spearman correlation coefficient between IQ change and age at diagnosis from baseline to year 4 was 0.57 (P = 0.003). This study supports the hypothesis that children treated with whole brain radiation at a younger age have more severe cognitive impairment than those treated at a later age. Limitations in sample size and duration of observations do not permit us to identify whether a true plateau occurs 2-4 yr after irradiation versus a continued progressive decline in intellectual performance. Moreover, we cannot at this time distinguish between a true dementing process versus failure to acquire new cognitive skills at a rate comparable to age-matched peers.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0736-5748
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
12
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
327-34
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7976487-Adolescent,
pubmed-meshheading:7976487-Adult,
pubmed-meshheading:7976487-Age Factors,
pubmed-meshheading:7976487-Age of Onset,
pubmed-meshheading:7976487-Brain Neoplasms,
pubmed-meshheading:7976487-Cerebellar Neoplasms,
pubmed-meshheading:7976487-Child,
pubmed-meshheading:7976487-Child, Preschool,
pubmed-meshheading:7976487-Cognition Disorders,
pubmed-meshheading:7976487-Cranial Irradiation,
pubmed-meshheading:7976487-Humans,
pubmed-meshheading:7976487-Infant,
pubmed-meshheading:7976487-Intelligence Tests,
pubmed-meshheading:7976487-Medulloblastoma,
pubmed-meshheading:7976487-Neuropsychological Tests,
pubmed-meshheading:7976487-Radiation Injuries
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pubmed:year |
1994
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pubmed:articleTitle |
Cognitive deficits in long-term survivors of childhood medulloblastoma and other noncortical tumors: age-dependent effects of whole brain radiation.
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pubmed:affiliation |
Children's Seashore House, Department of Psychology, Children's Hospital of Philadelphia, PA.
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pubmed:publicationType |
Journal Article,
Clinical Trial
|