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February 6, 2026Child s Nervous System0 citationsOpen Access

Preoperative Hydrocephalus and Postoperative Speech Impairment in Pediatric Posterior Fossa...

Preoperative hydrocephalus and the risk of postoperative speech impairment following posterior fossa tumour surgery in children: results from a prospective, multinational cohort study

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Authors

ALAske Foldbjerg LaustsenRFRadek FricJGJonathan Kjær Grønbæk

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Overview

Prospective cohort study investigates the impact of preoperative hydrocephalus on speech impairment in children following tumor surgery, indicating complex clinical management implications.

Key Points

  • This study aims to determine if preoperative hydrocephalus is an independent risk factor for postoperative speech impairment in children undergoing posterior fossa tumor surgery.
  • Included 800 children undergoing posterior fossa tumor surgery from 35 centers over 10 years.
  • Conducted speech and neurological assessments both before and after surgery.
  • Categorized preoperative hydrocephalus treatment as 'yes' or 'no' based on timing of alleviation.
  • Grouped outcomes of postoperative speech impairment into habitual, reduced speech, or mutism.
  • 64% of children had preoperative hydrocephalus; absence was linked to lower postoperative speech impairment risk in initial analyses.
  • After adjustment, the association between preoperative hydrocephalus and postoperative speech impairment became non-significant.
  • Treatment for preoperative hydrocephalus was associated with increased risk of speech impairment in univariate analysis but not upon adjustment.
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Cite This Study

Laustsen et al. (2026) studied this question.

synapsesocial.com/papers/698585aa8f7c464f23009394https://doi.org/10.1007/s00381-026-07132-z
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