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NEUROPSYCHOLOGICAL OUTCOMES IN CHILDHOOD BRAIN TUMORS

Celiane Rey-Casserly, Psy.D, ABPP (CN)
Director, Neuropsychology Program, Department of Psychiatry,
Children’s Hospital/Harvard Medical School, Boston, MA, USA

Brain tumors are the most common solid tumor of childhood. With advances in treatment and diagnostic methods, mortality rates are decreasing and the overall five year survival rate for childhood brain tumors has increased to 66%.Children diagnosed with brain tumors are at increased risk for neuropsychological and adaptive late effects from the disease and/or treatment. In survivors of childhood brain tumors, studies have consistently identified younger age at diagnosis and higher intensity of treatment as contributors to increased risk of developing neurocognitive deficits and learning disabilities. Neuropsychological assessment and follow up is part of the standard of care for these patients. This workshop will review classification, epidemiology, pathophysiology, and current treatments of childhood brain tumors. The role of neurological, developmental and contextual factors in predicting neuropsychological outcomes will be discussed. Participants will understand the (1) major disease types in childhood and advances in treatment (2) neurobehavioral outcomes of childhood brain tumors; (3) role of development and contextual factors in late effects; (4) intervention strategies.