Abstract
Zusammenfassung. In diesem Beitrag wird ein Überblick über die kognitiven, behavioralen und psychosozialen Langzeitfolgen bei Kindern und Jugendlichen mit Hirntumoren gegeben. In der Übersicht wird deutlich, daß die kognitiven Leistungen der pädiatrischen Hirntumor-Patienten (insb. nach Radiatio) deutlich stärker beeinträchtigt sind als bei Kindern mit Leukämieerkrankung nach ZNS-Bestrahlung. Verbunden damit, aber auch aufgrund der großen Häufigkeit von Verhaltensauffälligkeiten, wird die schulische Reintegration als schwierig beschrieben. Die massiven kognitiven Beeinträchtigungen und Verhaltensauffälligkeiten der Hirntumor-Kinder machen die Notwendigkeit der Konzeption und Evaluation von Rehabilitations- und Beratungsmaßnahmen für die betroffenen Kinder und ihre Eltern deutlich.
Abstract. This paper provides a review of the cognitive, behavioral and psychosocial long-term consequences of pediatric brain tumors. Our review indicates that these children exhibit more severe cognitive deficits than children with acute lymphoblastic leukemia treated with radiation of the central nervous system. In addition, behavior disturbances are very prevalent in this group and psychosocial functioning, especially school reintegration is poor. In light of these documented cognitive, academic and psychosocial problems, the need for the development and evaluation of special counselling and treatment programs is stressed.
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