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The presenting features of brain tumors in 200 children diagnosed between 1988 and 2001 were determined by retrospective chart review at the pediatric and neurosurgical services of the Wessex Neurology Centre and Southampton General Hospital, UK. Mean age at presentation was 7.4 years (range 15 weeks to 17 years). The male/female ratio was 4:3. The first symptoms in order of frequency were headache in 41%, vomiting (12%), ataxia (11%), visual problems (10%), educational or behavioral disorders (10%), and seizures (9%). Headaches were nocturnal or occurred in early morning in 43 (61%) and were continuous in 13 (18%). A diagnosis of migraine was made in 14 (13%) and tension headache in 8 (7%). Of 38 children with school problems, 12 had impairments in reading, writing, memory, and concentration, and poor attendance. Visual disturbances were present in 76 (38%) patients and included diplopia in 30 and blurred …
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