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. Author manuscript; available in PMC: 2018 Feb 1.
Published in final edited form as: J Child Neurol. 2016 Nov 3;32(2):194–203. doi: 10.1177/0883073816675547

Table 2.

Clinical Presentation and Outcome of the Study Subjects.

Surgery at
diagnosis
Extent of
resection
Age at
diagnosis
in years
Tumor location Histology BRAF alteration Neurologic
deficits
at presentation
Hydrocephalus/
VP shunt
Adjuvant
therapy
Progression/
PFS
Salvage
therapy
Disease
outcome
Follow-up,
(in years)
Sequelae Clinical outcome
(compared with
status at diagnosis)
Yes, n = 22 GTR = 4 6 Cervicomedullary, DE Ganglioglioma Inadequate - R hemiparesis
- Ataxia
No/no None No NED 11 Right hemiparesis No change
16 Pontomedullary, DE PA NA - Ataxia Yes/yes None No NED 3 -Tracheostomy
- Multiple cranial nerve palsy
- Ataxia
- G tube dependent
Worse
5 Pontomedullary, DE PA Negative - Dysphagia
- FTT
Yes/no None No NED 9 None Better
1.8 Medullary, DE PA Negative - Abnormal tongue movements -FTT Yes/no None No NED 12 Hemiatrophy and fasciculation of tongue Better
NTR = 6 5 Pontine, focal PA NA - Right sensorineural hearing loss No/no None Yes/3 mo CT
VCR/carboplatin
NED 2.5 - U/L deafness
- Right facial nerve paresis
Worse
1.6 Cervicomedullary, DE PA Inadequate - Dysphagia -FTT
- Quadriparesis
Yes/no None Yes/4 mo Resection + CT
VCR/carboplatin
NED 18 Central sleep apnea Better
0.8 Cervicomedullary, DE PA Inadequate - Torticollis
- R sixth nerve palsy
-RUE monoparesis
No/no None No SD 10 None Better
6 Pontomedullary, DE PA Inadequate - L sixth nerve palsy
- L hearing loss
- L seventh nerve palsy
- L hemiparesis
Yes/no None No SD 12 - L seventh nerve palsy
- L sensorineural hearing loss
- L hemiparesis
No change
5.5 Pontomedullary, DE Ganglioglioma KIAA1549- BRAF - Dysphagia No/no None No SD 6 None Better
2 Midbrain tegmentum PA KIAA 1549- BRAF - L hemiparesis No/no None Yes/4 mo CT
VCR/carboplatin
NED 1.6 None Better
STR = 7 2 Midbrain tegmentum, LE PA NA - Dysphagia
- Diplopia
- Ataxia
- FTT
Yes/yes None Yes/15 mo CT
TPCV
SD 10.5 - Dysphagia
- Left hemiparesis
Worse
STR = 7 16 Cervicomedullary, DE PA Inadequate - None No/no None No SD 2 None No change
11 Pontine, focal DE PA Negative - None Yes/no None Yes/16 y Resection +RT SD 17 None No change
4.25 Cervicomedullary, DE PA NA - Apnea
- Ataxia
- Dysphagia
- Right hemiparesis
No/no None Yes/6 mo CT
VCR/carboplatin
SD 14.5 - Sleep apnea
- Bulbar dysfunction
- Right hemiparesis
- Tracheostomy
- G tube dependent
Worse
16 Pontomedullary, DE PA Inadequate None Yes/no RT No SD 15 Mild ataxia Worse
5 Pontomedullary, LE PA KIAA 1549- BRAF - None Yes/no CT
TPCV
No NED 2 None No change
8 Cervicomedullary, DE Mixed OA NA - Obstructive sleep apnea
- Stridor
No/no RT No SD 8 Obstructive sleep apnea No change
PR = 2 14 Pontine, focal Grade II Astro Inadequate - R seventh nerve palsy
- B/L abductor palsy
No/no CT
TMZ
No SD 7 - R seventh nerve palsy
- B/L abductor
palsy
No change
0.3 Pontomedullary, DE Mixed OA NA - Dysphagia
- FTT
Yes/yes CT
VCR/carboplatin
Yes/3 y RT SD 13 - Central sleep apnea
- T racheostomy
Worse
Biopsy = 3 11 Midbrain tegmentum, DE Grade II Astro NA - Dysphagia
- B/L ptosis
- Ataxia
- Dysarthria
Yes/no RT+CT
TPCV
No SD 6 None Better
13 Midbrain tegmentum PA KIAA 1549- BRAF - Ataxia
- Right hemiparesis
Yes/yes RT No SD 13 Right hemiparesis Better
8 Midbrain Grade II Astro NA -Left hemiparesis No/no RT No SD 4 None Better
None, n = 3 11 Medullary, DE NA - None No/no None No SD 2 None No change
14 Midbrain tegmentum PA Inadequate -Left hemiparesis - Right third nerve paresis Yes/yes RT+ 1 cycle CT VCR/carboplatin Yes/3 mo after RT, during CT Resection after failure of RT and CT NED 5.5 - Left hemiparesis
- Right third nerve paresis
No change
7 Medullary, DE NA - Hyponasal speech Yes/yes RT No SD 15 Hyponasal speech No change

Abbreviations: CCNU, lomustine; CT, chemotherapy; DE, dorsally exophytic; FTT, failure to thrive; GTR, gross total resection; LE, laterally exophytic; NA, not available; NED, no evidence of disease; NTR, near total resection; OA, oligoastrocytoma; PA, pilocytic astrocytoma; PFS, progression-free survival; PR, partial resection; RT, radiotherapy; SD, stable disease; STR, subtotal resection; TMZ, temozolomide; TPCV, thioguanine, procarbazine, lomustine, vincristine