What is Ependymoma and the Benefits of Ependymoma Treatment at the SJD Barcelona Children's Hospital
Ependymoma is a group of diseases that manifest as tumours of the central nervous system, usually in children under four years of age. These tumours often appear at the back of the head and can cause symptoms such as vision problems, coordination problems, as well as hydrocephalus due to increased intracranial pressure. Ependymoma of the spinal cord can also occur in the spine, causing back pain and mobility problems.
Diagnosis of ependymoma is done mainly by MRI (magnetic resonance imaging) of the brain and spine, and in some cases by analysing the cerebrospinal fluid. The most effective treatment involves surgical removal of the tumour using advanced technologies such as intraoperative magnetic resonance imaging and proton therapy, which minimize damage to surrounding tissues.
Symptoms and diagnosis of ependymoma of the brain and spinal cord
Symptoms of ependymoma vary depending on the location of the tumour and the age of the patient. With ependymoma of the brain, there may be pain, vision and coordination problems, as well as symptoms of hydrocephalus. Spinal cord ependymoma can manifest as lower back pain and mobility problems. Young children have more non-specific symptoms, such as irritability and vomiting, which makes diagnosis difficult.
Diagnosis of ependymoma relies on MRI scans of the brain and spine to detect tumours and possible metastases. Cerebrospinal fluid may also be analysed for tumour cells. At SJD Barcelona Children's Hospital, we review all cases on a multidisciplinary committee to determine the best approach to treating ependymoma.
Treatment of ependymoma at SJD Barcelona Children's Hospital in Barcelona
The main treatment for ependymoma is surgery, and it is important to remove the tumour completely. "At SJD Barcelona Children's Hospital, we use smart operating rooms equipped with intraoperative magnetic resonance imaging, which enables us to confirm the complete removal of the tumour during surgery." comments  paediatric oncologist Andrés Morales. SJD Barcelona Children's Hospital also has one of the most experienced teams of neurosurgeons in Europe.
Surgery is supplemented by focal radiation therapy, in particular proton therapy, which maximizes the dose in the tumour area and minimizes damage to surrounding tissues. This is especially important to preserve the quality of life of paediatric patients after treatment.
It is imperative that the first treatment for ependymoma is as effective as possible, as incomplete surgeries or recurrences reduce the possibility of curing the disease. Therefore, it is recommended that patients go to specialised centres such as the SJD Barcelona Children's Hospital, which offer a multidisciplinary approach and the best equipment available.