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Medical and ethical challenges in the case of a prenatally undiagnosed massive congenital brain tumor

Overview of attention for article published in Journal of Perinatology, August 2015
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Title
Medical and ethical challenges in the case of a prenatally undiagnosed massive congenital brain tumor
Published in
Journal of Perinatology, August 2015
DOI 10.1038/jp.2015.80
Pubmed ID
Authors

M Olischar, T Stavroudis, J K Karp, W E Kaufmann, C Theda

Abstract

Fetal and neonatal brain tumors are rare. Prenatal ultrasound aids early tumor detection. Nonetheless, we encountered a preterm neonate born at 32 weeks gestation with a massive supratentorial glioma, which was undetected on ultrasound at 19-6/7 weeks gestation. The patient presented at birth with unanticipated massive macrocephaly. Resuscitation and stabilization were difficult, but the medical team felt that futility of care was not established and opted to transfer the baby to an academic center for further imaging and specialist consultations. Diagnosis of an extensive, inoperable tumor was confirmed and support withdrawn. Postmortem histologic examination and immunohistochemical stains identified the majority of tumor cells as glial in origin. This case report illustrates well how a severe and potentially fatal anomaly, which remained undetected prenatally, presented the medical team and family with multiple medical, ethical and emotional challenges at birth; decisions regarding futility of care in the neonatal transport setting are difficult.

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 25 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 4%
Unknown 24 96%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 28%
Researcher 3 12%
Student > Ph. D. Student 3 12%
Librarian 2 8%
Student > Bachelor 2 8%
Other 2 8%
Unknown 6 24%
Readers by discipline Count As %
Medicine and Dentistry 11 44%
Nursing and Health Professions 4 16%
Philosophy 1 4%
Biochemistry, Genetics and Molecular Biology 1 4%
Computer Science 1 4%
Other 1 4%
Unknown 6 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 June 2016.
All research outputs
#20,334,427
of 22,879,161 outputs
Outputs from Journal of Perinatology
#2,442
of 2,663 outputs
Outputs of similar age
#224,713
of 267,559 outputs
Outputs of similar age from Journal of Perinatology
#36
of 38 outputs
Altmetric has tracked 22,879,161 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,663 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.4. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 38 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.