Growth response to growth hormone therapy following craniospinal irradiation

P. E. Clayton, S. M. Shalet, D. A. Price

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Nineteen (12 male, 7 female) children, who have received craniospinal irradiation for the treatment of a brain tumour distant from the hypothalamic-pituitary axis, resulting in growth hormone (GH) deficiency (CS-PRGHD), have been treated with GH. Eight have completed growth. Comparison has been made with the growth of seven untreated children, whose heights and growth rates at presentation were normal despite GH deficiency secondary to irradiation. GH produced a significant increase in growth velocity over the first 3 years' treatment in CS-PRGHD patients with a mean first year increment of 3 cm/year. Patients, treated to completion of growth, showed a significant increase in leg length standard deviation (SD) score (ΔSDS+0.2) compared to that of the untreated (ΔSDS-0.9) (P
    Original languageEnglish
    Pages (from-to)597-601
    Number of pages4
    JournalEuropean Journal of Pediatrics
    Volume147
    Issue number6
    DOIs
    Publication statusPublished - Aug 1988

    Keywords

    • Brain tumours
    • Craniospinal irradiation
    • Growth hormone

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