Background Brains tumors are the most common paediatrics solid tumors, but their incidence is unknowed in subsaharian. Objective To determine the frequency and the distribution of these tumors and to review their management in order to improve their prognosis Materials and methods A retrospective study was done in Abidjan service of neurosurgery of the University Hospital from January 1995 to December 2006, concerning childrens up to the age of 15 years, whose were admitted for brain tumor and diagnosed by CT-scan. Epidemiologicals, clinicals, CT-scan, histopathologicals datas and methods of management were analysed. Results Paediatrics brain tumors (57 cases) have represented 15,74% of all brain tumors (362 cases). The malefemale ratio was 1/2 (18 boys and 27 girls) and the mean age was 8,5 years. The delay of diagnosis was 289 days. Headache and intracranial hypertension were the most common symptoms. 54,38% of brain tumors were located in supratentorial region and 33,33% in the infratentorial region. 70% of the children were surgically treated and for the half of them (38,6%) a histopathological diagnosis was found. Rate of death was 22,8%. Conclusion A prospective and multicentric study is mandatory. Equipment of the departments is necessary in order to improve the diagnosis and treatment of the children with brain tumors.
