CNS tumors (peds)

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Background

  • 2nd most common pediatric cancer (20%)

Clinical Features

  • Depends on location
    • Posterior Fossa
    • Brainstem
      • CN deficits (facial weakness, abducens palsy, dysphagia), ataxia
    • Supratentorial
    • Sellar
      • Visual changes, hypothalamic dysfunction (DI, stunted growth, hypothyroidism)

Differential Diagnosis

Pediatric Headache

Evaluation

Management

  • Increased ICP
    • Phenytoin, benzodiazepines if actively seizing
    • Dexamethasone 1mg/yr of age (max 10mg)
      • Do NOT give if CNS lymphoma is in the differential

See Also

References