Central nervous system tumor (peds): Difference between revisions
No edit summary |
|||
| Line 2: | Line 2: | ||
*2nd most common pediatric cancer (20%) | *2nd most common pediatric cancer (20%) | ||
== | ==Clinical Features== | ||
*Depends on location | *Depends on location | ||
**Posterior Fossa | **Posterior Fossa | ||
| Line 16: | Line 16: | ||
***Visual changes, hypothalamic dysfunction (DI, stunted growth, hypothyroidism) | ***Visual changes, hypothalamic dysfunction (DI, stunted growth, hypothyroidism) | ||
== | ==Differential Diagnosis== | ||
[[Head CT]] | |||
==Diagnosis== | |||
*[[Head CT]] | |||
==Treatment== | ==Treatment== | ||
*Increased ICP | *[[Increased ICP]] | ||
**Phenytoin if actively seizing | **Phenytoin if actively seizing | ||
**Dexamethsone 1mg/yr of age (max 10mg) | **Dexamethsone 1mg/yr of age (max 10mg) | ||
***Do NOT give if CNS lymphoma is in the | ***Do NOT give if CNS lymphoma is in the differential | ||
==See Also== | ==See Also== | ||
[[Herniation Syndromes]] | *[[Herniation Syndromes]] | ||
== | ==References== | ||
[[Category:Heme/Onc]] | [[Category:Heme/Onc]] | ||
[[Category:Neuro]] | [[Category:Neuro]] | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 06:49, 6 June 2015
Background
- 2nd most common pediatric cancer (20%)
Clinical Features
- Depends on location
- Posterior Fossa
- Headache
- Early morning (sleep > hypoventilation > hypercarbia > incr CNS bloodflow > incr ICP)
- Effortless vomiting
- CN palsies (esp 6th nerve)
- Headache
- Brainstem
- CN deficits (facial weakness, abducens palsy, dysphagia), ataxia
- Supratentorial
- HA, personality change, motor weakness, Sz
- Sellar
- Visual changes, hypothalamic dysfunction (DI, stunted growth, hypothyroidism)
- Posterior Fossa
Differential Diagnosis
Diagnosis
Treatment
- Increased ICP
- Phenytoin if actively seizing
- Dexamethsone 1mg/yr of age (max 10mg)
- Do NOT give if CNS lymphoma is in the differential