Central nervous system tumor (peds): Difference between revisions
Line 24: Line 24:
**Dexamethsone 1mg/yr of age (max 10mg)
**Dexamethsone 1mg/yr of age (max 10mg)
***Do NOT give if CNS lymphoma is in the ddx
***Do NOT give if CNS lymphoma is in the ddx
==See Also==
[[Herniation Syndromes]]


==Source==
==Source==

Revision as of 01:39, 18 December 2011

Background

  • 2nd most common pediatric cancer (20%)

Diagnosis

  • Depends on location
    • Posterior Fossa
      • Headache
        • Early morning (sleep > hypoventilation > hypercarbia > incr CNS bloodflow > incr ICP)
      • Effortless vomiting
      • CN palsies (esp 6th nerve)
    • 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)

Work-Up

Head CT

Treatment

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

See Also

Herniation Syndromes

Source

Tintinalli

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