Central nervous system tumor (peds): Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Treatment==" to "==Management==") |
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*Depends on location | *Depends on location | ||
**Posterior Fossa | **Posterior Fossa | ||
***Headache | ***[[Headache]] | ||
****Early morning (sleep > hypoventilation > hypercarbia > | ****Early morning (sleep > hypoventilation > hypercarbia > incrreases CNS bloodflow > inreaced ICP) | ||
***Effortless vomiting | ***Effortless vomiting | ||
***CN palsies (esp 6th nerve) | ***CN palsies (esp 6th nerve) | ||
| Line 12: | Line 12: | ||
***CN deficits (facial weakness, abducens palsy, dysphagia), ataxia | ***CN deficits (facial weakness, abducens palsy, dysphagia), ataxia | ||
**Supratentorial | **Supratentorial | ||
*** | ***Headache, personality change, motor weakness, [[seizure]] | ||
**Sellar | **Sellar | ||
***Visual changes, hypothalamic dysfunction (DI, stunted growth, hypothyroidism) | ***Visual changes, hypothalamic dysfunction (DI, stunted growth, hypothyroidism) | ||
Revision as of 09:12, 14 July 2016
Background
- 2nd most common pediatric cancer (20%)
Clinical Features
- Depends on location
- Posterior Fossa
- Headache
- Early morning (sleep > hypoventilation > hypercarbia > incrreases CNS bloodflow > inreaced ICP)
- Effortless vomiting
- CN palsies (esp 6th nerve)
- Headache
- Brainstem
- CN deficits (facial weakness, abducens palsy, dysphagia), ataxia
- Supratentorial
- Headache, personality change, motor weakness, seizure
- Sellar
- Visual changes, hypothalamic dysfunction (DI, stunted growth, hypothyroidism)
- Posterior Fossa
Differential Diagnosis
Pediatric Headache
- Primary headache
- Secondary headache
Diagnosis
Management
- Increased ICP
- Phenytoin if actively seizing
- Dexamethsone 1mg/yr of age (max 10mg)
- Do NOT give if CNS lymphoma is in the differential