Central nervous system tumor (peds): Difference between revisions
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*[[Increased ICP]] | *[[Increased ICP]] | ||
**Phenytoin, benzodiazepines if actively seizing | **Phenytoin, benzodiazepines if actively seizing | ||
**[[ | **[[Dexamethasone]] 1mg/yr of age (max 10mg) | ||
***Do NOT give if CNS lymphoma is in the differential | ***Do NOT give if CNS lymphoma is in the differential | ||
==See Also== | ==See Also== | ||
Revision as of 01:15, 13 September 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
- Cranial nerve palsies (especially 6th nerve)
- Headache
- Brainstem
- CN deficits (facial weakness, abducens palsy, dysphagia), ataxia
- Supratentorial
- Sellar
- Visual changes, hypothalamic dysfunction (DI, stunted growth, hypothyroidism)
- Posterior Fossa
Differential Diagnosis
Pediatric Headache
- Primary headache
- Secondary 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