Central nervous system tumor (peds): Difference between revisions
(Created page with "==Background== *2nd most common pediatric cancer (20%) ==Diagnosis== *Depends on location **Posterior Fossa ***Headache ****Early morning (sleep > hypoventilation > hypercarbia...") |
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***CN deficits (facial weakness, abducens palsy, dysphagia), ataxia | ***CN deficits (facial weakness, abducens palsy, dysphagia), ataxia | ||
**Supratentorial | **Supratentorial | ||
*** | ***HA, personality change, motor weakness, Sz | ||
**Sellar | |||
***Visual changes, hypothalamic dysfunction (DI, stunted growth, hypothyroidism) | |||
==Work-Up== | ==Work-Up== | ||
Head CT | |||
==Treatment== | ==Treatment== | ||
*Increased ICP | |||
**Phenytoin if actively seizing | |||
**Dexamethsone 1mg/yr of age (max 10mg) | |||
***Do NOT give if CNS lymphoma is in the ddx | |||
==Source== | ==Source== | ||
Tintinalli | |||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Heme/Onc]] | [[Category:Heme/Onc]] | ||
Revision as of 23:00, 29 June 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)
- 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
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
Source
Tintinalli