CNS tumors (peds)

For adult patients, see also brain tumor

Background

  • 2nd most common pediatric cancer (20%)

Clinical Features

Differential Diagnosis

Pediatric Headache

Evaluation

Management

  • Increased ICP
    • Benzodiazepines +/- AEDs if actively seizing
    • Dexamethasone(reduce tumor capillary permeability, inflammatory cytotoxicity)- 1mg/yr of age (max 10mg)
      • Do NOT give if CNS lymphoma is in the differential
    • Elevate head of bed to 30 degrees, provide adequate sedation in intubated patients
    • Maintain cerebral perfusion (euvolemia, vasopressors if necessary)
    • Consider osmotherapy (e.g. hypertonic saline, mannitol)

See Also

References