Brain Tumours Flashcards
When to arrange further referral?
If unexplained headache and/or focal symptoms Visual disturbances Lethargy Behavioural issues Growth disturbances Delayed puberty N&V
Medulloblastoma
What is it?
Presentation?
Rx
Midline cerebellar embryonal tumour
Raised ICP
Speech difficulty
Ataxia
Falls
Surgical resection + radio/chemotherapy
Brainstem astrocytoma
Key fact about this one
What is it associated with? - 2
Presentation
Most common brain tumour in children
Neurofibromatosis 1 and prior radiation
Cranial nerve palsies
Cerebellar ataxia
Midbrain and third ventricle tumours - what is the most definitive symptom?
Posture dependent drowsiness
Suprasellar gliomas
Presentations
Visual field defects
Optic atrophy
Pituitary disorders
Other space occupying lesions
Aneurysms Haematomas Granulomas Tuberculomas Cysts
What is used instead of the GCS if the child is under <4 yrs old?
Children coma scale