Work-up & Staging

Question 1

What are some typical clinical findings with DIPG?

Answer 1

Typical findings with DIPG:

CN palsy (CNs VI–VII)

Ataxia

Long tract signs (hyperreflexia, etc.)

Question 2

What is the typical workup for a child with DIPG?

Answer 2

H&P, labs, MRI, typically no Bx

Question 3

When should Bx be done for DIPG?

Answer 3

When mass lesions have an unusual MRI appearance or there is an atypical clinical course.

Question 4

How is BSG staged?

Answer 4

There is no formal staging of BSG.