Brain Tumors

The most common pediatric brain tumors are located in the posterior fossa (medulloblastoma, cerebellar astrocytoma, ependymoma) or are mid-line (craniopharyngioma, pinealoma) and present with signs of progressive increased intra-cranial pressure (ICP). Presentation of BrainTumors Symptoms and Signs of Increased ICP in Infancy: Enlarging head size split sutures full fontanel irritability lethargy vomiting Symptoms and Signs of Increased ICP in Childhood: Morning headaches vomiting spasticity obtundation ataxia papilledema Late Signs of Brain Tumors coma herniation focal findings Cerebral Hemisphere Tumors: gliomas and gangliogliomas, often present with seizures. Brain Stem Glioma- ipsilateral cranial nerve deficit and contra-lateral long tract signs (spasticity)[i.e., right facial weakness and left sided hyper-reflexia and up going toe.

This teaching syllabus is intended as web-based collection of basic Pediatric Neurology information to be accessed by interested learners. This is not a substitute for or offer to provide Pediatric Neurologic care. The goal is to provide an up-to-date, accurate information to learn and better appreciate Pediatric Neurology. Links from these web pages are provided to expand the content of this syllabus and to offer varied opinions about Pediatric Neurology issues. The authors in no way take responsibility for the ever changing content of the links or changes in medical facts and opinions that develop over time. Feedback is desired and will be reviewed, incorporated and updated as appropriate.