children: infratentorial
Classification
WHO:
Neuroepithelial:
Astrocyte- astrocytomas
Oligodendrocytes- olidendrogliomas
Ependymal cells and choroid plexus
ependymoma and choroid plexus
papilloma
Neurons: ganglioglioma, gangliocytoma,
neuroblastoma
Pineal Cells: Pineocytoma, pineoblastoma
Embryonic: PNET
Meninges: meningioma
Nerve Sheath Cells: Neuroma
Neurofibroma
Blood Vessels: Hemangioblastoma
Germ Cells: Germinoma, Teratoma
Tumors of maldevelopmental Origin
Presentation
Mass Effect Increased ICP
Focal Damage- Loss or disturbed
function
including siezures
Disturbed Function
Diagnostics
Skull X ray: little value
CT Scan with Contrast
MRI with Gadolinium
Angiography
Management
Anticonvulsants:
Mannitol
Furosemide
Operative Management
Radiotheraphy
SRS
Chemotheraphy
Grade I Pilocytic
Grade II Low grade Astrocytoma
fibrillary and protoplasmic
Grade III Anaplastic Astrocytoma
Grade IV Glioblastoma Multiforme
Oligodendroglioma:
Metastatic Tumors:
Pituitary Adenoma
Hormone effects
Visual disturbance
Craniopharyngioma
Ependymoma
Cerebellar Astrocytoma
Hemangioblastoma
Meningioma