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Published: June 19, 2023

How Pediatric Neurologists Manage Brain Tumors in Children


When a child is diagnosed with a brain tumor, it’s an incredibly challenging and stressful time for both the child and their family. Yet, with the collaborative care from specialized medical teams, including pediatric neurologists and pediatric neurosurgeons, many children experience positive outcomes. Let's explore how pediatric neurologists play a pivotal role in this journey.

1. Diagnosis and Preliminary Assessment

The journey often starts with suspicion. A child may present with symptoms such as persistent headaches, visual changes, seizures, or balance problems. The pediatric neurologist conducts a thorough neurological examination to identify any potential issues. Using advanced imaging techniques like MRI or CT scans, they can locate and identify the nature of the tumor.

2. Collaborative Care with Pediatric Neurosurgeons

Once a tumor is identified, the pediatric neurologist often works in tandem with a pediatric neurosurgeon. While the neurosurgeon focuses on the surgical aspect of removing or treating the tumor, the neurologist manages other aspects of the child's care. This includes:

  • Pre-surgical Evaluation: The neurologist evaluates the child’s overall neurological status, identifying areas of the brain that are crucial for functions like speech, movement, and cognition. This information helps the neurosurgeon plan the safest approach for surgery.
  • Seizure Management: Brain tumors can often be a cause of seizures. The pediatric neurologist will prescribe and manage anti-epileptic medications to control and prevent seizures before and after surgery.
  • Post-surgical Monitoring: After surgery, regular neurological assessments ensure the child's brain functions are returning to normal or highlight any areas of concern. Monitoring also helps in identifying any post-surgical complications.

3. Rehabilitation and Recovery

The pediatric neurologist plays a significant role in the post-surgical phase. If surgery or the tumor itself has affected a child's abilities, the neurologist will guide the rehabilitation process. This might involve coordinating with physical therapists, occupational therapists, and speech therapists to help the child regain their strength and abilities.

4. Long-term Monitoring

Even after successful treatment, children with brain tumors require long-term monitoring to watch for any signs of recurrence or late-onset side effects from treatments. The pediatric neurologist schedules regular follow-up appointments, monitors the child's development, and conducts periodic imaging tests.

5. Emotional and Psychological Support

A diagnosis of a brain tumor can be emotionally overwhelming for children and their families. Pediatric neurologists often collaborate with psychologists and counselors to ensure the emotional and mental well-being of the child and their family. They play a vital role in explaining the situation, the treatments, and what to expect, helping to ease some of the anxieties that naturally arise.

In Conclusion

Pediatric neurologists play a crucial role in the comprehensive care of children with brain tumors. Working hand-in-hand with pediatric neurosurgeons and other specialists, they ensure that the child receives the best possible care at every stage of their journey, from diagnosis to recovery. It's a collaborative approach, where each expert contributes their skills and knowledge for the well-being of the child.

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NOTICE: This website is for informational purposes only and is not intended as medical advice or as a substitute for a patient/physician relationship.

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NJPNI does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age in admission to, participation in, or receipt of the services and benefits of any of its programs and activities or in employment therein. This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations part 80, 84, and 91.

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