3.7.9
Brain Oedema due to Tumours and Inflammation
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 3, Central Nervous System Conditions.
Clinical Description
General Measures
- Supportive management.
- Rehabilitation intervention
Treatment
- Treat the underlying cause. This is especially important with brain oedema associated with systemic conditions, such as electrolyte disturbances and organ failure.
- Patients with primary brain tumours or brain metastases should be considered for specific treatment of the tumor, which includes surgery and/or radiotherapy.
- Give Dexamethasone, IV, 4 mg 6 hourly initially.
OR
- Give Betamethasone, oral/IV, 4 mg 6 hourly. Discontinue if no response has occurred after 48 hours. Taper dose according to response and duration of therapy.
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
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