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Papers of the Week

2022 Feb 17

Br J Neurosurg

Pre-operative dosing of dexamethasone for the management of children with posterior fossa tumours: are we getting it right?


Makwana M, Hussain H, Merola JP, Zaben M, Jesurasa AR, Patel C, Leach P
Br J Neurosurg. 2022 Feb 17:1-4.
PMID: 35176921.


Posterior fossa (PF) tumours are associated with vasogenic oedema causing symptoms of raised intracranial pressure. Preoperatively this is managed with dexamethasone. To minimise steroid related complications, the lowest effective dose should be administered. No neurosurgical guidelines exist for pre-operative dosing of dexamethasone in PF tumours.