Brain oedema due to tumours and inflammation

G93.6


GENERAL MEASURES

Supportive management. See Stroke.

MEDICINE TREATMENT

Treat the underlying cause. This is especially important where 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 definitive treatment of the tumour, which includes surgery and/or radiotherapy.

  • Dexamethasone, IV, 4 mg 6 hourly, initially.

OR

  • 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.