**10. General management**

A focused history and symptom-based neurological examination is required which may be sufficient to raise brain tumor suspicion. Mental status assessment, cranial nerves, motor skills, sensory examination, coordination, and gait are key components of the neurological examination.

Preoperative laboratory testing which includes a complete blood cell count, renal and hepaic profile. A baseline ophthalmologic evaluation, including visual field testing and fundoscopic evaluation, is important in preoperative evaluations because most patients do not complain of visual field deficits at presentation. Glucocorticoids are used to control neurologic signs and symptoms caused by cerebral edema.

Although there is little evidence to support the use of corticosteroids with regard to overall outcome, corticosteroids can relieve headache, nausea, and vomiting and remain a generally accepted treatment.

In assessing a child suspected of having a brain tumor, a thorough neurological examination is of critical importance. Most kids diagnosed with a brain tumor have abnormal results on the presentation of neurological examination [20].
