Brain Oedema due to Tumours and Inflammation

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.