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Presentation of Dorsally Exophytic Gliomas in Children

  • Increased ICP: Dorsally exophytic brainstem tumors typically present with signs and symptoms of increased ICP including headache, nausea and/or vomiting, lethargy, downward gaze preference, changes in vision, cranial nerve palsies (including abducens palsy).
  • Failure to thrive: Infants with these tumors may present primarily with failure to thrive.
  • Long tract signs rare: Long tract signs rarely occur with dorsally exophytic brainstem gliomas.