For evaluation and treatment of metastatic tumors to the spine or peripheral nerves see the Neurosurgical Oncology section. Metastatic Cancer of the Spinal Fluid-Meningeal cancer. Tumors infiltrating the spinal fluid, the coverings of the brain, the ventricles or the nerves roots are diagnosed by careful examination of the appropriate fluid. High dose intravenous chemotherapy. The provision of glucocorticoid medications, intravenous immunoglobulin or plasmapheresis.
Localized injection approaches for the control of pain.
Utilization of Echo-planar MRI and PET scanning for the diagnosis of recurrent tumor versus necrosis. Heparin-fragment therapy of radiation necrosis. Peripheral Neuroblast Tumors Pediatric brain tumors are treated by a multidisciplinary group including pediatric oncologists, pediatric neurologists, radiation oncologists, and pediatric neurosurgeons . See the MGH Pediatric Neurosurgery Homepage for a listing of MGH neurosurgeons with special expertise in the treatment of pediatric brain tumors. Proton beam stereotactic radiosurgery is also available for the treatment of pediatric brain, and spine tumors.