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CLINICAL GUIDELINES
Clinical guideline V2 (revision of V1, published 2017) This NICE-accredited guideline has the support of the RCPCH following a rigorous assessment of the guideline development methodology and a full endorsement is expected upon completion of a full stakeholder consultation. Download.SIGNS AND SYMPTOMS
Signs and symptoms. Persistent/recurrent vomiting. Balance/co-ordination/walking problems. Abnormal eye movements or suspected loss of vision. Behaviour change, particularly lethargy. Fits or seizures (not with a fever) Abnormal head position such as wryneck,
DECISION SUPPORT TOOL The decision support tool advises on management of a child or young adult presenting with various symptoms, in relation to exploring the possibility of a brain tumour. It is based on the RCPCH, NICE-accredited Diagnosis of Brain Tumours in Children guideline. Healthcare professionals should use it to support their decision making when assessing PERSISTENT/RECURRENT VOMITING Nausea and vomiting due to a brain tumour: will usually be persistent, occurring on most days. may wake the child up, or occur particularly when they wake up. will not be accompanied by diarrhoea or a high temperature. will usually be accompanied by a headache. In this age group, some children will not be able to describe how they feel, ormay
PERSISTENT/RECURRENT HEADACHE Headaches caused by a brain tumour: will usually be persistent, occurring on most days. will usually be accompanied by vomiting or another symptom. may wake the child up or occur particularly when they wake up. may make the child confused, disorientated, excessively tired, and/or they may be less alert/responsive at the same time asthe headache.
FITS OR SEIZURES
Fits (seizures) have a variety of causes, and most fits will not be due to a brain tumour. Fits occurring for the first time should be viewed as a potentially serious symptom, and require further investigation of the cause. A fit can be a brief moment when the person appears to be “absent” from what is going on around them,or jerking
ABNORMAL EYE MOVEMENTS Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: abnormal eye movements and changes to vision, such as blurred or double vision.; The most common visual abnormality in children is a squint, in which the two eyes do not look in the same direction. BLURRED OR DOUBLE VISION/LOSS OF VISION Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: changes to vision, such as blurred or double vision and abnormal eye movements. THE DIAGNOSIS OF BRAIN TUMOURS IN CHILDREN The complete guideline including methodology, evidence base and references can be viewed and downloaded from headsmart.org.uk. The initial guideline was published in June 2008, the current version HEADSMART - HEADSMARTSYMPTOMSCLINICALADVOCATESTORIESWORRIED? WHAT'S NEXTABOUT BRAIN TUMOURS Balance/co-ordination/walking problems. Abnormal eye movements or suspected loss of vision. Behaviour change, particularly lethargy. Fits or seizures (not with a fever) Abnormal head position such as wry neck, head tilt or stiff neck. Increasing head circumference. Persistent/recurrent headache. Balance/co-ordination/walking problems.CLINICAL GUIDELINES
Clinical guideline V2 (revision of V1, published 2017) This NICE-accredited guideline has the support of the RCPCH following a rigorous assessment of the guideline development methodology and a full endorsement is expected upon completion of a full stakeholder consultation. Download.SIGNS AND SYMPTOMS
Signs and symptoms. Persistent/recurrent vomiting. Balance/co-ordination/walking problems. Abnormal eye movements or suspected loss of vision. Behaviour change, particularly lethargy. Fits or seizures (not with a fever) Abnormal head position such as wryneck,
DECISION SUPPORT TOOL The decision support tool advises on management of a child or young adult presenting with various symptoms, in relation to exploring the possibility of a brain tumour. It is based on the RCPCH, NICE-accredited Diagnosis of Brain Tumours in Children guideline. Healthcare professionals should use it to support their decision making when assessing PERSISTENT/RECURRENT VOMITING Nausea and vomiting due to a brain tumour: will usually be persistent, occurring on most days. may wake the child up, or occur particularly when they wake up. will not be accompanied by diarrhoea or a high temperature. will usually be accompanied by a headache. In this age group, some children will not be able to describe how they feel, ormay
PERSISTENT/RECURRENT HEADACHE Headaches caused by a brain tumour: will usually be persistent, occurring on most days. will usually be accompanied by vomiting or another symptom. may wake the child up or occur particularly when they wake up. may make the child confused, disorientated, excessively tired, and/or they may be less alert/responsive at the same time asthe headache.
FITS OR SEIZURES
Fits (seizures) have a variety of causes, and most fits will not be due to a brain tumour. Fits occurring for the first time should be viewed as a potentially serious symptom, and require further investigation of the cause. A fit can be a brief moment when the person appears to be “absent” from what is going on around them,or jerking
ABNORMAL EYE MOVEMENTS Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: abnormal eye movements and changes to vision, such as blurred or double vision.; The most common visual abnormality in children is a squint, in which the two eyes do not look in the same direction. BLURRED OR DOUBLE VISION/LOSS OF VISION Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: changes to vision, such as blurred or double vision and abnormal eye movements. THE DIAGNOSIS OF BRAIN TUMOURS IN CHILDREN The complete guideline including methodology, evidence base and references can be viewed and downloaded from headsmart.org.uk. The initial guideline was published in June 2008, the current version CLINICAL | HEADSMART Clinical. The HeadSmart campaign is designed to help healthcare professionals recognise the signs and symptoms that may be indicative of brain tumours in children and young people (up to the age of 18). SYMPTOMS | HEADSMART Symptoms. HeadSmart raises awareness of the most common signs and symptoms of brain tumours in children and teenagers. Early diagnosis of brain tumours can save lives - know the signs and symptoms.SIGNS AND SYMPTOMS
Signs and symptoms. Persistent/recurrent vomiting. Balance/co-ordination/walking problems. Abnormal eye movements or suspected loss of vision. Behaviour change, particularly lethargy. Fits or seizures (not with a fever) Abnormal head position such as wryneck,
DOWNLOAD MATERIALS
Download materials and resources in order to get behind our HeadSmart campaign, raise awareness of brain tumour symptoms and advocate forthe campaign.
APPOINTMENT ADVICE
During your appointment. If you have prepared some notes or a diary, or brought a photo or video to help you explain, show it to the doctor and talk them through it. Consider asking the doctor 'Could this be a brain tumour?' and showing the doctor this website or other HeadSmart materials. The doctor may want to examine your child or assess them. INCREASING HEAD CIRCUMFERENCE Clinical information on management of a child or young person presenting with an increasing head circumference. Healthcare professionals should use this information to support their decision when assessing babies, children and teenagers who may have a braintumour.
BLURRED OR DOUBLE VISION/LOSS OF VISION Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: changes to vision, such as blurred or double vision and abnormal eye movements. BALANCE/WALKING/CO-ORDINATION Assess motor skills including: Sitting/crawling in infants. Walking/running in older children. Co-ordination e.g. heel-toe walking, finger-nose testing. Fine motor skills, e.g. handling of a small toy / cup in young children. Handwriting in school age children and young people. Touching tip of thumb with tip of each finger of thesame hand in
PERSISTENT/RECURRENT VOMITING Persistent or recurrent vomiting in babies, children and teens can be a symptom of a brain tumour. For more clinical information on vomiting as a symptom of childhood brain tumours, visit this page.DANIEL'S STORY
Rosalind and Colin share their son, Daniel's story. Daniel, now six, had emergency surgery to remove a fist-sized brain tumour in June 2014, after his mum recognised the symptoms a friend had posted on Facebook, including vomiting, lethargy and losing his balance. HEADSMART - HEADSMARTSYMPTOMSCLINICALADVOCATESTORIESWORRIED? WHAT'S NEXTABOUT BRAIN TUMOURS HeadSmart works to raise awareness of the common signs and symptoms of a brain tumour in babies, children and teenagers.CLINICAL GUIDELINES
Clinical guideline V2 (revision of V1, published 2017) This NICE-accredited guideline has the support of the RCPCH following a rigorous assessment of the guideline development methodology and a full endorsement is expected upon completion of a full stakeholderconsultation.
SIGNS AND SYMPTOMS
We know from our own experience how important it is for doctors and parents to recognise when a child might have a brain tumour. HeadSmart has had an impact already but there are still too many people out there who don't spot the warning signs. DECISION SUPPORT TOOL The decision support tool advises on management of a child or young adult presenting with various symptoms, in relation to exploring the possibility of a brain tumour.FITS OR SEIZURES
Children could experience fits or seizures as a possible symptom of a brain tumour. Fits occurring for the first time should be viewed as a serious symptom, and require further investigation of the cause. PERSISTENT/RECURRENT HEADACHE Most children with a headache due to a brain tumour will have other signs or symptoms. Recurrent or persistent headaches can be a sign of a brain tumour. For more information, visit this page. ABNORMAL EYE MOVEMENTS Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: abnormal eye movements and changes to vision, such as blurred or double vision.; The most common visual abnormality in children is a squint, in which the two eyes do not look in the same direction. PERSISTENT/RECURRENT VOMITING Nausea (feeling sick) and vomiting (being sick) is very common in children and is usually caused by a minor illness. Most children with nausea and vomiting will not have a brain tumour, however you can find further information on this symptom here. BLURRED OR DOUBLE VISION/LOSS OF VISION Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: changes to vision, such as blurred or double vision and abnormal eye movements. THE DIAGNOSIS OF BRAIN TUMOURS IN CHILDREN The complete guideline including methodology, evidence base and references can be viewed and downloaded from headsmart.org.uk. The initial guideline was published in June 2008, the current version HEADSMART - HEADSMARTSYMPTOMSCLINICALADVOCATESTORIESWORRIED? WHAT'S NEXTABOUT BRAIN TUMOURS HeadSmart works to raise awareness of the common signs and symptoms of a brain tumour in babies, children and teenagers.CLINICAL GUIDELINES
Clinical guideline V2 (revision of V1, published 2017) This NICE-accredited guideline has the support of the RCPCH following a rigorous assessment of the guideline development methodology and a full endorsement is expected upon completion of a full stakeholderconsultation.
SIGNS AND SYMPTOMS
We know from our own experience how important it is for doctors and parents to recognise when a child might have a brain tumour. HeadSmart has had an impact already but there are still too many people out there who don't spot the warning signs. DECISION SUPPORT TOOL The decision support tool advises on management of a child or young adult presenting with various symptoms, in relation to exploring the possibility of a brain tumour.FITS OR SEIZURES
Children could experience fits or seizures as a possible symptom of a brain tumour. Fits occurring for the first time should be viewed as a serious symptom, and require further investigation of the cause. PERSISTENT/RECURRENT HEADACHE Most children with a headache due to a brain tumour will have other signs or symptoms. Recurrent or persistent headaches can be a sign of a brain tumour. For more information, visit this page. ABNORMAL EYE MOVEMENTS Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: abnormal eye movements and changes to vision, such as blurred or double vision.; The most common visual abnormality in children is a squint, in which the two eyes do not look in the same direction. PERSISTENT/RECURRENT VOMITING Nausea (feeling sick) and vomiting (being sick) is very common in children and is usually caused by a minor illness. Most children with nausea and vomiting will not have a brain tumour, however you can find further information on this symptom here. BLURRED OR DOUBLE VISION/LOSS OF VISION Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: changes to vision, such as blurred or double vision and abnormal eye movements. THE DIAGNOSIS OF BRAIN TUMOURS IN CHILDREN The complete guideline including methodology, evidence base and references can be viewed and downloaded from headsmart.org.uk. The initial guideline was published in June 2008, the current version CLINICAL | HEADSMART The HeadSmart campaign is designed to help healthcare professionals recognise the signs and symptoms that may be indicative of brain tumours in children and young people (up to the age of 18). SYMPTOMS | HEADSMART HeadSmart raises awareness of the most common signs and symptoms of brain tumours in children and teenagers. Early diagnosis of brain tumours can save lives - know the signs and symptoms.SIGNS AND SYMPTOMS
We know from our own experience how important it is for doctors and parents to recognise when a child might have a brain tumour. HeadSmart has had an impact already but there are still too many people out there who don't spot the warning signs.DOWNLOAD MATERIALS
Download materials and resources in order to get behind our HeadSmart campaign, raise awareness of brain tumour symptoms and advocate forthe campaign.
INCREASING HEAD CIRCUMFERENCE Clinical information on management of a child or young person presenting with an increasing head circumference. Healthcare professionals should use this information to support their decision when assessing babies, children and teenagers who may have a braintumour.
APPOINTMENT ADVICE
Information on attending appointments, what to expect and any preparation you'll need to do before appointments. BLURRED OR DOUBLE VISION/LOSS OF VISION Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: changes to vision, such as blurred or double vision and abnormal eye movements. BALANCE/WALKING/CO-ORDINATION Balance, walking and co-ordination problems in children and teenagers could be a symptom of a brain tumour. Clinicians should use this information when exploring the possibility of a childhood braintumour.
PERSISTENT/RECURRENT VOMITING Persistent or recurrent vomiting in babies, children and teens can be a symptom of a brain tumour. For more clinical information on vomiting as a symptom of childhood brain tumours, visit this page.DANIEL'S STORY
Rosalind and Colin share their son, Daniel's story. Daniel, now six, had emergency surgery to remove a fist-sized brain tumour in June 2014, after his mum recognised the symptoms a friend had posted on Facebook, including vomiting, lethargy and losing his balance. HEADSMART - HEADSMARTSYMPTOMSCLINICALADVOCATESTORIESWORRIED? WHAT'S NEXTABOUT BRAIN TUMOURS HeadSmart works to raise awareness of the common signs and symptoms of a brain tumour in babies, children and teenagers.CLINICAL GUIDELINES
Clinical guideline V2 (revision of V1, published 2017) This NICE-accredited guideline has the support of the RCPCH following a rigorous assessment of the guideline development methodology and a full endorsement is expected upon completion of a full stakeholderconsultation.
SIGNS AND SYMPTOMS
We know from our own experience how important it is for doctors and parents to recognise when a child might have a brain tumour. HeadSmart has had an impact already but there are still too many people out there who don't spot the warning signs. DECISION SUPPORT TOOL The decision support tool advises on management of a child or young adult presenting with various symptoms, in relation to exploring the possibility of a brain tumour.FITS OR SEIZURES
Children could experience fits or seizures as a possible symptom of a brain tumour. Fits occurring for the first time should be viewed as a serious symptom, and require further investigation of the cause. PERSISTENT/RECURRENT HEADACHE Most children with a headache due to a brain tumour will have other signs or symptoms. Recurrent or persistent headaches can be a sign of a brain tumour. For more information, visit this page. ABNORMAL EYE MOVEMENTS Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: abnormal eye movements and changes to vision, such as blurred or double vision.; The most common visual abnormality in children is a squint, in which the two eyes do not look in the same direction. PERSISTENT/RECURRENT VOMITING Nausea (feeling sick) and vomiting (being sick) is very common in children and is usually caused by a minor illness. Most children with nausea and vomiting will not have a brain tumour, however you can find further information on this symptom here. BLURRED OR DOUBLE VISION/LOSS OF VISION Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: changes to vision, such as blurred or double vision and abnormal eye movements. THE DIAGNOSIS OF BRAIN TUMOURS IN CHILDREN The complete guideline including methodology, evidence base and references can be viewed and downloaded from headsmart.org.uk. The initial guideline was published in June 2008, the current version HEADSMART - HEADSMARTSYMPTOMSCLINICALADVOCATESTORIESWORRIED? WHAT'S NEXTABOUT BRAIN TUMOURS HeadSmart works to raise awareness of the common signs and symptoms of a brain tumour in babies, children and teenagers.CLINICAL GUIDELINES
Clinical guideline V2 (revision of V1, published 2017) This NICE-accredited guideline has the support of the RCPCH following a rigorous assessment of the guideline development methodology and a full endorsement is expected upon completion of a full stakeholderconsultation.
SIGNS AND SYMPTOMS
We know from our own experience how important it is for doctors and parents to recognise when a child might have a brain tumour. HeadSmart has had an impact already but there are still too many people out there who don't spot the warning signs. DECISION SUPPORT TOOL The decision support tool advises on management of a child or young adult presenting with various symptoms, in relation to exploring the possibility of a brain tumour.FITS OR SEIZURES
Children could experience fits or seizures as a possible symptom of a brain tumour. Fits occurring for the first time should be viewed as a serious symptom, and require further investigation of the cause. PERSISTENT/RECURRENT HEADACHE Most children with a headache due to a brain tumour will have other signs or symptoms. Recurrent or persistent headaches can be a sign of a brain tumour. For more information, visit this page. ABNORMAL EYE MOVEMENTS Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: abnormal eye movements and changes to vision, such as blurred or double vision.; The most common visual abnormality in children is a squint, in which the two eyes do not look in the same direction. PERSISTENT/RECURRENT VOMITING Nausea (feeling sick) and vomiting (being sick) is very common in children and is usually caused by a minor illness. Most children with nausea and vomiting will not have a brain tumour, however you can find further information on this symptom here. BLURRED OR DOUBLE VISION/LOSS OF VISION Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: changes to vision, such as blurred or double vision and abnormal eye movements. THE DIAGNOSIS OF BRAIN TUMOURS IN CHILDREN The complete guideline including methodology, evidence base and references can be viewed and downloaded from headsmart.org.uk. The initial guideline was published in June 2008, the current version CLINICAL | HEADSMART The HeadSmart campaign is designed to help healthcare professionals recognise the signs and symptoms that may be indicative of brain tumours in children and young people (up to the age of 18). SYMPTOMS | HEADSMART HeadSmart raises awareness of the most common signs and symptoms of brain tumours in children and teenagers. Early diagnosis of brain tumours can save lives - know the signs and symptoms.SIGNS AND SYMPTOMS
We know from our own experience how important it is for doctors and parents to recognise when a child might have a brain tumour. HeadSmart has had an impact already but there are still too many people out there who don't spot the warning signs.DOWNLOAD MATERIALS
Download materials and resources in order to get behind our HeadSmart campaign, raise awareness of brain tumour symptoms and advocate forthe campaign.
INCREASING HEAD CIRCUMFERENCE Clinical information on management of a child or young person presenting with an increasing head circumference. Healthcare professionals should use this information to support their decision when assessing babies, children and teenagers who may have a braintumour.
APPOINTMENT ADVICE
Information on attending appointments, what to expect and any preparation you'll need to do before appointments. BLURRED OR DOUBLE VISION/LOSS OF VISION Visual abnormalities are common in children – most are not caused by a brain tumour. When looking for signs of a brain tumour, there are two main types of visual abnormality to be aware of: changes to vision, such as blurred or double vision and abnormal eye movements. BALANCE/WALKING/CO-ORDINATION Balance, walking and co-ordination problems in children and teenagers could be a symptom of a brain tumour. Clinicians should use this information when exploring the possibility of a childhood braintumour.
PERSISTENT/RECURRENT VOMITING Persistent or recurrent vomiting in babies, children and teens can be a symptom of a brain tumour. For more clinical information on vomiting as a symptom of childhood brain tumours, visit this page.DANIEL'S STORY
Rosalind and Colin share their son, Daniel's story. Daniel, now six, had emergency surgery to remove a fist-sized brain tumour in June 2014, after his mum recognised the symptoms a friend had posted on Facebook, including vomiting, lethargy and losing his balance.* About
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KNOW THE SYMPTOMS
* Babies
* Children
* Teens
*
Persistent/recurrent vomiting*
Balance/co-ordination/walking problems*
Abnormal eye movements or suspected loss of vision*
Behaviour change, particularly lethargy*
Fits or seizures (not with a fever)*
Abnormal head position such as wry neck, head tilt or stiff neck*
Increasing head circumference*
Persistent/recurrent headache*
Balance/co-ordination/walking problems*
Persistent/recurrent vomiting*
Abnormal eye movements*
Blurred or double vision/loss of vision*
Behaviour change
*
Fits or seizures
*
Abnormal head position such as wry neck, head tilt or stiff neck*
Persistent/recurrent vomiting*
Persistent/recurrent headache*
Abnormal eye movements*
Blurred or double vision/loss of vision*
Balance/co-ordination/walking problems*
Behaviour change
*
Fits or seizures
*
Delayed or arrested puberty ADDITIONAL SYMPTOMS TO CONSIDER: * Reduced consciousness * Diabetes insipidus (excessive drinking)* Abnormal Growth
READ DARCEY'S HEADSMART STORY Darcey was diagnosed, after her mum, Chrissy, received a HeadSmart card from the optician. ARE YOU A HEALTHCARE PROFESSIONAL? The HeadSmart decision support tool gives guidance on when to reassure, review/refer or scan a child. JOIN THE CAMPAIGN TO HELP RAISE AWARENESS From distributing symptoms cards in your local area to contacting yourMP, help today.
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