Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on the Role Of Steroids in the Treatment of Adults With Metastatic Brain Tumors

This clinical practice guideline is part of a series of guidelines for the management of adult patients with newly diagnosed metastatic brain tumours, excluding radiosensitive tumour histologies. The guideline examines the impact of steroids on neurological symptoms and/or quality of life in these patients, compared to supportive care alone or other treatment options. The choice of steroid, steroid dose and duration of administration are also discussed. Recommendations provided are stratified by severity of symptoms related to mass effect.