• Repeated clinical evaluation, emphasizing initial neurologic signs and symptoms. • Repeated CT or MRI scanning. • Repeated studies of any other abnormal tests, such as cerebrospinal fluid or visual fields. • Since radiotherapy can affect growth hormone production and brain development, careful endocrine and neuropsychological follow-up is very important. • Particular attention will need to be paid to learning needs and school performance. Early remedial teaching may be of value in optimizing academic performance.