We do not use steroids routinely for asymptomatic patients being treated for brain metastases except if there is a concern based on anatomic location, volume, and/or presence of edema (e.g. adjacent to motor strip with significant edema, in or adjacent to brain stem, V1...

At our institution, we typically do. Swelling is possible post SRS which can become symptomatic. We don't tend to keep patients very long on steroids. One of our popular regimens is dexamethasone 4 mg 2x/day X 4 days, then 2 mg 3x/day X 2 days, 2 mg 2x/day X 2 days, then 2 mg daily X 2 days, then st...

No

I don't do prophylactic steroids for SRS/SRT cases routinely unless the patient is symptomatic, or I suspect it to be a problem (tumor size and location and pre-existing edema, among other factors). I usually give out my cell phone number to patients and their caregivers letting them know they can r...