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Brain tumours are fortunately uncommon, but figure prominently within the differential diagnosis of many neurological presentations and more so when paraneoplastic conditions are considered. With modern imaging the diagnosis of tumours has become easier, though management issues have become more complex. The increasing availability of cross sectional imaging has resulted in neurologists being less involved in diagnosis but more in the management of tumour related symptoms; diagnosing possible paraneoplastic syndromes and evaluating neurological presentations in those with known malignancies. These and the development of neuro-oncology as a subspecialty interest requires the “generalist” neurologist to have a broad understanding of the manner in which …