Primary and metastatic (secondary) tumors of the brain located above the tentorium cerebelli, a fold of dura mater separating the cerebellum and brain stem from the cerebral hemispheres and diencephalon (i.e., THALAMUS and hypothalamus and related structures). In adults, primary neoplasms tend to arise in the supratentorial compartment, whereas in children they occur more frequently in the infratentorial space. Clinical manifestations vary with the location of the lesion, but seizures; aphasia; hemianopsia; hemiparesis; and sensory deficits are relatively common features. Metastatic supratentorial neoplasms are frequently multiple at the time of presentation.


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