Presentation
Double vision (diplopia) is the most common presenting symptom for these tumors. Symptoms are usually present for 6 months or less at time of diagnosis. [roryd.org]
* Sometimes just centimeters in size, these tumors present real treatment challenges because of their critical location in the... more [alexslemonade.org]
They may present with a long history of symptoms or be identified by screening tests. [impns.org]
Entire Body System
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Pathologist
A pathologist views the tissue under a microscope to look for cancer cells. If cancer cells are found, the doctor will remove as much tumor as safely possible during the same surgery. [rarecancers.org.au]
A pathologist looks at the cells under a microscope to check for abnormal cells. A biopsy can show cancer, tissue changes that may lead to cancer, and other conditions. [texaschildrens.org]
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Increased Susceptibility to Infections
Dexamethasone has a number of side effects which include mood changes, weight gain, fluid retention, glucose instability, high blood pressure, and increased susceptibility to infection. Dana R. [roryd.org]
Dexamethasone has a number of side effects which include mood changes, insomnia, weight gain, fluid retention, glucose instability, high blood pressure, and increased susceptibility to infection. [childhoodbraintumor.org]
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Epilepsy
The antitumoral effects observed in preclinical studies were reached at concentrations that are readily achieved in patients treated with VPA for epilepsy. [cancerindex.org]
Respiratoric
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Pneumonia
Individuals with frequent upper respiratory infections, pneumonia, or altered voice may require post-op ventilator assistance. [secure.ssa.gov]
Intra-axial progression (particularly in the medulla oblongata, with swallowing difficulties in 42% of patients leading to severe aspiration pneumonia in 15%) eventually extended outside the brainstem in 12 (24%) patients, involving the diencephalon and [academic.oup.com]
Gastrointestinal
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Gagging
Individuals who have difficulty swallowing or diminished gag reflex may require gastrostomy tube placement. Individuals with frequent upper respiratory infections, pneumonia, or altered voice may require post-op ventilator assistance. [secure.ssa.gov]
It is the area of the brain and spinal cord that is responsible for many vital body functions, including vision, swallowing, gagging, balance and strength. [rch.org.au]
Psychiatrical
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Denial
Vague or incomplete answers will likely result in a delay or a denial of your disability claim. In addition to properly filling out the disability claim paperwork, you must provide the SSA with enough medical evidence to support your case. [disabilitybenefitscenter.org]
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Olfactory Hallucination
She presented in a psychiatric emergency room with suicidal ideation, depressed mood, irritability, olfactory hallucinations, early insomnia, grandiosity, and guilt. [cancerindex.org]
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Suicidal Ideation
She presented in a psychiatric emergency room with suicidal ideation, depressed mood, irritability, olfactory hallucinations, early insomnia, grandiosity, and guilt. [cancerindex.org]
Neurologic
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Long Tract Signs
Although the exact presentation will vary according to location and size of the tumor, in general patients will exhibit a combination of 4 : ataxia cranial nerve palsies long tract signs hydrocephalus The duration of symptoms is usually much shorter in [radiopaedia.org]
tract signs, and ataxia (of trunk and limbs). [emedicine.medscape.com]
Long tract signs. Ataxia. Obstructive hydrocephalus caused by expansion of the pons can also be a presenting symptom. Nonspecific symptoms may also occur, including behavioral changes and decreased school performance. [impns.org]
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Morning Headache
Morning headache or headache that goes away after vomiting. Nausea and vomiting. Unusual sleepiness or change in energy level. Tests that examine the brain are used to detect (find) childhood brain stem glioma. [rarecancers.org.au]
Morning headache or headache that goes away after vomiting. Nausea and vomiting. Unusual sleepiness. Loss of ability to move one side of the face or body. Loss of balance and trouble walking. More or less energy than usual. Changes in behavior. [cancer.gov]
Morning headache or headache that goes away after vomiting. Nausea and vomiting. Unusual sleepiness. More or less energy than usual. Changes in behavior. Trouble learning in school. [trivalleyfamilypractice.com]
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Paresis
The most common symptoms are a triad of 1) cerebellar deficits such as impaired balance and coordination, 2) long tract impairment causing weakness or sensory loss of the extremities or trunk, and 3) paresis of cranial nerves VI and VII, which facilitate [smhs.gwu.edu]
Clinical Features Children with DIPG may present with the following classic triad of symptoms; however, children may present with only one or two of these symptoms at diagnosis: Cranial neuropathies, particularly abducens paresis. Long tract signs. [impns.org]
Isolated facial paresis, lasting several months before diagnosis, occurred in seven cases (15%) and was associated with hemifacial spasm in five cases. [academic.oup.com]
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Cranial Neuropathy
Unilateral cranial neuropathies. Ataxia. Diagnosis Primary tumors of the brain stem are most often diagnosed on the basis of clinical findings and on neuroimaging studies using magnetic resonance imaging (MRI), as follows:[ 4 ] DIPG. [impns.org]
The classic presentation is a brief (less than 1 month) history of cranial neuropathy, motor weakness, and incoordination. The child and her family will typically report one eye “turning in” and clumsiness and/or weakness. [cancertherapyadvisor.com]
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Insomnia
Dexamethasone has a number of side effects which include mood changes, insomnia, weight gain, fluid retention, glucose instability, high blood pressure, and increased susceptibility to infection. [childhoodbraintumor.org]
She presented in a psychiatric emergency room with suicidal ideation, depressed mood, irritability, olfactory hallucinations, early insomnia, grandiosity, and guilt. [cancerindex.org]
Workup
Luqman Dad The patient was subsequently referred to a neurologist for further workup of her headaches and new-onset facial numbness. [healio.com]
See Workup for more detail. [emedicine.medscape.com]
Treatment
Signs or symptoms caused by treatment may begin during or right after treatment. Some cancer treatments cause side effects months or years after treatment has ended. These are called late effects. [emedicinehealth.com]
A treatment clinical trial is a research study meant to help improve current treatments or obtain information on new treatments for patients with cancer. [cancer.gov]
Treatment of focal brain stem gliomas Some focal brain stem gliomas grow so slowly that treatment might not be needed unless the tumour causes problems. [cancer.ca]
Prognosis
Focal brain stem glioma, however, can carry an exceptional prognosis, with long-term survivals frequently reported. [childhoodbraintumor.org]
Atypical brain stem gliomas, however, can carry an exceptional prognosis, with long-term survivals frequently reported. [roryd.org]
Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options depend on: The type of brain stem glioma. [rarecancers.org.au]
Duration of symptoms at diagnosis: Longer duration of symptoms is associated with a more favorable prognosis. [impns.org]
Etiology
How much of this variation is due to artifactual influences or etiologic differences has been the subject of many debates. Some reports have suggested a slight male preponderance, whereas others have failed to observe any sex predilection. [emedicine.medscape.com]
Within the umbrella of adult brainstem glioma, there is a subset of tumors that is similar in appearance and potentially similar in etiology to childhood DIPG, but with slightly older onset, generally affecting young adults. [frontiersin.org]
Epidemiology
Most importantly, brain tumors are the No. 1 cause of death among all childhood cancers, according to surveillance, epidemiology, and survival data. ( 2 ) Childhood brain tumors represent an anatomically and biologically diverse group of neoplasms that [pedsinreview.aappublications.org]
Epidemiology Brain stem gliomas account for 10–20% of all primary CNS tumors in childhood and adolescence 1,2 accounting for 200–300 cases per year in the US. [elsevier.es]
Other factors that have been shown to negatively influence survival include contrast enhancement within the tumor on MRI, location within the brainstem (pons medulla midbrain), and advanced age ( 60 years). [2, 7] Epidemiology Race-, sex-, and age-related [emedicine.medscape.com]
Kaatsch P, Rickert CH, Kühl J, Schüz J, Michaelis J (2001) Population-based epidemiologic data on brain tumors in German children. Cancer 92: 3155-3164. [acanceresearch.com]
Pathophysiology
Anatomic location determines the pathophysiological manifestation of the tumor. With tectal lesions, hydrocephalus may occur as a result of fourth ventricular compression. [emedicine.medscape.com]
As befits a diagnosis that encompasses an array of pathophysiologic alterations, the radiographic appearance of adult brainstem glioma varies widely, with approximately 40% demonstrating enhancement ( 3, 5 ). [frontiersin.org]
Prevention
Clinical trials look at new ways to prevent, find and treat cancer. Find out more about clinical trials . [cancer.ca]
However, a user would be allowed to write a sentence such as “NCI’s PDQ cancer information summary about breast cancer prevention states the risks in the following way: [include excerpt from the summary].” [cancer.gov]
However, a user would be allowed to write a sentence such as "NCI's PDQ cancer information summary about breast cancer prevention states the risks in the following way: [include excerpt from the summary]." [trivalleyfamilypractice.com]
Some publications provide information on tests for cancer, cancer causes and prevention, cancer statistics, and NCI research activities. [stanfordchildrens.org]
In animal experiments, drugs known as PRC2 and BET inhibitors helped block the activity of histone H3, preventing the growth of tumors and prolonging life. [healthline.com]