Edit concept Question Editor Create issue ticket

Intracranial Mass

Mass of Intracranial Structure


Presentation

  • Presenting features included headache and vomiting in four cases, vomiting longer than 1 week in three and lethargy in four cases. Three patients were misdiagnosed with viral illness.[ncbi.nlm.nih.gov]
Soft Tissue Mass
  • Intracranial cranial fasciitis without a soft tissue mass is extremely rare. Here, we report a case of a 10-year-old girl who presented with a massive intracranial mass that caused midline shift of the brain.[ncbi.nlm.nih.gov]
Cutaneous Manifestation
  • In our case, steroid therapy has nearly completely cured the patient of her intracranial lesion, although cutaneous manifestations persist as of this writing.[ajnr.org]
Seizure
  • After the operations, 35 patients (74.5%) were completely seizure-free or with only postoperative auras, and 7 (14.9%) had only rare fits of seizures (fewer than 3 in a year), accounting for a rate for satisfactory seizure control of 89.4% and a rate[ncbi.nlm.nih.gov]
  • No more seizures occurred, and the patient was healthy and discontinued treatment after 15 months. Figure 5 Patient 5.[academic.oup.com]
  • Paternal half-cousin had a seizure disorder. No known history of neurocutaneous syndromes. Two-year-old healthy male sibling. Presentation The infant was active and fed well for the first 48 hours after birth.[neoreviews.aappublications.org]

Workup

  • Exhaustive laboratory workup was unremarkable, but magnetic resonance imaging (MRI) revealed an enhancing pontine mass. The mass was resected, and histopathology revealed a necrotizing granuloma.[ncbi.nlm.nih.gov]
  • […] include incompatibility with certain medical equipment, longer imaging times (increased risk of motion artifact), and poor visualization of the subarachnoid space Neither CT nor MRI can be used to differentiate tumor recurrence from radionecrosis See Workup[emedicine.medscape.com]
  • Any adult who has a recent onset of seizures, particularly focal seizures, is considered a tumor suspect until adequate neurologic workup proves otherwise. Specific Tumor Types There are many types of tumors that develop intracranially.[dartmouth.edu]
Pulmonary Arterial Pressure Increased
  • TEE Most sensitive (0.1 mL of air detected) precordial doppler second most sensntive (0.25 mL of air) pulmonary artery pressure increased 2/2 air embolism - inc PVR SaO2 dec 2/2 air embolism - v/q mismatch (dead space ventilation) ETCO2 decrease 2/2 decrease[brainscape.com]
Normal Chest X-Ray
  • However, negative special stains, negative skin test for tuberculosis and normal Chest x-ray, nearly ruled out an infectious aetiology. Postoperatively, the patient underwent corticotherapy.[panafrican-med-journal.com]
Hypercholesterolemia
  • PMH: Patient has history of chronic hypertension, cigarette smoking, and hypercholesterolemia. Meds: He is taking HCTZ and Procardia. PE: VS - BP 196/81 mmHg, pulse 74 bpm, RR 15, O2 96% on RA. Neuro - there is moderate bilateral papilledema.[einstein.pure.elsevier.com]
Borrelia Burgdorferi
  • Lyme neuroborreliosis is one of the chronic manifestations of Lyme disease and is caused by the neurotropic spirochete, Borrelia burgdorferi.[ncbi.nlm.nih.gov]

Treatment

  • Recommendations concerning early diagnosis and treatment of accident victims are made from these data.[ncbi.nlm.nih.gov]
  • treatment [ 33 ], as occurred in patient 3 in our series.[academic.oup.com]

Prognosis

  • Evaluation of these patients classically shows discrete intracranial lesions, and long-term prognosis despite treatment is poor.[ncbi.nlm.nih.gov]
  • Metastatic tumors are the most common intracranial tumors in adults, and usually portend a poor prognosis.[link.springer.com]
  • Only 5 % of childhood brain tumors arise in fetal and their prognosis is poor 2. Teratomas are the most common congenital tumors 1,3,4,5,6.[ispub.com]
  • Doppler CO 2 test as an indicator of cerebral vasoreactivity and prognosis in severe intracranial hemorrhages. Stroke. 1992 ; 23 :962-966. Crossref Medline Google Scholar 21 Mayer SA, Kessler DB, Van Heertum RL, Thomas CE, Nour R, Fink ME, Esser PD.[stroke.ahajournals.org]
  • Its prognosis is good, and spontaneous remissions are occasionally reported ( 1 – 3 ). Some cases, however, have a progressive course and result in considerable morbidity and mortality.[ajnr.org]

Etiology

  • Histology was consistent with fungal etiology, and initially thought to be Blastomycoses. However, cultures yielded a black mold, and were not consistent with the histologic diagnosis.[aspergillus.org.uk]
  • The spectrum of underlying etiologies of HIV-associated intracranial mass lesions is broad.[neurology.org]
  • This outline can be adapted for management of increased ICP in the setting of other etiologies.[clinicaladvisor.com]
  • Etiology  From embryonic endoderm, not neuroectoderm![slideshare.net]
  • Clinical Clues to Nonmalignant Brain Lesions Clinical clues Suggested etiology Abnormalities found on more extensive imaging that are suggestive of an etiology Cysticercosis, fungal infections, sarcoidosis, tuberculosis Chronic fever; recent dental procedure[aafp.org]

Epidemiology

  • Epidemiology As a general rule, brain tumors increase in frequency with age, with individual exceptions (e.g. pilocytic astrocytoma, the vast majority of which are found in young patients), and a number of uncommon tumors found in infancy (see brain tumors[radiopaedia.org]
  • Epidemiology of carotid endarterectomy among medicare beneficiaries: 1985–1996 update. Stroke. 1998;29:346–350 pmid:9472872 View Article PubMed/NCBI Google Scholar 17. Uehara T, Tabuchi M, Mori E.[journals.plos.org]
  • Epidemiology  1% of all astrocytomas  Rare but important cause of temporal lobe epilepsy WHO grade II Age  Tumor of children/young adults  Typically first three decades  2/3 18 years Gender: No gender predominance 86.[slideshare.net]
  • Local epidemiology and/or the availability of hospital facilities are relevant to clinical management.[academic.oup.com]
  • […] percent of these cases were reported during the period 1981 to 1987, 41% during 1988 to 1992, and 49% during 1993 to October 31, 1995. 1 In 1990, an estimated one million individuals were infected with HIV in the United States, 2 and the more recent epidemiologic[neurology.org]
Sex distribution
Age distribution

Pathophysiology

  • The objective of this study is to carry out a systematic review of cerebral pathophysiology and intracranial pressure (ICP) monitoring.[elsevier.es]
  • Theories of BIH pathophysiology have been based on neuroradiological studies on patients with BIH (computed tomograms, magnetic resonance imaging (MRI), magnetic resonance diffusion scans, and radioisotope cisternography) and CSF hydrodynamic studies.[adc.bmj.com]
  • Tuberculum sellae meningioma symptomatic during pregnancy: Pathophysiological considerations. Acta Neurochir (Wien). 2008. 150: 189-93 17. Finfer SR. Management of labour and delivery in patients with intracranial neoplasms.[surgicalneurologyint.com]
  • Central nervous system tuberculosis: Pathophysiology and imaging findings. Neuroimaging Clin N Am. 2012;22:677-705. Brightbill TC, Ihmeidan IH, Post MJ, et al. Neurosyphilis in HIV-positive and HIV-negativepatients: Neuroimaging findings.[appliedradiology.com]

Prevention

  • Edema After Experimental Blunt 951 Statistical Analysis of Changes in Topographic EEG on Brain Tumor Cases 966 Fatal Brain Edema After Total Cerebral Ischemia in 984 Y Shapira M MuggiaSullam H R Freund and S Cotev 995 Thromboxane Inhibition Does Not Prevent[books.google.com]
  • A controlled trial of intermittent positive pressure breathing, incentive spirometry, and deep breathing exercises in preventing pulmonary complications after abdominal surgery. Am Rev Respir Dis 1984; 130: 12-15. ‎[books.google.it]
  • West of scotland coronary prevention study group. N Engl J Med. 2000;343:1148–1155 pmid:11036120 View Article PubMed/NCBI Google Scholar 20. Nambi V, Hoogeveen RC, Chambless L, Hu Y, Bang H, Coresh J, et al.[journals.plos.org]
  • […] and vomiting Mental confusion Sudden loss of consciousness without warning Paralysis on one side of the face or body Speech difficulty or loss of ability to speak Blurred or double vision, dilated pupils, crossed eyes, or inability to move the eyes Prevention[healthcommunities.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!