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Temporal Lobe Tumor

Neoplasm of Temporal Lobe of Brain


Presentation

  • : Brain tumors, even large ones, may present with minimal ENT symptoms including minimal hearing loss.[thieme-connect.com]
  • The original patient images from the patient’s first surgery were not present. The Diffusion Weighted Images (DWI) from his most recent MRI of the brain showed the following (Below).[cns.org]
  • Most probably, the lesion was already present at the beginning of his seizures, 57 years ago.[surgicalneurologyint.com]
  • METHODS: In patients who presented with intractable seizures secondary to mass lesions and underwent comprehensive epilepsy workup, the tumor was resected and the diagnosis confirmed by pathological examination.[ncbi.nlm.nih.gov]
Constitutional Symptom
  • He denies any recent fevers, chills, weight loss or other constitutional symptoms. PMH: 1. Orchiectomy 10 years ago for an undescended right testicle 2. Diabetes SOCIAL HISTORY: The patient works as a computer animator.[cns.org]
Fishing
  • Raymond AA, Halpin SF, Alsanjari N, Cook MJ, Kitchen ND, Fish DR. Dysembryoplastic neuroepithelial tumor. Features in 16 patients. Brain. 1994. 117: 461-75 15. Rushing EJ, Thompson LD, Mena H.[surgicalneurologyint.com]
Auditory Hallucination
  • Its most explicit symptom is the perception of external voices in the form of auditory hallucinations.[en.wikipedia.org]
Anger
  • Moody feelings and risky behavior iStock/SIphotography “Patients suffering from a brain tumor may develop depression, anger or anxiety, even if they don’t commonly exhibit these types of emotions,” says Sumeet Vadera, MD, neurosurgeon at the University[rd.com]
Emotional Outbursts
  • The emotional outbursts range from intense ecstasy to profound despair. In some cases there may be a sense impending doom or even fits of extreme rage and terror. Women patients sometimes experience orgasm during temporal lobe seizure.[netmind2011.blogspot.com]
Visual Hallucination
  • "Assuming for now a more rational scientific view, he was having a visual hallucination and he heard God's voice," Devinsky observes. It could have been God; it could have been a seizure.[npr.org]
Aggressive Behavior
Seizure
  • Of the study group of 35 patients, 27 (77.1%) became completely seizure free after surgery (class I), and 2 patients (5.7%) had no more than 2 seizures per year (class II). Worthwhile seizure control was achieved in 29 patients (82.8%).[ncbi.nlm.nih.gov]
  • I found out that I was having grand mal seizures.[epilepsy.com]
  • A seizure duration of almost 60 years was not reported earlier. Most probably, the lesion was already present at the beginning of his seizures, 57 years ago.[surgicalneurologyint.com]
  • METHODS: In patients who presented with intractable seizures secondary to mass lesions and underwent comprehensive epilepsy workup, the tumor was resected and the diagnosis confirmed by pathological examination.[ncbi.nlm.nih.gov]
Confusion
  • A person with Wernicke’s dysphasia may also suffer from a lack in comprehension, confusing them further. A person with a temporal lobe tumor may also suffer from slurred speech though they comprehend information normally.[livestrong.com]
  • Confusion, short term memory loss, vision loss, less side numbness, cognitive deficits. Any experiences would be great. I had a tumor removed that was benign (not cancerous), but growing against the base of my right temporal lobe.[cancercompass.com]
  • Altered perception of touch or pressure, arm or leg weakness on 1 side of the body, or confusion with left and right sides of the body are linked to a tumor in the frontal or parietal lobe of the cerebrum.[cancer.net]
Amnesia
  • The difference between retrograde and anterograde amnesia is that retrograde amnesia is loss of memory from before an event.[patient.info]
  • […] long term memory . [4] : 194–199 The medial temporal lobes include the hippocampi , which are essential for memory storage, therefore damage to this area can result in impairment in new memory formation leading to permanent or temporary anterograde amnesia[en.wikipedia.org]
  • (the functions are the opposite in men and women, right left) I have been completely frustrated with my outcome...yea, nice to be alive...but feel far from being Normal...due to emotionalism, short term memory, amnesia, a Naiveness that embarrasing, etc[braintumour.ca]
Personality Change
  • Symptoms in older people In elderly people, vague symptoms could be put down to getting older such as: memory loss personality changes difficulty walking If several symptoms like these develop over less than 6 months, it is worth checking in with your[cancerresearchuk.org]
  • The most common symptoms are seizures, headaches, and personality changes. Other symptoms vary by location and size of the tumor.[abta.org]
Deja Vu
  • I started having reoccuring instances when I would feel an intense deja vu and experience hallucinations, hear voices, but wouldn't remember anything afterwards.[epilepsy.com]
  • vu extreme happiness a rising sensation in the abdomen anxiety These early signs are called auras or warnings, and they may last for a few seconds up to a few minutes before the seizure occurs.[healthline.com]

Workup

  • METHODS: In patients who presented with intractable seizures secondary to mass lesions and underwent comprehensive epilepsy workup, the tumor was resected and the diagnosis confirmed by pathological examination.[ncbi.nlm.nih.gov]
  • Here’s when to consider seeing your doctor for a workup.[rd.com]

Treatment

  • Asked for Female, 63 Years 148 Views v Any symptomatic brain tumor (Tumor that causes some or the other symptoms) requires treatment. One of the aspects of the treatment is to find out the type of tumor, whether it is a tumor or something ...[practo.com]
  • OBJECT: Surgical treatment of brain tumors in the mesial temporal lobe (MTL) is a highly demanding procedure.[ncbi.nlm.nih.gov]
  • In this study the authors review the clinical, pathological, and radiological features as well as outcome data obtained in 29 pediatric patients with temporal lobe tumor-related epilepsy and discuss the surgical treatment strategies.[ncbi.nlm.nih.gov]

Prognosis

  • Otherwise underdiagnosis may result in substantial delay affecting management and prognosis.[thieme-connect.com]
  • The MTL tumors are heterogeneous in their prognosis. Older age, short duration of epilepsy, and tumor size are all associated with poor outcome.[ncbi.nlm.nih.gov]
  • From a pragmatic, therapeutical point of view, it is important to realize that the ganglioglioma part of this mixed tumor, more frequently than the DNET component, can degenerate into an anaplastic or malignant form with a worse prognosis.[surgicalneurologyint.com]
  • Prognosis "Prognosis" is the medical term for a prediction of life expectancy. Keep in mind that these predictions are estimates.[abta.org]

Prevention

  • Purpose Lobectomies are usually performed to prevent the spread of cancer from part of one organ to other parts of the organ or other parts of the body.[encyclopedia.com]
  • When symptoms occur, it's because the tumour is putting pressure on the brain and preventing a specific area of the brain from functioning properly.[nhs.uk]
  • Can temporal lobe lesions be prevented? There is a great deal we can do to reduce our risk of a stroke. See separate leaflet called Preventing Cardiovascular Diseases for more details .[patient.info]
  • This happens because the tumour prevents that part of the brain from working normally. In the frontal lobe – changes in personality or behaviour, uncoordinated walking or weakness on one side of the body.[express.co.uk]

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