Brain Stem Gliomas history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The hallmark of brainstem gliomas is the classic triad of ataxia, long tract signs and cranial nerve palsies. Common symptoms include hemiparesis or hemiplegia, unilateral facial nerve palsy, ataxia, vision defect, hearing loss, morning headache or headache that goes away after vomiting, nausea and vomiting, drowsiness, fatigue, and behavioral changes. Less common symptoms include seizure, trouble learning in school, and deterioration of handwriting and speech.
History and symptoms
Although the exact presentation will vary according to location and size of the tumor, in general patients will exhibit a classic triad:[1]
- Ataxia
- Cranial nerve palsies
- Long tract signs
The duration of symptoms is usually much shorter in diffuse gliomas, in which the history is typically very short (a few days). Additionally, diffuse gliomas more frequently have multiple cranial nerve palsies.
The symptoms depend on the following:[2]
- Where the tumor forms in the brain.
- The size of the tumor and whether it has spread all through the brain stem.
- How fast the tumor grows.
- The child's age and development.
Common symptoms
Common symptoms of brainstem gliomas include:[3]
- Hemiparesis or hemiplegia
- Unilateral Facial nerve palsy
- Ataxia
- Vision defects
- Hearing loss
- Morning headache or headache that goes away after vomiting
- Nausea and vomiting
- Drowsiness
- Fatigue
- Behavioral changes
Less common symptoms
Less common presenting symptomsof brainstem gliomas include:[4]
- Seizure
- Deterioration of handwriting and speech.
- Trouble learning in school
References
- ↑ Symptoms of Brainstem gliomas. Dr Yuranga Weerakkody and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/brainstem-glioma
- ↑ Symptoms of brainstem tumors. Cancer gov. http://www.cancer.gov/types/brain/patient/child-glioma-treatment-pdq#link/stoc_h2_2
- ↑ Symptoms of brainstem tumors. Cancer gov. http://www.cancer.gov/types/brain/patient/child-glioma-treatment-pdq#link/stoc_h2_2
- ↑ Symptoms of brainstem tumors. Cancer gov. http://www.cancer.gov/types/brain/patient/child-glioma-treatment-pdq#link/stoc_h2_2