Bloch: Brain Tumors Flashcards
2 leading causes of neurologic death
- stoke
2. brain tumor
T/F: Tumor type (where it is derived from) dictates survival
True
Symptoms of brain tumor?
headache *seizure mental change hemiparesis vomiting dysphasia impaired consciousness visual failure
What are some features of a headache that would worry you?
headaches upon awakening *more space for tumor when standing upright
headaches that vary w position *lean over, headache gets worse
worst headache of pt’s life
headache accompanied by other symptoms
headache won’t go away
severe headache w/o migraine
Supratentorial tumors occur more commonly in (blank), while infratentorial tumors occur more commonly in (blank)
adults **above the tent
children **under the tent
(70% adult) Astrocytoma GBM Metastasis Meningioma
supratentorial intracranial tumor
(70% children)
Medulloblastoma
Astrocytoma
4th ventricle ependymoma
infratentorial intracranial tumor
2 general locations for CNS tumors
intracranial
intraspinal
Epidural mets
Bone tumors
extradural intraspinal tumors
What are these? Which is the most aggressive/has the worst mortality? Intramedullary Ependmoma Astrocytoma Extramedullary Schwannomas Meningioma
intradural intraspinal tumor;
astrocytoma ***
T/F: Astrocytic tumors can be grades 1-4
True
These types of tumors occur around age 45-55.
Comprise 20% of all intracranial tumors, and 50-55% of all cerebral gliomas.
Ring-like enhancement on MRI.
GBM (Glioblastoma multiforme)
What is the most common infratentorial tumor in adults?
80% of these tumors are supratentorial
Likes to occur at gray-white junction
metastatic tumor
T/F: There can also be tumors of the nerve sheath and meninges.
True
What cancers are most likely to metastasize to brain?
lung cancer, breast cancer
