Chief Complaint: Brain Tumor

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The surgeon can then remove the tumour tissue. Some tumours that are situated deep inside the brain are difficult to remove without damaging surrounding tissue. In this case, the tumour may just be treated with chemotherapy or radiotherapy or both.

The radiation is a lower intensity than that used in radiosurgery see below , and is given over a period of time. Chemotherapy is medication used to kill any cancerous cells, and may be given as tablets, an injection or implants. Carmustine and temozolomide are both chemotherapy drugs used in the treatment of high-grade brain tumours, and are described below. Carmustine implants are small wafers placed at the tumour site when the tissue has been surgically removed.

As they dissolve, they release carmustine to slow or stop the growth of cancerous cells. Possible side effects of carmustine implants are brain oedema fluid in the brain , fits and infection in the brain. Possible side effects of temozolomide include anorexia, constipation, fatigue, headache, nausea and vomiting.

Radiosurgery involves focusing a high-energy dose of radiation on the tumour to kill it. It is different to radiotherapy in that the radiation is:. This means you will usually not experience any of the usual side effects of radiotherapy, such as skin reddening and hair loss. Recovery is good and an overnight stay is usually not required. A secondary brain tumour indicates serious, widespread cancer that usually cannot be cured. Treatment aims to improve symptoms and to prolong life by shrinking and controlling the tumour. This may include:. You should be given the name and contact details of a key worker, who will support you during your brain tumour journey.

If your tumour is at an advanced stage or in a difficult place in the brain, a cure may not be possible and treatment may only be able to control the cancer for a period of time. This means you will be getting the side effects of treatment without getting rid of the tumour. In this sort of situation, it may be difficult to decide whether or not to go ahead with treatment.

Talk to your doctor about what will happen if you choose not to be treated, so you can make an informed decision. If you decide not to have treatment, you will still be given palliative care, which will control your symptoms and make you as comfortable as possible. These therapies aim to speed up your recovery and help you cope with any problems that the tumour caused:.

Epilepsy may effect some patients for up to six months or rarely longer after surgery. After you have been treated for a brain tumour you should permanently avoid contact sports, such as rugby and boxing. However, other activities may be resumed once you have recovered, with the agreement of your doctor.

8 Silent Signs of Brain Tumor You Should Know

Swimming unsupervised is not recommended for approximately one year after treatment, to avoid the risk of epileptic fit. Having sex after a brain tumour is safe, although women should avoid pregnancy for six months and discuss with their specialist the implications of any ongoing medication. You will become tired more easily following treatment for a brain tumour. Although you may wish to return to work and normal life as soon as possible, it is a good idea to return part time to begin with and to go back full time when you feel capable.

A brain tumour is often a life-changing event. You may feel angry, frightened, and emotionally drained. Your doctor or specialist should be able to refer you to the social worker and counsellor on the team for help with the practical and emotional aspects of your diagnosis.

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If you have a brain tumour, it could affect your ability to drive. It is important that you inform your doctor and the Road Safety Authority RSA about a medical condition that could have an impact on your driving ability. Based on up-to-date scans and advice from your medical team, you may be allowed to drive again once an agreed period has passed and you have successfully completed a medical test to determine your ability to control a vehicle. The future can look very unpredictable and the unknown can be frightening. Changes in daily routines and responsibilities are often necessary and this is something that involves the whole family.

Try to ensure everyone knows what is happening and has an idea of what to expect. The following are just a few of the ways that can help you, your family and close friends deal with the changes in your lives:. Content provided by NHS Choices www. Welcome Logout. Skip to main content.

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Quit Smoking Drugs. Brain tumour adult , high-grade. The good news is, a headache, by itself, is rarely caused by a brain tumor.

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If you have a brain tumor, you commonly have more neurological changes as well, including:. The most common age range for developing brain tumors in adults is 40 to 60 years old. Brain tumors vary in type, location, and severity. Some are noncancerous, but they can have serious, even debilitating effects, depending on where the tumor forms.

Cancerous tumors that start in the brain are far less common than tumors that spread to the brain from cancer in another part of your body. They may present with mood symptoms, psychosis, memory problems, personality changes, anxiety, or anorexia.


Symptoms may be misleading, complicating the clinical picture. A comprehensive review of the literature was conducted regarding reports of brain tumors and psychiatric symptoms from Our literature search yielded case reports, case studies, and case series. Early diagnosis is critical for improved quality of life. This article reviews the existing literature regarding the diagnosis and management of this clinically complex condition. Core tip: Psychiatric symptoms may rarely be the only presentation of a brain tumor. Any type of psychiatric symptoms can occur with brain tumors.

Unfortunately, the symptoms generally do not have any localizing value. New onset psychosis, mood or memory symptoms, occurrence of new or atypical symptoms, personality changes and anorexia without body dysmorphic symptoms, suggest a work up including neuroimaging. Early diagnosis is critical for improved quality of life for the patient.

Since psychiatric nomenclature and disease parameters change constantly, it is difficult to analyze this topic in a consistent manner. Brain tumors are relatively common with an annual incidence of 9 per for primary brain tumors and 8. Brain tumors may be classified based on their histopathologic characteristics or anatomical location.

There are two types of tumors: ones that are primary, originating from the brain tissue, and ones that metastasize to numerous locations throughout the brain. Because of this, metastatic tumors often present with more neuropsychiatric symptoms. The most common primary brain tumors are gliomas, which are divided into several types: astrocytomas, oligodendrogliomas, and ependymomas.

The groups of brain tumors that are not from the glial tissue include meningiomas, schwannomas, craniopharyngiomas, germ cell tumors, pituitary adenomas, and pineal region tumors. Most brain tumors present with specific neurologic signs due to mass effect. However, in rare cases they may present primarily with psychiatric symptoms.

Due to the neuronal connections of the brain, a lesion in one region may manifest a multitude of symptoms depending on the function of the underlying neuronal foci. Symptoms of brain lesions depend on the functions of the networks underlying the affected areas[ 1 ]. For instance, a significant association has been found between anorexia symptoms and hypothalamic tumors, a probable association between psychotic symptoms and pituitary tumors, memory symptoms and thalamic tumors, and mood symptoms and frontal tumors[ 4 ]. Management of brain tumors consists of surgical resection of the tumor, stereotactic radiosurgery, radiotherapy, and chemotherapy.

Treatment of the psychiatric symptoms caused by brain tumors depends on the presenting symptoms and includes antidepressants, antipsychotics, mood stabilizers, and anxiolytics[ 1 ].

Although there may be an association between some tumor locations and psychiatric symptoms, it is difficult to predict the symptoms based on the location or vice versa. This paper will explore the diverse manifestations, diagnosis, and management of brain tumors that present primarily with psychiatric symptoms. We found cases with psychiatric symptoms. Psychiatric symptoms were assigned to 7 main categories: depressive symptoms, apathy, manic symptoms, psychosis, personality changes, eating disorders, and a miscellaneous category for the less frequently encountered symptoms.

Each category will be discussed. Some reports may be included in more than one category due to combination of symptoms. Brain tumors and depressive symptoms[ 41 ].