BRAIN TUMORS

WHAT IS A BRAIN TUMOR?

Primary vs. secondary: Primary brain tumors originate in the brain. Secondary brain tumors are made up of cells that have spread (metastasized) to the brain from somewhere else in the body. In children, most brain tumors are primary. The opposite is true in adults.

Benign vs. malignant: Benign tumors are slow-growing, noncancerous, and do not spread to surrounding tissue. Malignant tumors, on the other hand, are cancerous. Fast-growing and aggressive, they can invade nearby tissue and also are more likely to recur after treatment. Though malignancies are generally associated with a worse outlook, in the brain, benign tumors can be just as serious, especially if they're in a critical location (such as the brain stem, which controls breathing) or grow large enough to press on vital brain structures.

Localized vs. invasive: A localized tumor is confined to one area and is generally easier to remove, as long as it's in an accessible part of the brain. An invasive tumor has spread to surrounding areas and is more difficult to remove completely.

Grade: The grade of a tumor indicates how aggressive it is. Today, most medical experts use a system designed by the World Health Organization (WHO) to identify brain tumors and help make a prognosis. The lower the grade, the less aggressive the tumor and the greater the chance for a cure. The higher the grade, the more aggressive the tumor and the harder it may be to cure

WHAT CAUSES A BRAIN TUMOR?

seizures weakness of the face, trunk, arms, or legs slurred speech difficulty standing or walking poor coordination headache

COMMON TYPES OF BRAIN TUMORS

Astrocytomas come in four major subtypes: juvenile pilocytic astrocytoma (grade 1) fibrillary astrocytoma (grade 2) anaplastic astrocytoma (grade 3) glioblastoma multiforme (grade 4) The higher the grade, the more aggressive the tumor.

PROBLEMS THAT CAN AFFECT THE BRAIN

BRAIN TUMORS

A tumor is a swelling caused by overgrown tissue. A tumor in the brain may grow slowly and produce few symptoms until it becomes large, or it can grow and spread rapidly, causing severe and quickly worsening symptoms. Brain tumors in children can be benign or malignant. Benign tumors usually grow in one place and may be curable through surgery if they're located in a place where they can be removed without damaging the normal tissue near the tumor. A malignant tumor is cancerous and more likely to grow rapidly and spread.

CEREBRAL PALSY

Cerebral palsy is the result of a developmental defect or damage to the brain before or during birth. It affects the motor areas of the brain. A person with cerebral palsy may have average intelligence or can have severe developmental delays or mental retardation. Cerebral palsy can affect body movement in many different ways. In mild cases of cerebral palsy, there may be minor muscle weakness of the arms and legs. In other cases, there may be more severe motor impairment — a child may have trouble talking and performing basic movements like walking.

EPILEPSY

This condition is made up of a wide variety of seizure disorders. Partial seizures involve specific areas of the brain, and symptoms vary depending on the location of the seizure activity. Other seizures, called generalized seizures, involve a larger portion of the brain and usually cause uncontrolled movements of the entire body and loss of consciousness when they occur. Although the specific cause is unknown in many cases, epilepsy can be related to brain injury, tumors, or infections. The tendency to develop epilepsy may be inherited in families.

HEADACHES

Of the many different types of headaches, the most frequently occurring include tension headache (the most common type), caused by muscle tension in the head, neck, and shoulders; migraine, an intense, recurring headache with an unclear cause; and cluster headache, considered by some to be a form of migraine. Migraines occur with or without warning and may last for several hours or days. There seems to be an inherited predisposition to migraines as well as certain triggers that can lead to them. People with migraines may experience dizziness, numbness, sensitivity to light, and nausea, and may see flashing zigzag lines before their eyes.

MENINGITIS AND ENCEPHALITIS

. These are infections of the brain and spinal cord that are usually caused by bacteria or viruses. Meningitis is an inflammation of the coverings of the brain and spinal cord, and encephalitis is an inflammation of the brain tissue. Both conditions may result in permanent injury to the brain.

MENTAL ILLNESS Mental illnesses are psychological and behavioral in

nature and involve a wide range of problems in thought and function. Certain mental illnesses are now known to be linked to structural abnormalities or chemical dysfunction of the brain. Some mental illnesses are inherited, but often the cause is unknown. Injuries to the brain and chronic drug or alcohol abuse also can trigger some mental illnesses. Signs of chronic mental illnesses such as bipolar disorder or schizophrenia may first show up in childhood. Mental illnesses that can be seen in younger people include depression, eating disorders such as bulimia or anorexia nervosa, obsessive-compulsive disorder (OCD), and phobias.

HEAD INJURIES Head injuries fit into two categories: external (usually

scalp) injuries and internal head injuries. Internal injuries may involve the skull, the blood vessels within the skull, or the brain. Fortunately, most childhood falls or blows to the head result in injury to the scalp only, which is usually more frightening than threatening. An internal head injury could have more serious implications because the skull serves as the protective helmet for the delicate brain.Concussions are also a type of internal head injury. A concussion is the temporary loss of normal brain function as a result of an injury. Repeated concussions can result in permanent injury to the brain. One of the most common reasons kids get concussions is through sports, so it's important to make sure they wear appropriate protective gear and don't continue to play if they've had a head injury.

DIAGNOSIS

a pediatric neuro-oncologist (a doctor who specializes in treating cancers of the brain or spine)

a pediatric neurologist (a doctor who specializes in disorders of the nervous system)

a pediatric neurosurgeon (a surgeon who operates on the brain or spine)

a radiation therapist (a specialist who administers radiation therapy)

rehabilitation medicine specialists, including speech, physical, and occupational therapists

psychologists and social workers 

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