Symptoms And Treatment Of Cystic Retrochiasmatic Craniopharyngiomas

Pt c/o 7/10 tension headache with light sensitivity x 1 week and half. He states that his headaches originates in the back of his head and neck. He denies SOB, n/v, facial dropping, numbness or tingling, or sensitivity to nose. Tried to offer pt the next available and home care advice. Pt refused to listen. Pt states that he is going to the ER. Informed Cpt Lam the pt

CNS tumors represent the second most frequent tumor of childhood and the most common pediatric solid tumor; approximately 2,200 patients under the age of 20 are diagnosed each year with invasive CNS tumors, and CNS tumors are the number one cause of death from childhood cancer. [1] Therapeutic strategies generally involve surgery as a primary intervention, but complete resection is often not possible due to tumor location. In such cases, adjunct therapies, including chemotherapy and radiation therapy, may be required based on the tumor histology and presence of residual tumor. [2]

-The complete removal of some brain tumors- A sample to enable doctors to diagnosis the tumor and recommend the most appropriate treatment

These tumors arise from brain tissue called choroid plexus. They invade nearby tissue and spread via cerebrospinal fluid. There are two types of this tumor the noncancerous choroid plexus papilloma and the cancerous choroid plexus carcinoma. The symptoms of this cancer are headaches and increased pressure in the brain. These tumors represent two to four percent found in children under the age of fifteen. The cause of this cancer, like many others, is currently unknown. Surgery may be the only thing required for treatment. Completely removing the tumor relieves the hydrocephalus or the excess water in the brain about half the time. A drainage system may be required for others. Radiation and chemotherapy in choroid plexus tumors is still being defined. Radiation or chemo is recommended for patients with tumors not completely removed or not removeable. Second surgery might be recommended for recurrent tumors, followed with radiation or chemotherapy. The only known treatments that work for choroid plexus tumors are radiation and

Brains Tumours: Cancer By Finlay McKibbin oGe3 Which part of the bedy dees it affect? Brain tumours effect the brain, being formed in its glial cells, which grow from the supporting cells of the brain These tumours are known as "gliomas. Considering they develop in the brain, they are formally known as primary brain tumours. Also, the part of the brain the brain tumour effects, changes the symptoms and treatments for the individual. Common Symptoms. The common symptoms of brain tumours are; Headaches: being the most common symptom, being both severe and persistent in few cases, and can come or go Seizures Nausea and vomiting Difficulty when speaking or being able to recall words Disturbed vision, hearing, smell, and or taste Weakness and or

In 2013, there were approximately 130 million emergency department visits in the USA. Of these visits, 23 million were patients less than 15 years of age and 30% of visits were classified as “injury visits.”1 Management of the anxious or fearful pediatric patient undergoing assessment and treatment for minor injuries is often a difficult problem faced by the healthcare provider, as many have no desire to participate in their treatment.2

Medulloblastoma, also called cerebellar primitive neuroectodermal tumor (PNET), is a fast growing embryonal tumors[A] located in the cerebellum caused by a glial cell (1)(4). The seven types of medulloblastoma are, classic,desmoplastic, nodular,, large-cell,(anaplastic), neuroblastic, glial differentiation, medullomyoblastoma, and melanotic. According to American Brain Tumor Association, medulloblastoma is relatively rare, and only accounts for two percent of all primary brain tumors(1).However, medulloblastoma is common in children making up to twenty percent of childhood brain tumors(2), while it is less common in adults(1). It is also more common in men than in women(3). (Thesis)

An important challenge in brain tumor surgery is the accurate recognition of the tumor existence and positioning [11]. The tumor positioning has an unique importance in brain tumor surgery. Tumors in the brain are surrounded by normal brain tissue. The lesions which are sited within the substance of the brain are called intra-axial tumors. Those in close proximity of the brain, but displace brain tissue are called extra-axial tumors. Even extra-axial tumors may invade brain tissue. In both cases, the functioning brain tissue surrounds the tumor.

Retinal astrocytic hamartomas typically appear in the first or second decade of life5. Their appearance is often white with a calcified appearance4 that can vary in size, with smaller lesions typically being less defined and a translucent white color5. Larger nodules may have more opaque coloring and white nodules in the inner retina; another common description for astrocytic hamartomas that are larger is “white mulberry” appearance5.

Astrocytomas often appear hypointense on T1-WI and hyperintense on T2-WI. FLAIR (fluid-attenuated inversion recovery) images and T2 sequences can be helpful in delineating the precise extension of astrocytoma borders which are not well demarcated because its infiltrative pattern. Cystic part is found in 27% - 42% of the lesions and is associated with hydro-myelia in half of cases.

Orbital complications are predominant in most children with intracranial infection asymptomatic and thus induce patients to seek faster medical care, which in turn leads to earlier diagnosis of ICS. Similarly, Singh et al. Outpatient complications have been reported in more than half of patients (59%) with meningitis, 37% of patients with subcapsular abscess, 26% of patients with intracerebral abscesses and over 80% of patients with epidural abscesses. When evaluating children with swollen eyelids or with edema and sinusitis, the physician should consider the possibility of simultaneous intracranial infection, even in the absence of neurological

these tumors [5]. Due to the fact that complete resection is often difficult or morbid to

TRICKS MRA was accurate in detection of the feeding arteries at the periphery of all hemangiomas included in the study. One hemangioma at the peri-orbital region showed multiple arterial feeders & surgical excision of the lesion was the choice of treatment, although the hemangioma was small in size.

Because of the misdiagnosis of LP shunt-induced cerebellar tonsillar ptosis, she was conservatively treated with medications, such as Promethazine and Trifluoperazine. Her nausea and headache were exacerbated, and she was readmitted. Her computed tomography (CT) scan of the brain indicated left frontotemporoparietal subacute subdural hematoma with subfalcine herniation (Figure 3). In her second surgery, the left parietal Burr-Hole was performed, and the subdural hematoma was evacuated. The post-operative period was uneventful, and her symptoms disappeared. Her delay brain CT showed relief of hematoma and herniation (Figure

Microsurgical transsphenoid surgery for pituitary adenomas has been the standard treatment for decades [1, 2, 3, 4, 5]. Among various techniques, Sublabial transseptal and transnasal transseptal approachs are the most commonly used [3, 4, 5,]. Since the endoscope became popular in paransal sinus surgery [6, 7], it has increased the interest of neurosurgeons for its use in transsphenoid surgeries. In late nineties a large series of endoscopic pituitary surgeries by Jho and Carrau [8, 9] and Cappabeenca et al. [12] increased the sudden interest in this technique worldwide. Jankowski et al. [10] first reported endoscopic endonasal resection of pituitary adenoma in 3 patients. A panoramic view inside the surgical area, close up of anatomy and an