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Brain and Spinal Tumors

Understanding Brain and Spinal Tumors: Symptoms, Diagnosis, and Treatment Options

A tumor is a collection of aberrant cells that either grow newly or were there when you were born (congenital). When the genes that drive cell growth malfunction, uncontrolled cell growth and division lead to tumors. Anywhere in your body can develop tumors. Brain and spinal cord cancers develop in the central nervous system's brain and spinal cord tissues (CNS).

A developing tumor may not show any symptoms, or it may kill, displace, or impair healthy cells, depending on the type. A tumor can press against or move against delicate tissue, obstruct the passage of blood and other fluids, and inflame and hurt the affected area. The natural flow of brain activity or transmission to and from the brain can both be obstructed by a tumor. Certain cancers don't alter anything.

There are two types of tumors: cancerous and benign.

  • It is frequently possible to remove benign tumors surgically, they don't spread to other parts of the body, and they might develop slowly or quickly.
  • tumors that are malignant might encroach on nearby tissue. Some malignant brain tumors are completely surgically treatable. Some malignant tumors have ill-defined edges, making it challenging for surgeons to completely remove the tumor.

Symptoms 

The signs of brain and spinal tumors can vary from person to person. The size and location of the tumor might also affect the symptoms.

Brain Tumor Symptoms

There is frequently a persistent headache associated with brain tumors. Your elevated intracranial and extracranial pressure is what's causing the headache. Whenever you lie down, it usually becomes worse.

Intracranial pressure may rise if the tumor is obstructing a ventricle that drains cerebrospinal fluid. Some symptoms include:

  • Vomiting and nausea
  • Seizures
  • Drowsiness
  • Mood or personality changes, such as depression and irritability
  • Vision loss and visual alterations
  • Issues with writing, speaking, or understanding
  • One side of your body may be weak or no longer be used.
  • Walking challenges or balance issues

Spinal Tumor Symptoms

The most typical sign of a spine tumor is persistent back discomfort that doesn't go away with rest. tumors do not typically cause back pain. However, it's crucial to get checked out if you have a history of cancer because it's usual for other tumors to migrate to your spine.

You could also encounter:

  • Paralysis
  • Difficulty walking
  • Sciatica, or discomfort that travels down the back of your leg, buttocks, and lowers back
  • Your chest, arms, or legs may feel numb.
  • Scoliosis, or spine curvature brought on by a malignancy that deforms the spine
  • impaired bowel or bladder movement

Seek treatment right away if you experience paralysis or a loss of function.

Diagnosis 

Your doctor (often a neurologist, oncologist, or neuro-oncologist) will conduct a neurologic exam and may request a number of tests depending on your symptoms, personal and family medical history, and the outcomes of the physical exam if you have a brain or spinal cord tumor. When a tumor is identified on imaging studies for diagnosis, surgery to acquire tissue for a biopsy or removal is frequently advised.

It can be challenging to identify a specific type of brain or spinal cord tumor.

The molecular and genetic abnormalities of some tumor types are poorly known, and some tumor types are rare. The molecular and genetic abnormalities of some tumor types are poorly known, and some tumor types are rare. You might wish to request a second opinion from a neuro-oncologist or comprehensive cancer centre with experience treating your diagnosis or tumor type from your primary care physician or oncologist. Even a second opinion that supports the initial diagnosis might provide you comfort and enable you to plan your care and treatment more effectively.

  1. A neurological exam: In your doctor's office, a neurological examination is possible. It evaluates your ability to move and use your senses, as well as your reflexes, vision, coordination, and balance, as well as your mental state and any changes in your mood or behavior. A professional performs and interprets several sophisticated tests.
  2. Diagnostic imaging: Views of the internal structures of the body, such as tissues, organs, bones, and nerves, are produced through diagnostic imaging in incredibly fine detail. These images can support the diagnosis and assist physicians in identifying the tumor's kind, available therapies, and later, the efficacy of those therapies.
  3. It's no longer necessary to perform a computed tomography (CT) scan in order to check for brain tumors. However, CT scans can spot calcium buildup that results in tissue hardening and developing into tumors, as well as haemorrhage (blood) or the onset of hydrocephalus. Since CT scans may be completed quickly, they are frequently employed in urgent situations.
  4. The gold standard for detecting brain and spinal cancers is magnetic resonance imaging (MRI), which is more accurate than a CT scan. MRI can offer details regarding blood flow (perfusion), and tumor cell density, and provide better images of tumors that are close to the bone in addition to higher resolution and finer anatomical detail.

Conclusion:

Finding out you have a brain tumor may be frightening and stressful. However, not every brain tumor is malignant; in fact, around two-thirds of them are benign. However, they still have the potential to harm your brain. Be assured that your healthcare team will create a detailed and tailored treatment plan to assist in the treatment of the tumor and enhance your quality of life.

Dr. Deepak Keshav Bhangale
Neurosciences
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