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temporal lobe brain tumor symptoms

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temporal lobe brain tumor symptoms

Disease Overview; temporal lobe tumor had no significant early clinical symptoms and more. Often appear with the progression of temporal lobe epilepsy. According to the frequency of seizures, accompanied by hallucinations. Limitations of seizures evolved into generalized grand mal, seizures and vision of changes in intermittent, as indicated in 1 / 4 to the same quadrant of visual field defects develop sexual hemianopia, Todd longer duration of paralysis, aphasia and psychiatric symptoms increase, leading to cranial pressure increased. Gradual progress in the spirit of sport and more attacks to the Department of Oncology Department of subcortical solution development. The main clinical symptoms of clinical symptoms are as follows: change the view perspective changes often early symptoms of temporal lobe tumor, one with sense orientation. In anatomy, the optic radiation under the angle around the lateral ventricle through the temporal lobe. When the tumor is deep in the temporal lobe, because of or damage to the optic tract or optic radiation, the opposite may occur in early disease with the directional quadrant 1 / 4 of the visual field defect. Cancer continues to increase, the quadrant of the defect can be developed into a sexual hemianopia, which hemianopia may be complete or incomplete, bilaterally symmetrical or asymmetrical, as in the posterior temporal lobe tumors are mostly symmetric hemianopia . Sensory aphasia in the dominant hemisphere damage to the superior temporal gyrus tumor 41 areas, 42 areas, there may be sensory aphasia. Posterior temporal lobe damage, may occur naming aphasia. This is the most reliable diagnosis of temporal
lobe tumor one of the symptoms. These patients the ability to understand language and naming others, the ability of goods are lost, but preserved ability to speak, but despite this, but often with a typo, saying the wrong words, slander and even dwell on the characteristics of the tongue. Severe patients can not be understood conversation, but the patient can not understand other people's language. Amnesia aphasia aphasia often as a manifestation of temporal lobe, the patient named on the item difficulties, and can only describe the characteristics or uses of the item instead. When that item name, the patient kept in the dark is correct, and clinically proven amnesia aphasia sensory aphasia is often part of early performance. In addition, the temporal lobe tumor
Parietooccipital temporal lobe tumor development, but also often appears alexia, agraphia, and visual loss calculation can not know and other symptoms. Temporal lobe epilepsy grand mal epilepsy induced tumor incidence second only to frontal lobe tumor. Limitations may also occur in some patients seizures, multiple violations of motor areas due to tumor induced upward. Temporal lobe epilepsy is characterized by a precursor diverse, complex symptoms, may have trance, speech disorders, psychomotor excitement, emotion and disorientation, hallucinations, delusions, memory impairment and so on. The basic symptoms of memory impairment. Memory as much memory, memory in recent memory and the present. More extensive damage to brain tissue tumor, the usually manifested to time, person, place disorientation. Bilateral temporal lobe tumor in the hippocampus and memory impairment present when the performance was obvious. Some patients with temporal lobe epilepsy, the performance of've never been a sense of familiarity (familiar sense of the environment) or have been familiar feel very strange places (strange sense of the environment). Some patients showed metamorphopsia (change as the disease) and, as the larger objects (giant, as the disease) and other visual hallucinations. Representative of auditory cortical areas in the temporal transverse gyrus, the patient hearing voices, they can hear the sound bigger or smaller, watches sound, singing, drums and noise. Vestibular cortical auditory hallucinations often accompanied by attacks of vertigo and tinnitus. Taste area in the central front on behalf of the lower back, which caused little damage to the Ministry of taste disturbance, but may be stimulated by the magic of taste. Before the onset of temporal lobe epilepsy may have a variety of threatened, of which the most common sign of the sense of smell, smell a sudden attack patients to a very unpleasant smell or odor. Tumors of the medial temporal lobe uncus of the hippocampus, often such a sign appears, it is known as the "hook back to the attack." Patients feel the stomach to the chest, upper abdomen up first by a special feeling, is also found in temporal lobe epilepsy, epilepsy generally have the aura, so no special significance. Automatic temporal lobe epilepsy syndrome is a common symptom of a representative, is a consciousness dominated by episodic events from which to assault, destruction of property, self-injury, impulsivity, nudity and other spiritual excitement were more likely to see , a small number of patients often show a chew, smack, sucking, groping hands, head, eye movement onset torsion without a purpose. Deep temporal lobe tumor, abnormal sexual attack can occur, and often accompanied by dreamy sleep, patients and dream, like a dream strange feeling, often concurrent with the visual hallucination, like back to childhood, or panic and so on. Psychiatric symptoms in temporal lobe tumors are also common symptoms of mental disorders, second only to frontal lobe tumor. The main symptoms are personality changes, mood disorders (such as anxiety, depression, fear, anger), paranoid, memory disorders, mental retardation, facial expressions and so indifferent. A higher incidence of psychiatric symptoms in the dominant hemisphere temporal lobe broad and rapidly growing tumors. Ataxia temporal gyrus and the posterior inferior temporal gyrus, temporal lobe through the cerebellar pontine fibers into contact with the cerebellum, therefore, the side of temporal lobe damage can occur contralateral ataxia bust, so the imbalance may also occur often contralateral to the lesion dumping. Pyramidal tract signs the upper temporal lobe tumor can oppress the lower part of the frontal and parietal lobes and the face and upper limb movement occurs, or sensory disability, oppression contralateral cerebral peduncle, internal capsule, the tumor can cause the same side of the pyramidal tract sign, The different degrees of hemiplegia. Other symptoms of temporal lobe tumor can occur oppression in the brain nerve palsy. Degree of temporal lobe tumor suppression cranial carotid sympathetic plexus, may occur Horner syndrome. When the basal ganglia contralateral limb tremor involvement, chorea, athetosis, paralytic tremor syndrome. Violation of the insula may have a spontaneous visceral pain. Auxiliary examination skull plain film and its location in temporal lobe tumors, like tumors, according to the nature of the tumor, growth rate, tumor location in the brain is different at different stages in the course of the performance increased intracranial pressure can occur (suture dehiscence, gyrus Impression increased sellar bone changes). Tumor calcification (common with oligodendrocyte cell tumors, astrocytomas, meningiomas and ependymomas, etc.), appears in the corresponding parts of temporal lobe tumor; skull damage and hyperplasia of local, often in the same area where the tumor. Plain film examination of the skull, is often a reliable diagnostic evidence of temporal lobe tumor. Ventricular contrast ventriculography temporal lobe tumors is mainly the location of the tumor, its performance characteristics are as follows: (1) before and after bit like: the contralateral lateral shift. And the third ventricle septum towards the opposite side was arc-shaped. Above the outer corner of the anterior horn sharpened, point to the foreign or the foreign. Lateral ventricle lateral wall of the depression, transverse diameter becomes smaller. (2) lateral, as: before and after the image in the lateral image and the upper and lower angle change significantly. Tumor was located above the bottom corner, the next angle shift, the shift for all or part of; located below the bottom corner, then move the next corner; tumor living outside of the bottom corner shift; living inside, the emigration. Shift under the corner, the next angle and distance between the smaller body. According to the tumor site which can appear at the top or bottom of the lower corners straight or curved notch, often with the shift and ventricular cavity narrowing the same time. Broke into the ventricular cavity cancer can occur in filling defect, its shape depends on the tumor surface morphology, as angle of thinning, high incidence of narrow or closed down all the narrow angle, often simultaneously stiff. Wall invasion and brain tumors, can cause irregular wall contours. Medial temporal lobe tumor reclusive, causing the rear of the third ventricle may compress the two lateral ventricles and ventricular dilatation in the lateral shift is not obvious. In the lateral ventricle can be as mild on the third shift, the shift direction and location of the tumor. (3) cerebral angiography; temporal lobe tumor of the carotid artery imaging, mainly based on the circumstances of the shift for vascular tumor localization, temporal lobe tumor vascular displacement characteristics of various ministries as follows: (1) anterior temporal lobe tumors 1) anteroposterior like: longitudinal section of the anterior cerebral artery showed a linear shift to the opposite side, the lower part of the shift more apparent. Knee segment of middle cerebral artery and the adjacent section of the horizontal section and the lateral fissure straight, inward at the top displacement, severe cases can be linked into the three sections of a straight line to point on the outside, the brain before, during and two artery was V-shaped. Clinoid internal carotid artery on the straight section, inward shift. Branch elevation. 2) The lateral image: vertical section of the anterior cerebral artery straight, and forward and down shift. Curvature of the corpus callosum knee opening paragraph. In the straight section of artery lateral fissure, upward displacement of the top line in the bed more than 1cm. Clinoid internal carotid artery on the straight section, elevation and side of the crack segment in the rear go up the diagonal line. Lateral fissure to raise the front triangle. The amount of straight Lift artery branch, separation can also be shifted upward. Siphon can open big. Anterior choroidal artery usually straight, thickening and upward shift. Basal vein can be up front inward shift. (2) the middle temporal lobe tumor 1) before and after the bit like this: longitudinal section of the anterior cerebral artery showed a straight line to the opposite side shift, the shift degree of uncertainty, sometimes less. Section of the middle cerebral artery knee straight, inward above the shift. Compared with the contralateral side light are only to find out, in serious cases the horizontal section with the lateral fissure to form a straight line from the external carotid artery branch on the ramp, causing the anterior cerebral artery and was V-shaped. Was up when a serious conflict within the arc. Clinoid internal carotid artery straightening the upper longer, and the inward displacement of the branch may also be raised. 2) lateral, like: The Open siphon bend, or even make bed-like protrusion on the linear section of vertical ascent. Sylvian segment of middle cerebral artery middle upward. Sylvian triangle elevation. Horizontal segment of middle cerebral artery (M 1 ) can be raised, straightened and carotid artery in a straight line perpendicular to rise, linked with this section of the sylvian segment after a sudden turn at right angles, and horizontal to walk the line. Upward shift of the middle cerebral artery is quite obvious, to reach the edge of the artery corpus weeks or plane. Sometimes partially due to tumor compression of vascular occlusion. The amount of jacking up the artery can also be shifted. Straight anterior choroidal artery, thickening, inward to the shift. Cancer as a violation of or near the uncus, anterior choroidal artery can be cylindrical sudden upward arc. Basal vein upward shift inward. Vein to the contralateral brain shift. (3) posterior temporal lobe tumor 1) before and after the bit like this: longitudinal section of the anterior cerebral artery was shifted to the opposite side straight line, sometimes the shift light. Arterial branch to the medial side of the split shift, split side up point inward migration, knee artery segments did not change much, unless the tumor involved the middle temporal lobe. Carotid artery segment and the brain on the bed suddenly, before, during more than two artery without distortion and displacement. 2) side pull like: Brain convex branch of the middle cerebral artery (M 4 , M 5 ) increased more than 1cm in the top of the bed line, and can show up arcuate prominent. Sylvian point elevation. Temporal lobe tumors near the surface, can, after angular gyrus artery and temporal artery and its branches stretched and separated. Increase the curvature of the corpus of peripheral artery. Lift is the amount of arterial pressure to move forward. Due to pressure and tortuous choroidal artery, posterior to Yin Haima back herniation and downward shift. Carotid artery and anterior cerebral artery and more did not change. Basilar artery inward, upward shift, downward shift can be. Vein to the contralateral brain shift. (4) The deep temporal lobe tumor 1) before and after the bit like this: No obvious changes in blood vessels. 2) lateral, like: a slight shift of middle cerebral artery. Anterior choroidal artery can be increased deformation, the curvature increased and shifted to the inside. Posterior cerebral artery may be downward shift and the formation of prominent arcuate down. Basal vein can become angular distortion or distorted. EEG EEG temporal lobe tumor, discovered the limitations of the high rate of δ wave, about 90%, δ slow wave frequency (0.5 ~ 2 times / sec) and for continuity. Background α Puerto exception. EEG temporal lobe tumor characteristics of each part of the performance are as follows: (1) before temporal tumors: Comparison of Pleomorphic limited temporal δ wave leading joint. General background α wave is not affected. Spike detection rate is higher. Frontotemporal in early and not easy to distinguish the tumor, since both can cause additional side, forehead, top lower EEG; ① frontotemporal tumors occurred mainly in the extra slow side, forehead, anterior temporal, sometimes affect the amount, the top; ② temporal slow wave before the primary tumor in the temporal ago, can spread to the temporal, the amount of the front and additional side; ③ lazy wave (the side of the α, α wave or fast wave frequency changes less slowly) around the more obvious in the tumor. (2) after temporal tumors: pleomorphic δ waves occurred mainly in the posterior temporal and anterior temporal, can be spread to reach the peak of the bottom, top, and occipital. Around the tumor has weakened the fast wave and θ waves. Α wave side of the background disease often rhythm disorders, slow frequency and amplitude changes in variables such as low or disappeared, these features can be used for identification of the tumor before and temporal. (3) temporal-parietal occipital tumor: After the temporal, parietal, and occipital top of the δ wave can be significant, but generally the lower part of the roof. Both sides of the particular disease have significant side α wave disorder and mixed with diffuse δ wave, θ waves. Temporal lobe brain tumor ultrasound ultrasound, the positive rate of localization. In addition to tumors in waves, the midline shift to the opposite side the most significant waves. Ventricular dilatation or hydrocephalus, the lateral wave amplitude increases, the lateral wave and middle wave distance becomes large. Isotope brain scan temporal lobe tumor isotope scan, according to the nature of the tumor, location, size, and for different tumor blood vessels have different performance, in general, temporal lobe tumor positive rate of scanning. CT diagnosis of intracranial brain tumor CT examination is mainly based on the density of tumor tissues changed
Changes of intracranial tumors and tumor suppression of ventricular system to determine the shift. Some tumors showed high density, CT image is clear; some calcification of the tumor due to calm, clear contrast; some tumors or by tumor necrosis, or edema due to the changes around the lesion appears as homogeneous or heterogeneous low density area. Temporal lobe tumors were gliomas and meningiomas, CT examination showed multiple high-density areas, there are a few tumor calcification, cystic degeneration, necrosis, edema and other displays to their different density. Lateral ventricles and third ventricle common compression, distortion, shift and so on. Differential diagnosis of frontal lobe tumor with temporal lobe tumors, as slow disease progression. Few typical clinical symptoms. With the progression of, and sometimes grow to a large tumor, the seizures can occur, with the emergence of various hallucinations, psychotic symptoms, and changes in vision. Finally, the symptoms have increased intracranial pressure. Temporal lobe tumors are often associated with the following temporal lobe disease identification. Temporal lobe abscess of temporal lobe abscess secondary to extracranial most bacterial infections, secondary to chronic otitis media or mastoiditis of otogenic brain abscess is most common, followed by infection and trauma caused by blood-borne infections abscess. Temporal lobe brain abscess, especially temporal lobe brain abscess in clinical manifestations of chronic temporal lobe tumor with clinical manifestations very similar, and sometimes difficult to identify. However, the clinical symptoms of brain abscess, especially symptoms of systemic infection occurred in the early, most lesions of infection or recent infection, often slow pulse, although when the temperature increased, but most of the normal blood leukocyte and erythrocyte sedimentation rate can be increased as , CSF protein increased significantly elevated white blood cell more often. Middle cerebral ultrasound waves may occur and abscess wave shift to the opposite side. Cerebral angiography has characteristic performance. CT examination can clearly show the boundary density areas. Detailed history and thorough examination, easy and tumors. Difficult to identify a small number of patients only when surgical exploration confirmed the diagnosis. Temporal lobe subdural hematoma subdural hematoma is not uncommon in clinical, second only to the frontal lobe, seen in any age, and more significant history of trauma, more than 3 weeks after injury with clinical symptoms, the symptoms and the temporal lobe convex neoplasms. Minor injuries, especially injuries were unconscious barriers and longer subdural hematoma with tumor is difficult to differentiate the brain can make use of ultrasound, isotope brain scan, brain CT and other tests to help diagnose, especially in cerebral angiography, before and after Bit like to see the shuttle on the avascular zone may confirm the diagnosis. Hypertensive encephalopathy and cerebrovascular accident and some of the temporal lobe tumors, particularly glioblastoma multiforme, metastatic tumors, can produce tumor hemorrhage, necrosis, cystic degeneration and the onset of coma, like a stroke, especially when the patient suffers high blood pressure, arteriosclerosis, more likely to be considered while ignoring the brain vascular accident diagnosis of intracranial tumors. But their clinical performance compared with hemorrhagic cerebrovascular accident, still more slowly, and most had symptoms of increased intracranial pressure, the condition gradually worsened. In addition, severe hypertension, acute cerebral edema can also be severe headache, vomiting, papilledema, vision loss and a variety of focal cerebral symptoms, therefore, also need to intracranial tumors, especially identification of temporal lobe tumor . But are generally more acute onset, abnormal elevation of blood pressure, or both with other cardiovascular and renal disease. Fundus examination showed arterial thinning, there is bleeding or oozing. And by lowering blood pressure, dehydration treatment, symptoms can be improved more to help the differential diagnosis. For the identification of difficulties can with cerebral angiography and CT examination to confirm the diagnosis. Part of sphenoid ridge tumor of sphenoid ridge meningioma tumors are most common. By
Sphenoid ridge tumor sub-site of the tumor of sphenoid ridge where the outer 1 / 3, 1 / 3 and the 1 / 3 of three parts. The clinical manifestations of sphenoid ridge tumor sites due to tumor location varies. Outer 1 / 3 cases of temporal bone tumors occur with proptosis uplift the sick side of the central facial paralysis and seizures (temporal lobe epilepsy, epilepsy and limitations based) and so on. Symptoms of increased intracranial pressure more in the late. In 1 / 3 tumors showed optic atrophy and contralateral lesion side papilledema (Foster-Kennedy syndrome), anosmia, nasal hemianopia and center eye disease blind spots expanded. Superior orbital fissure and cavernous sinus involvement due to the emergence of the superior orbital syndrome, few cases have exophthalmos. 1 / 3 of tumor, as part of its growth direction can be both inside and outside the 1 / 3 of the performance of the tumor, in 1 / 3 of the most common tumor, when large tumors, it can affect the amount of oppression and extreme temporal pole, the limitations of a corresponding signs, such as the contralateral central facial paralysis or mental symptoms. Skull plain film can be seen that the corresponding parts of the bone destruction or hyperplasia, cerebral angiography and CT, has a characteristic change, easy and temporal lobe tumors. This part of the middle cranial fossa tumors are the most common meningiomas. The early manifestation of clinical symptoms and damage to trigeminal nerve stimulation symptoms, some patients showed disease and the side of trigeminal neuralgia facial hypoesthesia. Disease-side eye movement disorder, there may be diplopia, ptosis, mydriasis, and so on. Involving the optic nerve or optic tract vision loss may occur, primary optic atrophy and isotropic hemianopia and so on. Advanced cancer can compress the medial temporal lobe and uncus appears olfactory magic attack and so on. Film shows the middle cranial fossa skull base bone destruction or proliferation, expansion of foramen ovale and foramen spinosum, rock, and the sphenoid bone can be destructive. Cerebral angiography showed carotid artery siphon was open, raise the middle cerebral artery, cranial fossa can be seen from the pathological vessels, easier and temporal lobe tumors. This part of the hypothalamus of tumor is the most common glioma tumor. Complex clinical symptoms, mainly the hypothalamus (Dèjerine-Roussy) syndrome, including the bust of sensory dysfunction contralateral lesions, particularly in the more significant deep sensory disturbances; lesion contralateral hemiparesis; lesion contralateral bust spontaneous pain; disease limbs ataxia; disease limbs or means designated in dance-like movements. Hypothalamic tumors are usually insidious onset. Inward development of the tumor more obvious psychiatric symptoms; to the endocrine hypothalamus development of symptoms can occur; to the development of the internal capsule lateral hypothalamus may have a "two-side" (paralysis, sensory disturbances half-length) or "three partial" (plus two partial isotropic hemianopia) symptoms, and sometimes even there may be symptoms of pyramidal system involvement; to the thalamus contralateral occipital lesion development than occurs with sexual hemianopia, but also involving the four-Permian, as the show is not on there eyes, ranging from large pupil , tinnitus and hearing disorders. Summarized above, the increased intracranial pressure of patients, such as a "two-side" or "three partial" symptoms, psychiatric symptoms, or basal ganglia, brain tumors should first consider the possible hill. And then through the EEG prescription Pianfangyanfang brain soup: Prunella 30g, seaweed 30g, stone see through 30g, wild chrysanthemum 30g, raw oysters 30g, kelp 15g, red peony root 15g, peach kernel 9g, Angelica 9g; Health Southern Star 9g , centipedes 9g, leaving the line sub-12g, Honeycomb 12g, Scorpio 6g, Denon film 15. 1 day, fry 2 pm service. Denon pieces 3 times with the decoction hours service. Efficacy: Shanghai Traditional Chinese Medical Treatment of a single use of the 11 cases of intracranial tumors, the total effective rate was 72,7%. Recipe hard ginger powder: ginger, realgar the 100g. First brush sand ginger (do not wash) to remove cross branches, dig a small hole with a knife, hollowed out center, leaving only 0.5cm thick walls, filled into the realgar powder to seal the excavated slag ginger , Chen tile home baking with charcoal fire, 7 to 8 hours, until golden, crisp and not for the degree of focus, away from the fire, let cool, small study, over 80 mesh sieve, together with the remaining ginger residue after drying small study, Stir in flour, namely, too. Governing Law: external. Wei Huo drying plaster to take Anqing, male ginger sprinkled evenly dispersed, can block tumor, pain points, sticking points selected parts of the principle of three combinations, dressing was changed every other day. Effect: by the side of Anhui Province People's Hospital, treated brain tumors, liver cancer, lymphoma, osteosarcoma, etc. A total of 777 cases, total effective rate was 64.8%, of which the best effect on brain tumors, the effective rate of 70%.
Brain tumors associated with mental disorders worry about 4 minutes (content expertise) to edit entries summary
There is no summary of the contents of the directory welcome to add the edit summary - [hide] 1 Overview 2 Etiology 3 Symptoms 4 Treatment of editing this section | Back to top Overview
Brain tumors associated with mental disorders is the oppression of intracranial tumor invasion of adjacent brain parenchyma or cerebral blood vessels in brain tissue, causing substantial damage to the brain or increased intracranial pressure associated with mental disorders, patients suffering from brain tumor about 40% 100% of the psychiatric symptoms may occur. Edit this section | Back to the top of the etiology
(A) etiology
Mental disorders due to brain tumor symptoms and some features are closely related to the following aspects
1. Frontotemporal tumor site psychiatric symptoms of their tumor were significantly higher than other parts of the tumor temporal lobe tumor visual hallucinations often appear tumors often show frontal and verbal antics of tumor in the left hemisphere or right hemisphere of the psychiatric symptoms there are also differences in the impact of
2. Brain tumor histological type and growth rate of rapid growth with increased intracranial pressure were more acute organic brain syndrome; chronic growth of the tumor easily lead to cognitive impairment or focal neurological symptoms of slow-growing tumors lead to loss of cognitive intelligence prior to the onset of defects and related
3. Tumor size, the greater the volume of the more obvious symptoms of
4. Premorbid functional status
5. Brain tumor surgery
Overall brain tumor with a variety of mental disorders due to a combination of factors related to
(B) of the pathogenesis
1. Psychotic symptoms in the form of intracranial tumors in the form of mental disorder due to basically be divided into five kinds: directly or indirectly caused by the tumor itself; tumor caused epilepsy and showed the spirit of attack; patients tumors and (or) the occurrence of surgical psychotic reaction; of poor quality were induced affective disorders such as schizophrenia; of organic injury compensation
(1) directly or indirectly caused by the tumor itself:
â‘  the site of tumor is closely associated with mental function, such as temporal lobe frontal limbic system of the corpus callosum and other easy-psychiatric symptoms
â‘¡ tumor growth caused by the expansion of intracranial brain tumors increased about 80% of patients had intracranial tumors caused by intracranial hypertension causes increased intracranial pressure include: tumors in the cranial cavity to occupy a certain volume of space reaches or exceeds the body Ke Generation compensation limit (about the cranial cavity volume of 8% to 10%), increased intracranial pressure appears; tumor obstruction of cerebrospinal fluid circulation path or for any part of the tumor prevents the formation of cerebrospinal fluid absorption, such as obstructive hydrocephalus and midline posterior fossa Cancer is often caused by back disorders and sinus blockage of cerebrospinal fluid circulation pathway can lead to earlier onset of cerebrospinal fluid accumulation of increased intracranial pressure symptoms; brain tumor, cerebral vascular compression of brain tissue blood flow or metabolic disorder caused by brain tumors, especially malignant glial tumors and metastatic tumors and the toxic effects of foreign body reaction to brain tissue around the brain or a more limited range of brain edema; large intracranial tumor compression caused by cerebral vein and sinus congestion, etc.
These factors interact to form a vicious cycle of increased intracranial pressure caused by increased intracranial pressure more and more severe psychiatric symptoms, including neurological disease-like symptoms and mental excitement or depression group main symptom clusters
â‘¢ rapid tumor growth of malignant tumors such as pleomorphic glioblastoma itself can soften the necrotic tissue around the hemorrhage and edema and necrosis of the high degree of psychiatric symptoms caused by invasive easy
â‘£ brain tumors associated with the degree of brain edema, such as the rapid development of metastatic brain cancer and malignant tumors are often associated with severe psychiatric symptoms of cerebral edema prone
In short generally associated with rapid growth and increased intracranial pressure brain tumors showed acute organic syndrome and slow growth of the tumor easily lead to cognitive deficits, although this type of mental disorder, directly or indirectly caused by the tumor itself but also by the personality of the patient
(2) tumor caused by epilepsy and mental performance of seizures: seizures are common symptoms of brain tumor patients with intracranial tumors account for about 30% to 40% of episodes of seizures as the initial symptom of intracranial tumors accounted for 10.3% ( ZHANG Xin Bao, etc. 1986), in particular meningiomas star of glioblastoma multiforme glioblastoma brain tumor and other violations of the limbic system, there may be temporal lobe seizures, that is the spirit of the spirit of the onset of symptomatic form of epilepsy is difficult to draw boundaries, however during epileptic seizures be caused by intrinsic tumor activity but also affect how the spirit of both cancer and epilepsy, where the emergence of mental disorders need further study
(3) patients after resection of intracranial tumors and psychotic reactions have occurred:
â‘  the spirit of the intracranial tumor response: This response depends on the attitude of cancer patients with other somatic disease with psychotic reactions and treatment of cancer patients as too concerned about the prospects for further development of mechanisms for the occurrence of paranoid intention of shirking on health care staff and family members suspected to be hostile to him together with delays in diagnosis and treatment
â‘¡ intracranial tumor surgery a transient psychotic reactions: Nanjing nervous mental diseases hospital from 4 patients with mental disorders due to intracranial tumors in 2 patients after surgery, Department of psychotic reaction in which the right parietal and right frontal meningioma meningiomas The 1 Xu Min-hui (1990) reported posterior fossa tumors after surgery a transient mental disorders in 7 cases in which ependymoma 1 meningioma 1 acoustic neuroma 3 epithelial cyst 1 medulloblastoma 1 or more groups cases were occurred after 1 week up to 3 weeks minimum 2 days in all cases there was no family history of clinical psychiatric symptoms in the excitement and paranoid easy to control with the onset of neural blockade without intracranial CSF expression and tumor pathology has nothing to do
Intracranial tumor, whether before or after surgery or surgery in most patients the tumor was caused brain damage which led to great concern and behavioral responses that were similar to the performance of disaster response is easy patient preoperative anxiety and depression and irritability as tumor growth can occur continuously denied those perceived dysfunction has been very eye-catching signs of their tumors disappear when the anxiety and depression to some extent, these reactions depends on the premorbid personality of patients with previous brain damage adaptation and the speed of previous adaptation to the environment predict their psychological reactions after suffering from cancer patients showed the severity of anxiety and depression is due for its inability to meet the intellectual challenges of the environment due to continued recession in progress when the spirit of the characteristics of patients response is to deny some patients feel good about the performance of euphoria frivolous meaningless joke and pun (stupid sexual humor witzelsucht)
(4), intracranial tumors induced schizophrenia or affective disorders: schizophrenia that have occurred or emotional disorders are susceptible to intracranial tumors is the quality of brain organic diseases of brain function can be reduced to induce these two types of mental illness than genetic influence, as a general rule any previous brain diseases (including schizophrenia) all contribute to later occurrence of another brain diseases such as encephalitis past there was prone to schizophrenia and vice versa the amount of intracranial tumor invasion of the limbic system parts of the temporal lobe of schizophrenia-like psychosis has been caused by some reports have yet to be confirmed
(5) of the organic defect compensation: incur slow-growing brain tumor and the number of defects in brain function in patients with traumatic brain injury patients as compensation for these defects in behavior can occur if the scourge of the start-like reaction may have performance anxiety, depression, and easy irritation can occur later in patients with traumatic brain injury similar to behavior change
2. Intracranial tumor pathology and psychiatric symptoms and psychiatric symptoms in pathological lack of correlation between the different types of tumors, however changes in the behavior associated with a certain regularity
(1) gliomas: astrocytoma including stellate pleomorphic glioblastoma, medulloblastoma control Nanjing Neuropsychiatric Hospital (1986) confirmed by surgery or pathological examination of 27 cases of intracranial tumors induced mental disorders in patients with meningiomas and gliomas 33.3% 59.2% 7.4% metastasis
â‘  stellate glial cell tumors: Nanjing (1988) 27 cases of intracranial tumor astrocytes tumors in 16 patients (40.7%) stellate glial cell tumors occur in the frontal parietal and temporal lobes showed the limitations of the general growth but also the progress of these tumors were invasive to a quite large before the development of psychiatric symptoms, such as the cerebellum and no violations of children's behavioral change until just block the ventricular system increased intracranial pressure caused by the beginning of psychiatric symptoms
â‘¡ multiforme glioblastoma: these tumors occur in the rapid development of the frontal parietal and occipital lobe and the tumor tissue and surrounding brain tissue pathological changes in various forms such psychiatric symptoms appeared earlier with a high degree of tumor growth originating in the side of the frontal lobe infiltrating the corpus callosum and quickly spread to the other side of the frontal lobe of their violations of patients to be more severe dementia, glioblastoma multiforme as a violation of the spirit of the temporal lobe symptoms were impaired at this time, as the pathway can be The detection of visual field defects such as damage to the primary side of the temporal lobe is involved in temporal lobe aphasia often have a spiritual seizure onset was sometimes visible barriers to the mandatory automatic thinking, mood disorders illusion illusion-like dream state of automatic reflection performance of the mouth
â‘¢ medulloblastoma: 80% of patients under 15 years old growing in the middle cerebellar ataxia may have headache, nausea and vomiting, increased intracranial pressure, cranial nerve palsy and a small number of patients involved, there may be Dengmu network structure is often misdiagnosed as mental coma Schizophrenia
(2) meningioma: originated in the Department of arachnoid benign meningiomas are slow-growing fibrous structure of the capsule formation occurs in the basal forebrain and the sagittal area next to the growth of large clinical manifestations may be no decrease or only intelligent Meningiomas generally do not cause dementia and this is due to a reduced ability to adapt to the patient through the defense mechanism to compensate for the lack of ability to adapt to occur if the barriers to more patients with tumor volume before the adaptation needs and low levels of disease related
Less likely to cause these tumors to increased intracranial pressure until late in the areas adjacent to the sagittal meningiomas can cause one or both lower limbs were weak or negative economic movement Patton misdiagnosed as hysteria, and Shepherd (1956) pointed out that the meningioma is a mental illness scientists are most interested mostly in the lifetime of a class because of other diseases were not detected until after death was found
(3) pituitary tumors: pituitary tumors can be caused by endocrine disorders or visual impairment staining close to the difficulty of the third ventricle craniopharyngioma pituitary pineal ependymoma tumors can cause significant mental disorders when the first tumor compression third ventricle or worsening symptoms of frontal lobe performance of mental retardation drowsiness no desire concentration difficulties and memory deficit even in a sleepy state of euphoria fictitious patients, such as wake-up appeared to be too easy to irritation adverse events and determine the pituitary tumors seen hallucinations and delusions
(4) nerve sheath tumors: Schwannoma tumor, also known as Schwann cells or nerve sheath tumors in most cases, the capsule is complete with single aneurysm neural adhesion prevalent in the auditory nerve can be seen in the trigeminal nerve of the facial nerve glossopharyngeal nerve and the nerve distribution to the cerebellopontine angle can also occur in up to middle cranial fossa parasellar foramen magnum about 8% of all intracranial tumors 12% of early hearing loss caused by violations of the auditory nerve symptoms such as dizziness and tinnitus and dizziness tumor volume increased involvement of cerebellum and brain stem appeared the performance of even the formation of obstructive hydrocephalus caused by these tumors were few and minor psychiatric symptoms but some patients with auditory nerve sheath tumor reduction in hearing can hear voices on one side
(5) metastatic cancer: malignant brain tumor metastases accounted for 87% of primary tumors in male breast cancer to the lung and the females are the main pathological nature of the progress to adenocarcinoma metastatic to the rapid onset of symptoms from only 3 metastases 6 months the incidence of psychiatric symptoms very high altitude intracranial tumors psychiatric symptoms was 1 / 2 single intracranial metastasis is 1 / 3 of multiple brain metastases is 4 / 5 and diffuse meningeal metastasis cancer was 100% of psychiatric symptoms, including delirium, amnesia, apathy balderdash about the lack of some patients will see no desire stupid euphoria of patients with advanced metastatic carcinoma of humor to the sense of reducing memory loss and confusion no desire indifference directed the development of undesirable drowsiness dementia
3. Of psychiatric symptoms caused by brain tumor factors
(1) Sex and age: Nanjing (1986) 77 male 44 female cases and 33 other domestic data (Luo sincere 1963; Xia Yi Town, 1963) data indicate that female common domestic and international young people 30 to 50-year-old common Law Zhong sincere (1963) had no psychiatric symptoms and behavioral changes in the age groups compared with intracranial tumors found to have the spirit of the age than those without such symptoms were small performance
(2) of disease: refers to the onset to the hospital during the Luo sincere (1963) reported that psychiatric symptoms of patients with intracranial disease was shorter than those without behavioral changes likely to cause psychiatric symptoms prompted attention and early consultation around
(3) Genetic: The exact cause of intracranial tumors intracranial tumors is not clear on whether the genetic causes of psychiatric symptoms linked to brain tumors is still being explored because sometimes there may be similar in patients with schizophrenia or bipolar disorder symptoms therefore Quality problems in patients with premorbid attention Bleuler pointed out that these groups of non-organic nature of psychotic symptoms can be investigated from the family history of psychiatric problems found with the "intrinsic" spirit of the symptoms of brain tumors in families of schizophrenic patients or schizoid personality and bipolar disorder compared to those of the general population prevalence Davison (1986) Integrated 8 groups of patients a total of 3,000 cases of brain tumors in schizophrenia prevalence rate of 0% to 3.5% median and standard error of 1.2% ± 0.2% higher than the general population prevalence of schizophrenia is clear from 0.2% to 0.5% of brain tumors and is associated with schizophrenia may be more likely to expect a large brain tumor Bleuler's views are not caused by schizophrenia or bipolar disorder itself The brain tumor but it can enhance the appearance rate of genetic predisposition; Davison that the brain tumor is likely to cause similar manifestations of schizophrenia
(4) tumor: a tumor infiltration of both sides of the hemisphere can trigger mental symptoms not necessarily caused by the side of hemispheric involvement in supratentorial and infratentorial tumors can be caused by mental illness like cancer because of the location and nature of such differ Keschner (19,371,938) 530 cases reported 412 cases of brain tumors in which 315 patients with psychiatric symptoms in 61 cases on the screen under the screen and mostly minor psychiatric symptoms in late to take a short while after they pointed out that the more common supratentorial tumor hallucinations visual hallucinations unusual to hear about the two hemispheres psychiatric symptoms occur when a tumor is causing the opportunities and lead to more attention to the form of some scholars (Kesehner other 1938; Gibbs 1938) reported that the left side of the tumor is causing more mental symptoms, but no statistically significant difference by Bingley (1958) pointed out that in the absence of the case of increased intracranial pressure intelligence and affective disorders especially prevalent in the left temporal lobe Houming De (1963), 82 cases of brain tumors in the 1 in the midline in the left occipital lobe 32.6% of those with mental symptoms and 34.2% of those on the right side there was no significant difference in behavior change
(5), increased intracranial pressure: Mental symptoms of increased intracranial pressure and the relationship between specific analysis can not be generalized to be caused by increased intracranial pressure than the optic disc edema, headache, vomiting and dizziness and confusion outside may have the spirit of apathy and even coma slow performance when the application decompression surgery or infusion of hypertonic glucose solution may be reduced or disappear when the Busch (1967) that mental retardation has nothing to do with increased intracranial pressure and mental retardation associated with, increased intracranial pressure caused by short addition to the corresponding other forms of mental symptoms behavior change has nothing to do with increased intracranial pressure
(6) psychological factors: In addition to the individual character and quality of external trauma patients with intracranial also evoked some of the factors that cause psychiatric symptoms 1 case of male right parietal meningiomas before surgery when the tumor was isolated from the review of hospitalization due to symptoms patients that a diagnosis was too late to delay surgery after surgery when the suspicious nurse dispensing phenytoin phenytoin say it was his turn for a drug suspected food poison suspected of containing his beloved mother came from a bad injury to his non-pregnant intentions to be jumped from the window is blocked can be virtually any organic mental disorder symptoms in the spirit of life events to reflect premorbid early in the disease so at least edit this paragraph | Back to top Symptoms
Variety of clinical manifestations of early and sometimes when symptoms are not typical are the basic characteristics of the tumor with a brain tumor when the incidence of advanced stage disease more often slow initial symptoms of increased intracranial pressure such as headache, vomiting and neurological symptoms such as decreased muscle strength, positioning and epilepsy weeks and months or years after an increase in symptoms of the disease may increase the acute onset in a few hours or several days, a sudden deterioration of the disease paralyzed Hun Mici more common in the tumor cystic tumor hemorrhage (aneurysm Zuzhong) highly malignant tumor metastasis complicated by diffuse because of acute cerebral edema, or tumor (cyst) of cerebrospinal fluid circulation path suddenly blocked the rapid increase in intracranial pressure lead to brain herniation and death
1. General symptoms include physical symptoms and psychological symptoms
(1) physical symptoms: headache, nausea and vomiting, visual loss is optic disc edema and increased intracranial pressure caused by brain tumors 3 mainly because about 80% of brain tumor growth and expansion of the intracranial tumor patients had increased intracranial pressure
â‘  headache: the beginning of the morning and evening for the attack the day after the headache frequency increased more common part of many headaches in the frontal and temporal posterior fossa tumors and may be occipital headache after orbital radiation to the tumor where the Ce short headache significantly with the progression of the disease can gradually increasing headache and sneezing was forced down persistent cough headache exacerbated when emotions lie down to reduce the time
â‘¡ vomiting: more than an empty stomach in the morning or when the vomiting occurs more commonly severe headache, most patients with nausea and lack of nausea and vomiting are not common emergency ejection in patients with severe vomiting and can not eat food after line of spit on the screen than infratentorial tumors occupying more than the damage occurred early and vomiting
â‘¢ optic disc edema: the next screen and optic disc edema and midline tumors appeared early and slow-growing tumor on the screen then appeared later and did not even occur mostly bilateral optic disc edema and visual impairment in early vision examination revealed no physiological blind spot continued expansion of the optic disc edema after a long time following the Fat pale optic atrophy optic disc gradually decreased visual acuity prompted the performance of the optic nerve atrophy has even blindness secondary
The other about 1 / 3 of patients with brain tumors occur frequently seizures increased intracranial pressure may also have seizures when the balance of adverse orthostatic distribution area of the trigeminal nerve tenderness dizziness, diplopia, abducens nerve palsy, etc. cataplexy in patients with acute or subacute cases can still have the pulse of blood pressure and respiration and pulse may be slow to 50 to 60 times per minute transfer between the breathing slow and become darker when the intracranial pressure continued to increase faster pulse and no law can be
(2) psychiatric symptoms: general psychotic symptoms of intracranial tumors, including confusion forgotten relatively rare syndrome, dementia, and manic-depressive psychosis and schizophrenia-like
â‘  Confusion: Confusion is the general symptoms of brain tumors in different forms and can be expressed as the variability seen in any part of the fast-growing tumors are acute cerebral organic syndrome Bleuler (1951) reported that 37% of cases, but usually there is confusion not serious clinical problems seen slow to understand and slow reaction sluggish apathy inattention lethargy disorientation third ventricle colloid cyst occurring as intermittent hydrocephalus can be a fluctuating disturbance of consciousness and sometimes patients may suddenly return to normal sometimes the state will soon turn into delirium when the intracranial pressure was significantly higher state of consciousness can occur rapidly deteriorating This is due to hernia of the hook back to the confusion it is not entirely caused by the increased intracranial pressure due to loss of brain stem and brain tumors, and network inter- like structure can also occur when the confusion or coma attack
â‘¡ forgotten syndrome: Bleuler (1951) share the information forgotten syndrome, brain tumor, 38% of cases of diffuse brain damage is the result of the slow growth of this syndrome is common in cases of intracranial tumors (Gelder 1983, etc.), but close to the bottom of the third ventricle of the brain and can also cause damage to the limitations of increased intracranial pressure when the time value of forgotten syndrome without positioning the absence of increased intracranial pressure has prompted the Ministry of cancer patients early in the skull base can be decreased recent memory performance or forgotten past experience Memory can not replicate or even new memory occurs immediate memory can be distorted but the general development of the disease is relatively good, there may be disorientation, anterograde amnesia, and accompanied by the phenomenon of Xhosa fiction Markov syndrome patients often indifferent to the shortcomings of memory
â‘¢ dementia: slow growth and relatively long disease of brain tumor patients can show understanding of dementia and discretion for calculating the performance of the defects at an early stage because of this symptom can not meet the work to be identified and fast growth of polymorphous infiltration into glial cell tumor may occur shortly after the onset of mental decline Sachs (1950) pointed out that meningiomas can cause dementia, especially for older patients with brain tumors rapidly developing dementia of any particular state of the patient's body should be suspected disproportionate brain tumor middle-aged and elderly patients there is increased intracranial pressure syndrome can be forgotten in the early stage of advanced dementia, there may be the outcome of thinking often slow thinking, poor empty the contents of inconsistent statements can not understand the strange behavior disorders and mental retardation
⑤ affective disorder: brain tumors associated with affective disorders more common in the general apathy less depression and more indifferent to external things to look sluggish on lack of initiative; also be seen laughing and crying without cause mood swings irritability, anxiety, depression, irritability, crying easily; in particular, temporal lobe tumor with intracranial tumors are rare manic hair companion made the performance of naive patients with frontal lobe tumors occasionally euphoric symptoms
â‘¥ based on the occurrence of heart because of psychotic reaction: whether it is the attitude of intracranial tumors in patients with psychotic reactions occur after surgery or transient psychotic reactions are the basis of existing cardiac disease before the patient is also related to the personality behavior of organic non-specific defects found in the compensation brain injury and other brain organic diseases see the head injury associated with mental disorders section
⑦ patients with personality changes and behavioral performance decrease lack of initiative and interest in life, lack of lazy behavior of a passive sense of shame I do not know do not take the initiative to clean and eat all day sitting or even similar to the bedridden silent stupor; some running around or shouting or collection of filth abnormal behavior and personality changes often simultaneously intelligent change
2. Limitations of diagnosis of symptoms related to cancer and nervous system must pay attention to the positioning of the symptoms can be combined to make the right judgments emergence of psychotic symptoms due to tumor involvement of the different parts of the performance of the positioning of different symptoms in different parts of the brain features can have their neural anatomy of the area to determine the structure and physiological function
(1) frontal lobe: the frontal lobe in the front of the central sulcus and the lateral fissure on the back and bottom of the frontal cerebral artery from the inner side of the frontal lobe tumors from the anterior cerebral artery can be barriers to the performance of three language and voluntary movement mental activities
â‘  voluntary movements: the frontal lobe contralateral efferent impulses reach the cerebellum via the pons on the free movement of Freemasonry adjust the lateral frontal lobe tumors can cause back of the contralateral limb ataxia without nystagmus central gyrus that movement occurred when the tumor Exercise can cause focal seizures without loss of consciousness or finger hemifacial clonic convulsions occurred
â‘¡ language: the left inferior frontal lesions of the island covered in motion or expressive aphasia
â‘¢ mental activity: expression of indifference mainly dull the spirit of understanding and sense memory, decreased attention and comprehensive thinking, reduced ability to pay attention to clean toilet and sometimes I wonder if there is strong grip and explore the reflection may have damaged the main hemisphere aphasia
A. Personality changes: the behavior of frontal lobe tumor patients become euphoric feeling awkward childish indulgence and the idiocy of the performance of lewd humor in patients with frontal lobe tumors to the contrary feelings and will exist for the characteristics of activities, such as euphoria and apathy co-exist jokes and the indifference of the surrounding bowel and self-control with the irresponsible lack of change in the future will also common
B. no desire - Sports can not - will of the deficiency syndrome (apathetic-akinetic-abulic syndrome): prefrontal lesions can occur on both sides of this syndrome, especially patients with impaired performance of apathy do not pay attention to the lack of interest around the instrument clean slow decline careless lack of imagination and initiative thinking ability and memory and slow mental deterioration of wood to stay confused facial expression
C. stupor: the rapid growth of frontal lobe tumor expression was observed in patients with stupor of inactivity in silence for a long time not eat there urine control can even be an obstacle
The frontal lobe is not a specific clinical syndrome as seen in temporal lobe tumors in the temporal lobe damage caused by the hook back to the attack can be found in the frontal lobe tumor
(2) of the corpus callosum: surgical removal of the corpus callosum does not produce any symptoms of the corpus callosum tumors cause severe psychiatric symptoms than other parts of the more common mainly due to losses and the adjacent frontal lobe and between the brain, the brain between the corpus callosum Tsui tumor of 92% of mental symptoms of middle 57% pressing the Department for 89% (Schlesinger 1950) Selescki (1964) also considered that after the former Ministry of common tumor of the corpus callosum in the absence of headache and neurological signs of increased intracranial pressure before the spirit of the already obvious decline (Lishman1978 ) Clinical, there may be affective disorder and intellectual defects of the corpus callosum anterior and middle 1 / 3 the tumor may have speech disorders such as speech-poor imitation of speech and of verbal comprehension defects of the corpus callosum posterior damage were often appear and memory and disorientation of the things around Recognition is also difficult because the tumor was easily damage occurred near the third ventricle of the brain tissue, such as between the cingulate and other brain and thereby enrich the spirit of the symptoms associated with corpus callosum tumors personality disorder similar to those caused by tumors involving the frontal brain area can be seen between sleepiness sleeping and motor abnormalities can not be a strange attitude similar exercise stress disorder
(3) the temporal lobe: Temporal lobe tumor is glaring when the psychiatric symptoms of increased intracranial pressure more than a feeling of visual field defect, mental automatism epileptic aphasia illusion of deep lesions, there may be contralateral to the hemianopia with or 1 / 4 of visual field defects in primary hemisphere lesions Because there may be sensory aphasia with temporal lobe and frontal lobe adjacent to the fiber links it closely, there may be some of the frontal lobe where the tumor symptoms such as personality changes, no desire - Sports can not - will be limited to the lack of temporal lobe syndrome, stupor and so the tumor can be There are two forms of mental disorders, including intermittent hook back episodes of seizures and behavior and mood changes
â‘  hook back to the attack: Magic attack often begin suddenly taste and smell Magic olfactory odor or taste or odor may be associated with mild dizziness followed by some confusion and a dream-like state was called the hook back to the time patients do not attack realistic, such as deja vu or something as new as the old thing was big or small around the sound was particularly loud that the perception of space and time have changed the time that distant objects appear near the film kind of flies fast lens that is too long may have experienced abdominal flash discomfort is also associated with fear of the uplink for the original visions of a dream to see the light but complex hallucinations associated with auditory hallucinations rare common illusion is often interwoven with other forms of complex formation with the kind of experience the onset of sleep talking mouth automatic action can be seen licking lips taste like chewing movement
â‘¡ automatism: automatic multi-disease is also common symptoms in the evening in the form of an automatic temporary post for one more forgotten variety of patients can only simple movements such as walking in the room is not the purpose of sorting clothes and sometimes things move a more complex behavior can occur such as roaming out automatically each time as a specific disease onset in patients with the same
â‘¢ Fazuo intermittent behavior and mood changes of: temporal lobe tumor did not change when the character similar to frontal lobe tumor-specific, such as when the aforementioned Strobos (1953)    11% of patients with temporal lobe tumors and paranoid personality disorders tend to focus on their own Health and irritability temporal lobe tumors outstanding personality of the original or a premorbid personality of the tumor or the response form of epilepsy
The performance of emotional instability and irritability often full of aggressive emotion outbreaks and acts of violence are some of the temporal lobe tumors, such as performance anxiety, depression, dysphoria and depression need to distinguish
Interictal schizophrenia-like psychosis there were not uncommon in most of these mental disorders seen in temporal lobe tumor was followed also found in pituitary tumor (Lishman1978) some of these cases the tumor may cause or induce the onset of symptoms with schizophrenia, the genetic quality of the others might caused directly by temporal lobe lesions
(4) parietal lobe: lobe tumors cause psychiatric symptoms than the frontal or temporal lobe tumor less easily lead to cognitive dysfunction sensory dysfunction often occurs mainly sensory epilepsy sensory trunk contralateral limb (including the cortex sense), episodes of decreased sensation abnormal loss of use of such lesions may be beneath the main hemisphere miscalculations and self-reading agraphia agnosia disorders such as body parts of parietal lobe lesions cause motor and sensory aspects of the earlier signs of lower lobe tumors misdiagnosed as mental illness can occur when the integrated sensory dysfunction Advanced Many patients with complex cognitive activities can cause obstacles to bilateral parietal lesions determine the difficulty and terrain visual-spatial disorientation
The formation of the body like the parietal cortex, passing information through proprioception comprehensive results are therefore a variety of parietal lobe tumors may present with loss of body image disturbance, such as awareness or neglect of one side (unilateral unawareness or neglect) hemi-body identification (hemisomatognosis) adverse disease agnosia (anosognosis) from the body parts agnosia (autotopagnosia) duplication (reduplication phenomenon) can not form comprehensive (amorphosynthesis) and other patients not impaired sense of touch and pain but can not identify objects by touch sensory disturbance that entity (astereognosis ) can not say a word or graphics program palm what is commonly known as writing a sense of loss when the tumor spread to the occipital lobe visible when the rear looks agnosia
Parietal lobe performance of cancer patients may have depressive personality disorder is rarely seen in these patients on self and surroundings (such as clothing) and so are not properly pay attention to patients, there may be hesitation and difficulty dressing apraxia as dressing (dressing apraxia ) sometimes leads to misdiagnosed as dementia or hysteria
(5) the occipital lobe: The occipital lobe is relatively rare cancer caused by psychiatric symptoms mainly visual barriers to visions most common cause of visual field defects in addition to no clear limitations outside the clinical symptoms of primary produce hemianopia contralateral to the hemisphere with the lesion can be visual agnosia did not know that that is the color of objects and posterior parietal lobe and temporal lobe contralateral lesions appear only 1 / 4 or 1 / 4 of visual field defects such as pungent as the occipital lobe lesions seen visions of Original occipital lobe tumor involving the parietal and temporal lobes, as the magic when the image of the complex where the tumor earlier because of increased intracranial pressure caused by psychiatric symptoms can have a corresponding
(6) between the brain: The tumor can damage the hypothalamus and adjacent hypothalamic third ventricle can be expressed metabolism dysfunction of the autonomic nervous endocrine disorder neuropsychiatric disorders showed significantly more psychiatric symptoms such as memory impairment obvious personality changes recession in the major intelligence are: irritability allergic irresponsible reckless impulse excited to work others do not care about childish behavior and personal habits, etc.
â‘  memory impairment: a tumor involving the third ventricle, 14% had memory deficit (Williams and Pennybacker1954) showed some cracks - between fictional syndrome violations craniopharyngioma brain and third ventricle increased intracranial pressure, such as exclusion factors of memory impairment can also be found in special
â‘¡ dementia: the cerebrospinal fluid circulation can cause chronic obstructive cortical atrophy of brain tumors among so performance may have dementia, especially in middle-aged and elderly patients prone to
â‘¢ personality changes: brain tumor can be seen between the frontal lobe syndrome similar to personality changes such as decreased initiative and other acts of childish humor, but with differences between frontal lobe damage in patients with brain lesions are not impaired insight
â‘£ paroxysmal or periodic mental disorders: part of lesions between the brain can cause behavioral changes in patients with paroxysmal or recurrent mood swings of mood and sometimes large and sometimes depression or emotional control to reduce the frequently caused anger among brain tumors confined to non-visible the purpose of excitement and stagnation phase alternating psychosis trance each phase lasting 1 to 2 weeks in patients with third ventricle colloid cyst may have a sudden headache start and sudden stop episodes of delirium or confusion
⑤ sleepiness - bulimia: a common cause of brain tumors between somnolence and sleep over but can wake up a diagnosis of some value to increase appetite
(7) Under the Canopy of the tumor: the spirit of infratentorial tumors less symptoms and more advanced stage of such disease, including the cerebellum and medulla oblongata cerebellopontine angle tumor pontine which the cerebellum and posterior fossa tumors of the cerebellopontine tumor clinical sites in myeloid Wilms tumor and nerve sheath tumors referred to in the lower pons and medulla oblongata in the brain stem of biological growth if there are new episodes of silence may appear slow thinking, mood swings and memory deficit and confusion to loss of consciousness, increased intracranial pressure has nothing to do with the onset of sustained short-term only 3 ~ 10min associated with blood pressure, heart rate respiratory changes in skin color, limb muscle tension in the posterior fossa tumor patients before and after surgery are prone to short-term disorder mainly for the time conscious as depression or paranoid psychosis
(8) Central Area: You can boost the performance of the limitations of the contralateral limb symptoms also may develop seizure generalized seizure
(9) pituitary: the performance of sleepiness and more limitations of urinary function in obese amnesia and personality change uncus of temporal lobe epilepsy seizures and other mental retardation apathy indifference to their own health behavior of the passive mood swings irritability or sudden anger is also common or there paranoid state
Must comply with the CCMD-2-R in the brain organic mental disorder diagnostic criteria and on the evidence of intracranial tumor and the occurrence and course of mental disorders associated with brain tumor brain tumor associated with psychiatric symptoms are not typical behavioral changes Location signs and symptoms of the lack of difficulty are first diagnosed with history and physical examination to make early diagnosis of brain tumors
The importance of early diagnosis of brain tumors should first be clear: whether with or without brain tumors and other intracranial diseases require identification; the site of tumor growth and the relationship with the surrounding structures for accurate positioning of craniotomy is very important; tumor properties, such as pathological diagnosis can be done in determining the treatment and prognosis Jieyou reference to history and clinical examination is the basis of correct diagnosis of brain tumors after onset of initial symptoms and the order of onset of symptoms is important for diagnosis of headache and nausea and vomiting optic disc edema is a common somatic symptoms three psychiatrists for all patients with mental disorders should be carefully conducted physical examination and neurological examination of headache patients with chronic headache patients can not be taken lightly nature of change or new headache with no known cause of paroxysmal headache started after the should pay particular attention to the continuing exclusion of intracranial tumors, brain tumors may show some short-term or special dysfunction occurs when the parietal lobe the tumor confusing area of cognitive impairment or next to the sagittal side of lower limb weakness occurs when the tumor is easy to be confused with hysteria attention
Some parts of the tumor can cause sluggish, and the like silence to less stress disorder misdiagnosed as tension-type performance at home and abroad about the misdiagnosis of schizophrenia reported misdiagnosed as schizophrenia, depression and hysteria for a maximum performance of many brain tumor patients with depressive symptoms low-fat mania
Abnormal behavior by family members of patients to companion of the situation if the disease progresses and the clinical course of disease unrelated to the continued progress sh
ould consider the possibility of brain tumor symptoms of brain without the limitations of any specific brain disease spread to these areas can cause if it is to be assisted with medical history and Check Edit this paragraph to be considered full | Back to top Treatment
(A) treatment
Early detection and early treatment of all diseases is the principle of treatment of intracranial tumors sooner the better the treatment is no exception treatment, including surgery chemotherapy radiotherapy immunotherapy Chinese medicine and other psychiatric symptoms should be chosen for the side effects of high prices and small dose of antipsychotic medication should not be too large, especially in postoperative chemotherapy and radiotherapy in patients with epilepsy associated with plasma concentrations should be monitored
(B) prognosis
Term evaluation of disease: participation in evaluating the authority of a total of 0 0% 0% rich professional good 0% 0% 0% I have to evaluate the poor:
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