Metastatic brain tumor

Disease	Injury	Nutrition	Poison

Special Topic	Surgery	Symptoms	Test

Brain

Metastatic brain tumor

Alternative Names:

Brain tumor - secondary; Brain tumor - metastatic; Cancer - brain tumor (secondary)

Symptoms:

Headache
- Recent onset of new type
- Persistent
Vomiting, may or may not be accompanied by nausea
Personality changes
Emotional instability, rapid emotional changes
Intellectual decline
- Memory loss
- Calculating deficiencies
- Impaired judgment
Seizures, new onset
Neurologic losses, one or more
- Vision changes, double vision, decreased vision
- Changes in sensation of a body area
- Weakness of a body area
- Speech difficulties
- Decreased coordination, clumsiness, falls
Fever (sometimes)
Lethargy
General ill feeling (malaise)
Eyes, pupils different size

Note: Specific symptoms vary. Symptoms commonly seen with most types of metastatic brain tumor are the symptoms caused by increased pressure in the brain.

Signs and tests:

An examination reveals focal (localized) or general neurologic changes that are specific to the location of the tumor. Signs of increased intracranial pressure are also common. Some tumors may not show symptoms until they are very large; then they suddenly cause rapid neurologic decline. The original (primary) tumor may already be known, or it may be discovered after examination of tumor tissues from the brain indicates that it is a metastatic type of tumor.

A head CT scan or MRI of the head confirms the diagnosis of brain tumor and localizes the tumor.
Cerebral angiography is occasionally performed. It may show a space-occupying mass, which may or may not be highly vascular (filled with blood vessels).
A chest X-ray, mammogram, and other tests are performed to look for the original site of the tumor.
An EEG may reveal focal (localized) abnormalities.
An examination of tissue removed from the tumor during surgery or CT scan-guided biopsy is used to confirm the exact type of tumor. If the primary tumor can be located outside of the brain, the primary tumor is usually biopsied rather than the brain tumor.
A lumbar puncture (spinal tap) is sometimes also performed to test the cerebral spinal fluid.

Review Date: 11/7/2002
Reviewed By: Ezra E. W. Cohen, M.D., Department of Medicine, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.

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