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What is Brainstem Glioma?
Brainstem glioma is tumor that occurs in the region of the brain referred to as the brain stem, which is the area between the aqueduct of Sylvius and the fourth ventricle. Although various systems are used to classify these tumors, the authors have divided brainstem gliomas into 3 distinct anatomic locations—diffuse intrinsic pontine, tectal and cervicomedullary. Intrinsic pontine gliomas carry a grave prognosis. Longer survival is associated with the tectal and cervicomedullary gliomas. Tumors also are characterized on the basis of site of origin, focality, direction and extent of tumor growth, degree of brainstem enlargement, degree of exophytic growth and presence or absence of cysts, necrosis, hemorrhage and hydrocephalus.
Symptoms of Brainstem Glioma
Common symptoms include, but are not necessarily limited to:
* Lack of facial control, (droopy eyelids)
* Double vision
* Headache or headache that gets better after vomiting
* Nausea and vomiting
* Weakness and fatigue
* Seizures
* Balance problems
Symptoms can develop slowly and subtly and may go unnoticed for months. In other cases, the symptoms may arise abruptly. A sudden onset of symptoms tends to occur with more rapidly growing, high-grade tumors.
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