CNS (Brain) Tumours Flashcards

1
Q

def

A

an abnormal growth within the cranium

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2
Q

what types of brain tumours are there

A

primary

secondary (metastases)

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3
Q

what do patients with brain tumours commonly present with

A
signs of raised ICP
headache
altered mental status
N+V
gait problems
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4
Q

aetiology

A

children - embryonic defect

adults - unknown

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5
Q

epi

A

common in children and elderly

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6
Q

how does someone with a CNS tumour present

A

signs of raised ICP (headache, N+V)
seizures
focal neurological deficits (dysphagia, hemiparesis, ataxia, visual field defects)
personality change

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7
Q

what might be seen on examination

A

papilloedema (raised ICP)

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8
Q

what symptoms would be present with a tumour in the olfactory groove

A

anosmia

frontal lobe dysfunction

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9
Q

what symptoms would be present with a tumour in the cavernous sinus

A

opthalmoplegia

V1 and V2 sensory loss

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10
Q

what symptoms would be present with a tumour in foster kennedy syndrome

A

meningioma compressing CNII
ipsilateral optic actrophy
contralateral papilloedema

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11
Q

what symptoms would be present with a tumour in the pituitary fossa

A

bitemporal hemianopia

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12
Q

what symptoms would be present with a tumour in parinauds syndrome (pineal region)

A

impairs upgaze

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13
Q

what symptoms would be present with a tumour in the para-saggital region

A

spastic paraparesis

mimics cord compression

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14
Q

what is the most common primary CNS tumour

A

meningioma

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15
Q

what is an acoustic neuroma (vestibular schwannoma)

A

benign tumour in the cerebellopontine angle which grows from vestibular component of vestibulocochlear nerve

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16
Q

how does acoustic neuroma (vestibular schwannoma) present

A

unilateral sensineural hearing loss

17
Q

what is a risk factor for acoustic neuroma (vestibular schwannoma)

A

neurofibromatosis 2

18
Q

what is a medulloblastoma

A

malignant invasive tumour

19
Q

what is a lymphoma

A

highly malignant tumour

20
Q

who presents with lymphoma

A

immunosuppressed tumours

21
Q

where are haemangioblastomas commonly found

A

cerebellum

22
Q

what is the first line investigation for CNS tumours

A

CT head

23
Q

when is an MRI the first line investigation for a CNS tumour

A

pituitary adenoma