Medulloblastoma
The medulloblastoma accounts for about 20% of pediatric
brain tumors. It is, however, also seen in adults. These
brain tumors are always found in the cerebellum (the
back part of the brain). These tumors tend to grow quickly
and can spread along the spinal fluid to other parts
of the nervous system. In particular medulloblastomas
can spread to the spine and cause spinal cord compression.
Medulloblastoma Symptoms
Medulloblastomas tend to cause symptoms related to
elevated pressure in the head caused by blockage of
spinal fluid. This results in hydrocephalus, which can
present with headaches, nausea and vomiting. Pressure
on the cerebellum can cause balance problems.
Medulloblastoma Diagnosis
As always, a careful history and physical examination
are the first steps in diagnosis. CT
or MRI scanning of
the brain without and with intravenous contrast enhancement
followed by MRI scanning of the entire spine are the
next steps.
Medulloblastoma Treatment
Surgery to remove as much tumor as safely possible
is the usual first step in the treatment of medulloblastoma.
Depending on the situation, a spinal fluid shunt may
need to be placed. Radiation
therapy generally follows surgery. This can include
radiation to the brain and spine. Children under the
age of three might be treated with chemotherapy. Chemotherapy
might also be used to treat older patients.
Call 1-800-411-CINN or the location
nearest you between 8 AM and 5:30 PM Central
Time, Monday through Friday to schedule an initial consultation
with a CINN
physician.
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