Brain Tumors

Almario G. Jabson, M.D.

 Incidence: Metatasis most common

Primary Brain Tumors

Glioma

Site: adults: supratentorial

children: infratentorial

Classification
WHO:

Neuroepithelial:
Astrocyte- astrocytomas
Oligodendrocytes- olidendrogliomas
Ependymal cells and choroid plexus
ependymoma and choroid plexus

papilloma
Neurons: ganglioglioma, gangliocytoma,

neuroblastoma
Pineal Cells: Pineocytoma, pineoblastoma
Embryonic: PNET

 Meninges: meningioma
Nerve Sheath Cells: Neuroma

Neurofibroma
Blood Vessels: Hemangioblastoma
Germ Cells: Germinoma, Teratoma
Tumors of maldevelopmental Origin

Craniopharyngioma, Epidermoid/Dermoid Cysts,

Colloid Cyst

Anterior Pituitary Gland: Pituitary Adenoma

Presentation
Mass Effect Increased ICP
Focal Damage- Loss or disturbed

function
including siezures

Disturbed Function

Diagnostics
Skull X ray: little value
CT Scan with Contrast
MRI with Gadolinium
Angiography

Management
Anticonvulsants:
Mannitol
Furosemide
Operative Management
Radiotheraphy
SRS
Chemotheraphy

Intrinsic Brain Tumors

Astrocytoma

Grade I Pilocytic
Grade II Low grade Astrocytoma
fibrillary and protoplasmic
Grade III Anaplastic Astrocytoma
Grade IV Glioblastoma Multiforme

 Oligodendroglioma:
Metastatic Tumors:

Extrinsic Brain Tumors

Meningioma

 Pituitary Adenoma
Hormone effects
Visual disturbance

 Craniopharyngioma

 Ependymoma

 Choroid Plexus Papilloma

Intrinsic Post Fossa Tumors

Medulloblastoma

 Cerebellar Astrocytoma
Hemangioblastoma

Extrinsic infratentorial Tumors

Vestibular Schwnomma

 Meningioma