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Large tumor at brain stem and right cerebellar hemisphere - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Stroke
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello Doctor,



Here one of my friend daughter has some problem in the brain. The below is some of the details of the medical report.

Impression: Large tumor at brain stem and right cerebellar hemisphere resulting in obstructive hypertensive hydrocephalus likely consistent with medulloblastoma versus pediatric glioma

could you kindly explain about this
Doctor :   hi
Doctor :  
ok
User :   hello doctor
Doctor :  
the report says that there is a tumor located in brain stem area and right cerebellum
User :   okay
Doctor :  
which is resulting in obstruction of the CSF (cerebrospinal fluid) drainage
User :   What is the cause of this?
Doctor :  
which is causing is ti accumulate leading to hydrocephalus
Doctor :  
the tumor type is suggested as meduloblastoma, i.e, arising from the medulla, or the glial cells of the brail
Doctor :  
*brain
User :   oh!
Doctor :  
the cause of this could be genetic cause
User :   Doctor, she is only 2 years old
User :   How do you rate this patient?
User :   Can you tell me, what type of solution we need to follow
Doctor :   the pediatric tumors for the brain stem/medulla is known to occur early in the children
Doctor :  
and it is known to lead to problems with ataxia and ambulation
Doctor :  
along with the effects that she is already having of the hydrocephalus
Doctor :  
due to which she will have symptoms related to increased intracranial pressure
Doctor :   surgery is suggested for such patients to relieve the raised intracranial pressure
Doctor :  
and drain the hydrocephalus
Doctor :  
and the excision of tumor
User :   Doctor, is this a serious problem?
Doctor :  
followed by irradiation for the other left off tumor cell if any to die out
Doctor :  
it is a serious problem, and early intervention will help this child in leading a near normal life after the surgery and radiation therapy
Doctor :  
along with physiotherapy and behavioural therapy to support her
User :   After the surgery the problem will be solved and child could return back to the normal stage as like other childs?
Doctor :  
you can opt for a second opinion from our panel neurologist to know more about the prognosis, treatment options and the rehabilitative care
User :   yes Doctor
Doctor :  
they may not be as normal as the other children, if there are any residual effects
Doctor :  
but otherwise early surgery and radiation therapy along with the rehabilitation support
Doctor :  
help these children to lead a near normal life
Doctor :  
would you like to go for a second opinion?
Doctor :  
form our panel specialists?
User :   yes doctor, also I would like to ask you that what is the root cause of this problem
Doctor :  
WWW.WWWW.WW Doctor :  
this is the link to go for second opinion 'you can scan the reports and send us at YYYY@YYYY
Doctor :  
the cause for this is the tumor arising from the medulla/brain stem glial cells and leading to pressure effects
User :   I sent the report
Doctor :   WWW.WWWW.WW Doctor :  
you can also go through this link to know more about the disease yourself
Doctor :  
ok
Doctor :  
you can go to the link provided by me for the second opinion and place a request.
Doctor :  
and a call or a e-mail reply wil be arranged for your queries
User :   okay doctor,
Doctor :  
a phone call wil be beter as you can talk to the specialist at any length of time
Doctor :  
and get resolved all your queries regarding the disease at your comfort
User :   okay sir,
User :   What is the contact number
Doctor :  
have you followed what i have said?
Doctor :   once you place a request, a call will be arranged for you from our side
Doctor :  
you need not spend on the call
User :   okay sir
User :   I will place the request.
User :   thanks for your kind information
Doctor :  
the second opinion service is a paid service itself
User :   okay sir
Doctor :  
and it will cost you 39 USD to get a phone consult
User :   okay sir, I will do that...
Doctor :  
and 29 USD for a e-mail consult from superspecialists.
Doctor :   Is there any thing else I can help you with?
User :   Nothing more sir, regarding the report what i have sent via email. will replied not call support, after the request
User :   am I correct?
Doctor :   the report should be a scanned copy of the original report
Doctor :   to avoid misunderstanding the findings
User :   ok
Doctor :  
i have gone through the report you have said
User :   ok
Doctor :  
*sent
Doctor :  
it should be fine
Doctor :  
if you have other reports you can send them too
Doctor :  
along with the prescriptions
User :   okay sir, I will ask me friend to send other reports also.
Doctor :  
sure
User :   Sir, is there anything danger with the life of the child.
Doctor :  
once you send all the reports, you can place a request for the second opinion
Doctor :  
right now not directly, but the raised intracranial presuure could affect
User :   oh i c.
Doctor :  
therefore early intervention and surgery is recommended
Doctor :  
is there anything else i can help you with?
User :   nothing sir
User :   sir, with your permission, shall i close this chat and proceed further
Doctor :  
Please fill the feedback form, and comment box, and say done when done.
Doctor :   sure you can once you fill the feedback form.
User :   ok I will do so.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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