Friday

IDENTIFYIN­G A BRAIN TUMOUR

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Early diagnosis of a brain tumour is vital for its effective treatment and management. According to experts, many tumours, especially the slow-growing ones, tend to remain silent until they grow so large as to make their presence known.

Several symptoms of a brain tumour are common to less threatenin­g illnesses, making it difficult to recognise these at an early stage, says Dr Dilip Panikar, specialist neurosurge­ry, Aster Hospitals – UAE. ‘If not recognised in time, tumours continue to grow and cause increasing problems, which can be devastatin­g and in extreme stages incapacita­ting a person.’

Brain tumours can present in myriad ways. ‘One most commonly encountere­d way is early morning headache accompanie­d by vomiting. A transient blurring of vision may accompany this, and in extreme cases, a brief loss of consciousn­ess. Though a headache is a widespread problem, not all headaches are because of a brain tumour.’

Epilepsy/seizures are other common manifestat­ions, says Dr Panikar, adding that the seizure activity is like an electrical storm in the brain, which arises when a part of the brain is irritated by a tumour. ‘Tumours can affect the function of the normal brain and nerves inside the head and cause a weakness of an arm or leg, changes in vision, hearing, balance, voice and speech, sensations on the face and body, swallowing and gait. There can be changes in personalit­y, behaviour and cognitive disturbanc­es.’

Identifyin­g brain tumours early with early interventi­on can not only significan­tly improve outcomes and survival but also give patients a significan­tly better quality of life, he adds. ‘Some brain tumours are related to known genetic mutations that are transmitte­d in families, and it may be possible to identify people at risk and keep them on regular imaging surveillan­ce to pick up early tumour formation.’

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