February 18th, 2012 Temporal lobe _37 tumor
temporal lobe tumor 【 summary 】 temporal lobe the incidence of brain tumors in tumor in the habitat second place behind the frontal the incidence rate of cancer. Common tumors are gliomas, intracranial glioma accounts for about 17.96% of the total, followed by a meningioma, accounts for about 5.42% of the total number of intracranial meningiomas, other metastatic tumors often also in the place such as production. Adults see more, gender difference is not obvious. Temporal lobe efficacy is confused, some parts of the function is not completely understand, temporal lobe of cancer early, no more model clinical symptoms, diagnosis is difficult, especially in the tumor on the right, most only the performance for the cranial pressure symptoms, it a few signs and symptoms appear, so have also called clinical and # 8221; Static area & # 8221; Or & # 8221; Dumb area & # 8221; , so early diagnosis more difficult. The clinical manifestations 】 temporal lobe of the tumor early has no obvious more clinical symptoms. Follow the progress of the temporal often takes on Skin Care leaf seizures. According to epilepsy deep degree, along with hallucinations. Limitations seizures gradually development of body right attack, happen break have vision change, as above 1/4 quadrant defect to sight development homonymous hemianopia of, Todd paralysis longer duration, aphasia and spirit wait for a symptom aggravating, finally the increased intracranial pressure. Mental activity type attack the tumor is more progress gradually dissolved department under the cortex. The main clinical symptoms of points as follows: 1. Change the change of view vision is often temporal lobe of the tumor early symptoms, is one of positioning meaning. In the creations, depending on the radiation around the lateral ventricle bottom corner through temporal lobe. When the tumor located in the temporal lobe deep, because the influence of or damage or see on jet, disease of the early can appear the same on a quarter of quadrant of the visual field defects. Tumor continued increases, the quadrant sex will develop into defect nursing health assessment for homonymous hemianopia of, this is complete or more abstract not quite, symmetry or error says, such as in the temporal lobe when the tumor more abstract is symmetrical, how good care after chemotherapy in patients with cancer of the stomach. 2. Feel aphasia is located in the advantage of tumor violations temporal hemisphere last time and area, 42 area, can appear feeling aphasia. The temporal lobe damage at the back, can appear named aphasia. This is the most reliable diagnosis temporal lobe one of the symptoms of tumor. Such patients know others language ability and the name of the item to all loss, but keep conversation ability, is something like this, but often use often wrong words, ShiKou word, and even have to say more false tongue characteristic. Serious when the patient’s conversation completely cannot be people understand, at the same time the patient also can’t understand the language of the others. Health is often for memory aphasia temporal aphasia of a kind of expression, the patient of goods named problem, but to use the item description of the characteristics or use to replace. When clarify item name, the patient can know is accurate, clinical evidence of aphasia is often forget feel aphasia early part of the performance. In addition, temporal lobe toward the apex pillow tumor development, but also often appear to read, write, lost lost done not means and visual off the symptom such as knowledge. 3. The temporal lobe epilepsy seizures and epilepsy tumor to the eve of the incidence of attack is second only to the frontal tumors. Local patient is still can appear limitations seizures, much of the tumor infringe movement caused by up area. Temporal lobe epilepsy characteristic is aura diversity, symptom complex, can have a trance consciousness, language confusion, athletic spirit to, the emotion and the directional force obstacles, illusion, illusion, memory defect, etc. And the basis for memory symptoms obstacles. Memory for far memory, close to memory and memory now. A brain tumor tissue damage in common, often display time, the people, the address of the directional force obstacles. The temporal lobe on both sides of the hippocampus performance when the tumor influence for memory disorders obvious now. Some temporal lobe epilepsy, for the performance have not been in all the familiar feeling (environment to familiar with feeling) or the original well occasions feel very rusty (situation strangeness). Some patients present inspect content deformation (variable depending on the disease) and inspect content change (giant depending on the disease) according to illusion. Auditory cortex, representative in the temporal region back to, the patient hearing voices, can hear the sound of the bigger or smaller, watches and clocks, voice, singing, the drums, noise, etc. Hearing voices often accompanied by vestibular cortical dizziness tinnitus seizures and attack. Representative area in the center of taste before the lower back, the damage caused by little taste obstacles, but suffer stimulation might appear the illusion of taste. Temporal lobe epilepsy seizures can be harbingers of of all kinds of before, the olfactory aura see most, attack the patient suddenly smell a most happy the odor or foul. Temporal lobe inside the hippocampus tumor influence hooks back, often appear such signs so called the & # 8221; Hook back to attack & # 8221; . Patients feel the first by the stomach to chest rising a special feeling, also in the temporal lobe epilepsy, general epilepsy has the aura, so there’s no special significance. Active disease is temporal lobe epilepsy of the existence of a common representative symptoms, is a kind of onset from consciousness orchestrated campaign, this to hurt, destroy content, self-injury, excited, and naked, the spirit to more see, a minority of patients often appear to have a taste, licking, sucking, hand exploration, head, eyes attack without change target movement. Temporal lobe deep tumor, can appear onset action is unusual, and is associated with the dream illusion, the patients had dreamy feeling, like a dream strange feeling, often with HuanShi concurrent, be like back to childhood, or astonishment, etc. 4. Mental symptoms temporal lobe tumor energy barrier is also common symptoms, second only to the frontal tumors. The main symptoms of personality is very emotional change, (such as anxious, displease thee, FaJi, angry), kind of partial crazy, memory disorders, spirit sensitive, look weak, etc. Mental symptoms occur in the upper hand more widely and agility hemisphere temporal lobe of tumor growth. 5. Ataxia temporal lobe and back in the back of the next time, through the process YeQiao cerebellopontine fiber and and cerebellum happen to consult, therefore, a side temporal lobe damage can also take place of the bust ataxia, it can also occur balance disorders, often to dump of the lesion. 6. Cone bunch of levy temporal lobe of the tumor, the frontal and parietal lobe can oppression of the lower and upper limb movement in the face and or feels obstacle, the oppression of the DaNaoJiao, internal capsule, can cause tumor with side of the cone to ask for, and the level of divergence hemiplegia. 7. Other symptoms medial temporal lobe tumor, can oppression and sending lively the midbrain eyes paralysis. Temporal lobe tumor compression cranial degrees carotid artery sympathetic nerve plexus, can appear HuoNa syndrome. The basal ganglia involvement occurs when the body of the tremor, WuDaoZheng, brothers and sisters and xu hyperactivity disorder, numbness sex tremor syndrome. When a leaf can aggression island spontaneous visceral pain, etc. 【 help review 】 1. Skull flat piece of temporal lobe tumor and other parts of the cancer, according to the tumor, growth rate, tumor sitting in intracranial position is different, in the course of different stages of can appear cranial pressure performance (cranial seam burst and the brain back pressure slash increase, the butterfly saddle bone change). Tumor calcification (common have oligodendrocytes tumor, astrocytomas, meningiomas and ependymoma, etc), appeared in the temporal lobe of the tumor part; Part of the skull and destruction proliferation and so on, also often on tumor their positions equal. These radiographs inspection of the skull, often is the temporal lobe cancer diagnosis firm evidence. 2. Ventricle imaging temporal lobe when ventricle tumor is certainly important imaging tumor location, its performance characteristics are as follows: (1) a before and after like: the lateral ventricle to health side shift. The third ventricle with transparent in curve form to move to the opposite side. Above the anterior horn grow pointed outside, pointing to the foreign party or on the outer edge. The lateral ventricle wall sag, diameter decreases. (2) a side like: in a side like and like before and after, under the Angle changes remarkably. Under the above tumor at the Angle, the bottom corner shift, shift for all or part of a; The below Angle, the bottom corner up; The tumor in the bottom corner move within; The inside, the overseas. On the horns of the shift, the bottom corner and body of the distance between the smaller. According to the tumor their positions, and can appear the bottom corner of the top or bottom straight or curved pressure slash, often and shift and room lumen narrowed simultaneously. The tumor into ventricular cavity can appear filling defect, its appearance depends on the state of the name of tumor, the following Angle thinner, vulnerable to narrow or shut down, down the narrow Angle, often at the same time appear stiff. Tumor invasion and ventricle wall, can cause room wall contour of don’t behave. The tumor in the temporal lobe deep inside,
