Brain tumor symptoms in the elderly?

summary

Brain tumor in the elderly refers to the brain tumor of the elderly over 60 years old. Among the nervous system diseases of the elderly, intracranial tumor is relatively rare compared with cerebrovascular disease. In recent years, due to the wide application of head CT in clinic, the detection rate of intracranial tumors in the elderly has increased to 8-13.2%. This is due to the early diagnosis of patients who have been misdiagnosed as cerebrovascular disease or who have not found brain tumor in time. Most of the symptoms and signs of senile brain tumors seem to be occlusive cerebrovascular disease, but misdiagnosis and mistreatment make the condition worse and bring adverse consequences to patients. If early diagnosis and timely operation can be made, the prognosis will be improved. Brain tumor symptoms in the elderly? Let's talk about it.

Brain tumor symptoms in the elderly?

1. The symptoms of increased intracranial pressure appear late: due to the atrophy of the elderly human brain, the increase of cranial space, and the slow metabolism of cerebrospinal fluid in the elderly, it is generally manifested as intracranial hypotension. Even if the intracranial tumor has grown, due to the strong compensatory ability of the cranial cavity to the space occupying lesions, the symptoms of increased intracranial pressure appear later, or even do not appear for a long time.

2. Mental disorders: mental disorders, epilepsy and hemiplegia are the first symptoms of brain tumors in the elderly, especially mental symptoms. This is related to arteriosclerosis, narrowing of vascular El diameter, increase of vascular resistance and decrease of blood flow, resulting in insufficient energy supply of the whole brain tissue. It can directly affect the absorption of brain nerve cell substances. It hinders the ion flow inside and outside the cell and the movement and metabolism of intracellular substances. In addition. Because the blood supply of tumor tissue is increased, the cerebral blood flow is relatively reduced. Brain malignant tumors have a wide range of invasion, so mental disorders are common.

3. The appearance of optic papilla edema is relatively late: the tumors located in the temporal, parietal and frontal lobes of the elderly can not appear optic papilla edema for a long time, only the tumors located in the posterior cranial fossa or benign tumors with excessive volume have optic papilla edema.

matters needing attention

1、 According to the characteristics of atypical symptoms and signs of brain tumors in the elderly, the recognition of special manifestations of brain tumors in the elderly should be improved in theory. Timely use of modern examination methods can effectively detect brain tumors in the elderly. When there are mental symptoms, dementia, epilepsy and other manifestations in the elderly, the necessary examination should be made to make a clear diagnosis. 2、 We should be alert to the possibility of intracranial tumor in the following cases: (1) persistent headache or low blood pressure with obvious headache and vomiting（ 2) Patients with progressive hemiplegia, especially those who are still aggravating for more than half a month and have no tendency to improve（ 3) Malignant tumors, especially lung cancer, breast cancer, choriocarcinoma patients with any intracranial symptoms. 3、 In the primary hospital without modern examination means, if there are the above atypical symptoms, the brain ultrasound and EEG should be performed to determine whether there are intracranial space occupying lesions. Cerebral angiography was performed when necessary. Do not lightly make the diagnosis of cerebrovascular disease and give vasodilator drugs, otherwise it will accelerate the growth of brain tumors, very adverse to the prognosis. It is the best way to avoid misdiagnosis that the suspicious patients should be examined by CT or MRI in time.