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Query: UMLS:C0017638 (glioma)
 30,880 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In vivo sodium-23 magnetic resonance (MR) imaging in the head was performed in ten normal volunteers and six patients with brain tumors on a commercially available 1.5 Tesla whole-body MR system. Although sodium MR signal from the brain parenchyma could hardly be detected on routine spin echo (SE) pulse sequence, free induction decay (FID) image with echo time of 1.9 msec demonstrated MR signal in the normal brain tissue. On the other hand, extracellular sodium of cerebrospinal fluid, large venous sinus, and vitreous humor offered high sodium MR signal intensity due to the quantity of sodium and the relatively longer transverse relaxation time (50-60 msec) compared to that of intracellular sodium (less than a few msec). Strong signal was obtained in gliomas with superior contrast, though the delineation of the tumor tissue from edema was as difficult as when seen on proton T2 weighted SE image. Meningioma itself gave much less of a sodium MR signal compared to glioma. Peritumoral edema associated with meningioma showed a markedly high sodium MR signal which was more prominent adjacent to the tumor, although proton SE image revealed the peritumoral edema as homogeneous. Pathological tissues such as brain tumors and edema could be readily depicted as significantly high sodium-23 MR signal, apparently different from normal brain tissues. The current status of in vivo sodium MR imaging is discussed. The authors concluded that early clinical experience of in vivo sodium-23 MR imaging brought promising results in the evaluation of brain tumors and edema; otherwise, discrimination and quantification of multiple T2 components and the improvement of spatial resolution are desperately needed.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:In vivo sodium-23 MRI in brain tumors: evaluation of preliminary clinical experience. 186 65

This report presents data on the distribution of 8,612 cases of primary tumors of the brain, cranial nerves and cranial meninges (both benign and malignant) diagnosed among residents of Los Angeles County from 1972 to 1985. Incidence rates of gliomas, meningiomas, nerve sheath tumors and all histologic types combined are presented for specific age, sex and ethnic groups. At all ages, the highest incidence is seen for gliomas among men. Meningioma rates are higher among women than men in every ethnic group. In both sexes, glioma rates are highest among whites, and meningioma rates are highest among blacks. Asians have the lowest rates of both types of tumors. Proportional incidence ratios are elevated among those born in Eastern Europe, Southern Europe and the Middle East and among Jewish residents of Los Angeles County. A clear trend of increasing glioma incidence with increasing social class is seen among males. An analysis among white men aged 25-64 by occupation and industry at the time of diagnosis supports several previously published findings. A glioma excess is evident among workers in the aircraft industry. Workers in the petroleum industry and the rubber and plastics industry have an excess of meningiomas. Occupational groups at excess risk include dentists who have an increased risk of all types of brain tumors and electricians whose excess risk is limited to gliomas.
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PMID:Descriptive epidemiology of primary tumors of the brain, cranial nerves and cranial meninges in Los Angeles County. 258 98

The sensory and motor deficits of the CNS are varied, depending on the etiologic factors and the structures involved. Nevertheless, the clinical picture is predictable, provided one has an adequate knowledge of the neuroanatomy and the functions of the different fiber tracts, nuclei, and other specific regions of the brain and spinal cord. The purpose of this section is to provide an overall view of the sensory and motor deficits of the CNS, which will enable the clinician to treat these patients in a more objective and effective manner. Etiologically, the diseases affecting the CNS can be grouped under the following categories: congenital, traumatic, inflammatory, neoplastic, and degenerative. Congenital conditions usually manifest in infancy and childhood. Examples are hydrocephalus, spina bifida, and Arnold-Chiari malformation. There are a host of other conditions, but the discussion in this article is confined to the more common entities. Traumatic conditions such as cerebral concussion, contusion, laceration, hematomas--extradural, subdural, or intracerebral--and spinal cord injuries can occur in any age group, though their incidence is higher during the more active period of life (20 to 35 years). Automobile accidents are by far the most common etiologic factor for the traumatic lesions. Others, such as falls, gunshot and stab wounds, and so forth account for the remainder. Among the inflammatory conditions, three conditions are important: brain abscess, meningitis, and transverse myelitis. Though brain abscess develops by direct extension from an adjacent focus of infection, often it forms as a result of metastatic infection, chiefly from lung abscess or bronchoectasis. It behaves more like an intracranial space occupying lesion. Of the various types of meningitis, meningococcal meningitis is the commonest. Transverse myelitis may be caused by viruses or bacteria. The clinical picture resembles that of spinal cord injury. Neoplasms of the brain and spinal cord present a wide and varied spectrum. They may be benign or malignant. Meningioma and neurofibroma are essentially benign lesions. Malignant tumors can be primary or secondary. Gliomas and specifically astrocytomas are the commonest primary malignant tumors. The commonest sites of metastatic tumors are lung, breast, kidney, and gastrointestinal tract. The clinical picture will depend on the location of the tumor and the structures pressed upon or infiltrated. Any age group can be affected. Many of the malignant tumors are slowly and relentlessly progressive. Complete surgical extirpation where possible, followed by radiation therapy, is the treatment of choice. Chemotherapy has not been of much benefit.(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:Sensory and motor deficits of central nervous system origin. 268 39

74 patients with various intracranial tumors were studied by means of dynamic CT, among them 45 cases were confirmed by operation and pathology. In analyzing the time-density curve and the ratio of increase in CT number of the tumoral tissue to that in the arterial lumens (tissue-blood ratio, TBR), we found that: (1) Dynamic CT technique is safe and easy to perform suitable for out-patients; (2) The time-density curves in acoustic neurinoma, meningioma, glioma and metastatic tumors are different from each other because of difference in vascularity and the degree of B.B.B. breakdown. Meningioma curve shows a rapid rise to the peak followed by a subsequent plateau; (3) TBR at the peak time (TBRp) is useful as an index for tumor. Combined analysis of time-density curve and TBRp is helpful for tumor differentiation.
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PMID:[Preliminary investigation on dynamic CT scan of intracranial tumors]. 275 30

Detailed job histories and information about other suspected risk factors were obtained during interviews with 272 men aged 25-69 with a primary brain tumor first diagnosed during 1980-1984 and with 272 individually matched neighbor controls. Separate analyses were conducted for the 202 glioma pairs and the 70 meningioma pairs. Meningioma, but not glioma, was related to having a serious head injury 20 or more years before diagnosis [odds ratio (OR) = 2.3; 95% confidence interval (CI) = 1.1-5.4], and a clear dose-response effect was observed relating meningioma risk to number of serious head injuries (P for trend = 0.01; OR for greater than or equal to 3 injuries = 6.2; CI = 1.2-31.7). Frequency of full-mouth dental X-ray examinations after age 25 related to both glioma (P for trend = 0.04) and meningioma risk (P for trend = 0.06). Glioma, but not meningioma risk, related to duration of prior employment in jobs likely to involve high exposure to electric and magnetic fields (P for trend = 0.05). This risk was greatest for astrocytoma (OR for employment in such jobs for greater than 5 years = 4.3; CI = 1.2-15.6). More glioma cases had worked in the rubber industry (discordant pairs 6/1) and more worked in hot processes using plastics (9/1). More meningioma cases had jobs that involved exposure to metal dusts and fumes (discordant pairs 13/5), and six of these cases and two controls worked as machinists. Finally, there was a protective effect among glioma pairs relating to frequency of use of vitamin C and other vitamin supplements (P for trend = 0.004); the OR for use at least twice a day was 0.4 (CI = 0.2-0.8).
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PMID:Risk factors for gliomas and meningiomas in males in Los Angeles County. 279 Aug 26

Intracranial tumors are accidentally discovered during operations for neurosurgical diseases, such as head trauma or cerebral aneurysm. Furthermore, in the autopsy specimen, intracranial tumors which had not been recognized before the patient's life are sometimes found incidentally. Those tumors are; meningioma, glioma, pituitary adenoma, and so forth. Among these instances, meningioma seems to be the most frequent. In this paper, the authors discussed five cases of asymptomatic meningiomas found unexpectedly, referred as "Incidental Meningioma." Incidental meningioma listed up here are five out of 38 clinical cases with intracranial meningioma which authors experienced during recent twelve years in our hospital. In 480 autopsy cases in our hospital in the same period, there was only one case with which incidental intracranial tumor was detected. This incidental tumor was index-finger tip sized parasagittal meningioma. This was not included in this series. These 5 clinical cases were composed of all women ranging in age from 48 to 72 years. Three of them were discovered during aneurysm surgery, the other one was found during the evacuation of acute subdural hematoma. The remaining one case (Case 5) was demonstrated intracranial meningioma unexpectedly by CT scanning. The size of those tumors were ranged from 7 to 20 mm in diameter except Case 5. In Case 5, tumor size was about 30x40 mm in diameter. The localization of those tumors were; three convexity, one pterion, and one falx meningiomas. Positive findings referable to those tumors at ancillary neuroradiological examinations, were shown only in one case (Case 2) with the exception of Case 5 retrospectively. That was abnormal calcified shadow in frontal bone at the right side in Case 2. The histological nature of them was various, but psammomatous type belonging to transitional meningioma was worthy to note, because such a type was relatively rare in our total cases. Incidental tumors seemed to be relatively rare in cases with cerebral aneurysm. In our series comprising 747 operated cases for cerebral aneurysm, there were 5 cases with incidental tumor (0.67%). Three of these 5 cases were incidental meningioma which were listed up in the paper. In all cases with incidental meningioma, except for Case 5, there were no definite feeding arteries, and they could be easily extirpated, with uneventful recovery.
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PMID:[Incidental meningioma]. 713 99

Two thousand thirty-eight years later, in the setting of a similar care presentation, a physician would take a detailed history and perform a clinical and neurological examination. A preliminary diagnosis would be entertained and followed by electroencephalography and magnetic resonance of the brain with and without paramagnetic contrast for diagnostic confirmation. The proper medical or surgical treatment would then be instituted. A reconstruction of the clinical history of Julius Caesar (100-44 B.C.) has been attempted from available information from literature. Although a definite conclusion obviously cannot be made, a differential diagnosis provided with a tentative hypothesis is presented. The patient had late onset of seizures in the last two years of his life, headaches, personality changes. Upon reexamination of existing Julius Caesar iconography, busts, statues and minted coins no skull deformities have been noted. Identification of a skull deformity as described by Suetonius would have confirmed the suspicion of meningioma involving the convexity of the cerebral hemispheres. Meningioma or slow-growing supratentorial glioma may well have been responsible for this man's illness. Who knows how the course of history might have been changed... Probably not at all.
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PMID:Was Julius Caesar's epilepsy due to a brain tumor? 773 24

We studied the feasibility of characterizing brain tumor tissue by localized proton magnetic resonance spectroscopy (1H-MRS). Twenty-six newly diagnosed tumors were examined by in-vivo 1H-MRS. The NAA (N-acetylaspartate)/Cho (choline) ratio of Grade 2 astrocytoma was higher than that of Grade 4. The Cho/Cr (creatine and phosphocreatine) ratio of meningioma was considerably higher than that of glioma of all grades. We have experienced only two cases of ependymoma and the Cho/Cr ratios of both were lower than that of glioma. It seems likely that 1H-MRS can be used to differentiate Grade 2 from Grade 4 in most cases of astrocytoma based on the NAA/Cho ratio, though a few cases will overlap. Meningioma can be distinguished easily from glioma, and the results of our study suggest that ependymoma shows a characteristic pattern on 1H-MRS, different from those of other brain tumors.
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PMID:Non-invasive characterization of brain tumor by in-vivo proton magnetic resonance spectroscopy. 774 4

To evaluate the effect of glycerol, thirty-two patients with brain tumor were directed to the study, including 17 gliomas and 15 meningiomas. Blood flow before and after the administration of glycerol were measured with Xe CT. Glioma was significantly hypo-perfused. The peritumoral edema of glioma and meningioma were also hypo-perfused. On the other hand, Meningioma was significantly hyper-perfused. After the administration of glycerol, blood flows were increased except for glioma. We suggested that, vascular responses to glycerol was different in the two tumor types. The steal phenomena of blood flow might occur in glioma.
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PMID:Effect of glycerol on blood flow distribution in tumoral and peritumoral brain tissue. 941 9

Cerebellopontine angle tumors in adults are mainly benign and extra-axial. Magnetic resonance imaging is the first method for their diagnosis, CT being more useful for bony structures evaluation. Vestibular schwannoma is the most common lesion, it presents as a rounded mass centered along the axis of the internal acoustic meatus, the largest portion being in the cerebellopontine angle. The tumor enhances after Gadolinium administration. Meningioma is the second most common tumor; this slow growing mass has a wide attachment to the adjacent dural mater and is dramatically enhanced by contrast. Epidermoid cyst the third mass, is an extra-axial lesion with the signal is similar to the one of cerebrospinal fluid. Other lesions such as lipoma, papilloma, glioma or metastasis account for less than 1% of the cerebellopontine angle cistern tumors in adults.
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PMID:[Cerebellopontine angle tumors in adults]. 1093 Aug 84


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