What is cerebral tumor stroke?
Sep 06, 2022
Source: Cainiu Health
Dr. Guan Yanlei
Introduction
Cerebral tumor stroke—also termed intracranial tumoral hemorrhage—refers to bleeding caused by an intracranial tumor under the influence of certain factors. Clinical manifestations may include nausea, vomiting, hemiplegia, impaired consciousness, urinary and fecal incontinence, and even alterations in vital signs. Prompt management includes administration of osmotic diuretics to reduce intracranial pressure and cytotoxic chemotherapy to inhibit or eradicate tumor cells. Surgical intervention may be necessary when indicated.
Brain tumor apoplexy—also known as intracranial tumoral hemorrhage—refers to bleeding within the skull caused by intracranial tumors under various contributing factors.
The underlying causes of intracranial tumoral hemorrhage may include: rich vascularity within the tumor itself, vascular malformations, or tumor-induced destruction of surrounding blood vessels. Alternatively, hemorrhage may be triggered by coagulopathy resulting from various factors, concomitant hypertension, or head trauma. Clinical manifestations commonly include nausea, vomiting, headache, and hemiparesis; in some patients, papilledema, impaired consciousness, urinary or fecal incontinence, and even alterations in vital signs may occur.
Following intracranial tumoral hemorrhage, prompt management typically involves administration of osmotic diuretics to reduce intracranial pressure; commonly used agents include furosemide and mannitol. Chemotherapeutic agents are also employed to inhibit tumor growth and eliminate tumor cells; typical examples include methylprednisolone and dacarbazine. When indicated, surgical intervention is warranted—common procedures include craniotomy with hematoma evacuation and tumor resection, or CT-guided stereotactic aspiration.
