Brain edema

On the 3oth Dec 2007 Norman had a brain scan done at HUKM. The report was bad. The previously seen enhancing lesion in the left parietal lobe measure 2.2cm x 2.1cm x 3.4cm(previously 1.4 x 1.5 x 2.1) showing significant increase in size. The edema has also worsen compare to the previous scan on 13th sept 2007.However the report says that there is no evidence of tumor recurrence. This could represent just an enlarging area of radiation necrosis. We consulted both doctors, Dr Lee Foo Chieng(neuro surgeon) and Dr Foo Yoke Ching(oncologist). We were told to repeat another scan after cny. Then only we will decide on the next step of treatment. However the brain edema was causing speech problems and norman need to take steriods.

Brain Edema
Brain edema (swelling) is a common occurrence in brain tumor patients. The swelling is caused by the accumulation of fluids in the tissue around the tumor. This exerts pressure on the brain that can lead to additional symptoms including headaches, seizures, and focal neurological deficits. Brain edema may initially be due to the tumor itself or it may occur as a result of treatment (craniotomy or radiation therapy).

The first-line treatment for brain edema is the administration of steroids. The most commonly used steroids for brain edema are prednisone and dexamethasone (Decadron). Patients who are given steroids must be carefully monitored for side-effects which may include:

weight gain
upset stomach
muscle weakness
increased susceptibility to infections
mood swings
insomnia
increased blood sugar levels - particularly dangerous in diabetics

So far, Norman did put on some weight(from gorging on new year goodies!), feels bloated all the time and worse of all,gets irritated easily(mood swings). Sob!