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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has Grade 4 Brain Tumor. Lost Vision After Surgery. On Steroids. Lost Sense. Fits?

im asking for my sis n law. she is suffering from brain tumour doctors said grade 4 aggressive growth. she had her 1st surgery in october 2011. after chemo and radiation she was normal to her life. but after 4 months she had her 2nd surgery. after that she lost her vision. that was in march 2013. nown the MRI shows she had a 3rd growth. she is going in steroids. but from the last 2 days she lost her sense and almost unconscious for a minute. is it fits?
Wed, 4 Sep 2013
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Psychiatrist,  's  Response
thank you for your query. Given your condition, it appears that the 'lost sense' and the 'almost unconsciousness' can be due to seizure activity in the brain. Check for responsiveness during the episode. If she doesn't respond to calling her name or to touch during the episode, and is fine and responding afterwards, it may be due to Seizures (fits). On the other hand, if she is talking irrelevantly, appears confused and disoriented, clueless about time, place, person, with altered sleep wake cycle, she may be having a condition called 'delirium', which requires urgent medical attention, preferably in a tertiary care hospital.
any of these two can be caused by the tumor itself (worsening), or by the chemotherapeutic medications or by the steroids.
A thorough neurological examination, fundoscopy, and preferably an MRI brain is likely to yield the true cause.
Please contact your Neurologist/ Hospital for the same as soon as possible.
hope I've been able to answer your query. Please feel free to contact me for any further clarifications.
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Has Grade 4 Brain Tumor. Lost Vision After Surgery. On Steroids. Lost Sense. Fits?

thank you for your query. Given your condition, it appears that the lost sense and the almost unconsciousness can be due to seizure activity in the brain. Check for responsiveness during the episode. If she doesn t respond to calling her name or to touch during the episode, and is fine and responding afterwards, it may be due to Seizures (fits). On the other hand, if she is talking irrelevantly, appears confused and disoriented, clueless about time, place, person, with altered sleep wake cycle, she may be having a condition called delirium , which requires urgent medical attention, preferably in a tertiary care hospital. any of these two can be caused by the tumor itself (worsening), or by the chemotherapeutic medications or by the steroids. A thorough neurological examination, fundoscopy, and preferably an MRI brain is likely to yield the true cause. Please contact your Neurologist/ Hospital for the same as soon as possible. hope I ve been able to answer your query. Please feel free to contact me for any further clarifications.