Brain Stem Gliomas history and symptoms

The hallmark of brainstem gliomas is the classic triad of ataxia, long tract signs and cranial nerve palsies. Common symptoms include hemiparesis or hemiplegia, unilateral facial nerve palsy, ataxia, vision defect, hearing loss, morning headache or headache that goes away after vomiting, nausea and vomiting, drowsiness, fatigue, and behavioral changes. Less common symptoms include seizure, trouble learning in school, and deterioration of handwriting and speech.

The classic triad of clinical manifestations for brainstem glioma includes the following:^[1]

• Ataxia
• Cranial nerve palsy
• Long tract signs

Additional common symptoms of brainstem gliomas include:

• Hemiparesis or hemiplegia]
• Hearing loss
• Morning headache or headache that goes away after vomiting
• Nausea and vomiting
• Drowsiness
• Fatigue
• Behavioral changes
• Diplopia
• Dysphagia
• Dysarthria
• Weakness

Less common presenting symptoms of brainstem gliomas include:

• Seizure
• Deterioration of handwriting and speech
• Trouble learning in school

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