Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Subject: Re: Ignorant Primary Carer of Brain Tumor Patient
Forum: The Neurology and Neurosurgery Forum
Topic Area: Brain Tumor
Posted by CCF neuro MD MM on October 07, 1998 at 17:23:07:
In Reply to: Ignorant Primary Carer of Brain Tumor Patient posted by Margaret Rose on October 07, 1998 at 07:25:31:



Mother, 73 had 5 sessions or radium treatment for
a secondary tumor in the eloquent area of the
brain 4 weeks ago. An exceptionally active lady,
since treatment she has no energy what so ever.
I understand that there would be tiredness but she
hardly moves from a chair except to go to lie
down. She will not read a book, crochet or even
watch t.v. Conversation is too much effort. She
has no pain, is a little vague and has difficulty
writing her name with any vigor. Is this a normal
reaction to radium treatment or do you think she
is suffering from a big depression? My heart is
breaking. I don't know what to do to help her.
We have been on a medical conveyor belt for 7
weeks as one doctor has passed us on to another
for the next step in this nightmare.
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
it is not entirely clear from your posting where the tumor lies, there are
many areas of the brain described as eloquent, in this cintext the term does
not only describe speech it refers to any part of the brain where a defect
is clinically very obvious. If this is in a speech area or in the frontal
lobes speech difficulties, mutism or apathy are all possibilities. The
possibility of depression as you suggest is however a very strong
possibility in the circimstances, it is VERY IMPORTANT that you have
this possibility excluded by a psychiatrist as it is relatively easily
treated and treatment could make your mother feel a great deal better.
This sound too extreme to be a reaction to the radiation therapy so you
should explore other options aggressively, I cannot obviously give you a
label here, but strongly urge you to give her the benefit of an opinion
from a psychiatrist.

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