Categories: Neurosurgeon

Brain Metastases: Symptoms, Causes, and Treatments

Brain metastases are a serious medical condition where cancer cells spread from a primary tumor to the brain. They are more common than primary brain cancer tumors and can indicate an advanced stage of systemic cancer. This condition can significantly affect your quality of life and requires professional diagnosis and treatment.

Understanding brain metastases

Brain metastases occur when cancer cells spread from their original tumor in other parts of the body to the brain. These cells form secondary tumors that interfere with neurological function. They can lead to a range of symptoms depending on their size, growth rate, and location.

Any cancer can spread to the brain. However, according to Mayo Clinic, the most common types that spread include lung, breast, colon, kidney, and skin (melanoma). Lung cancer accounts for the majority of cases, followed by breast cancer and melanoma. Brain metastases may also indicate an undiagnosed primary cancer.

Symptoms of brain metastases

Symptoms of brain metastases vary widely and depend on the tumor's size, location, and rate of growth. Common symptoms include:

  • Headaches
  • Nausea and vomiting
  • Mental changes, such as memory issues
  • Seizures
  • Weakness or numbness on one side of the body
  • Difficulty speaking or understanding language
  • Vision changes
  • Loss of coordination or balance

As brain metastases progress, patients may begin to notice new symptoms, such as problems hearing, swallowing, and double vision. Some individuals may experience sudden and severe neurological decline, while others notice more subtle changes that progress gradually. Brain metastases can also lead to strokes.

Causes and risk factors

Brain metastases occur when cancer cells separate from a primary tumor and migrate to the brain. Several factors increase the likelihood of brain metastases, including:

  • Advanced stage of primary cancer
  • Specific types of cancer, particularly lung, breast, and melanoma
  • Poorly controlled systemic disease
  • Remission or treatment resistance

Understanding these risk factors can aid medical professionals in monitoring high-risk patients more closely for signs of brain metastases.

Diagnosing brain metastases

Accurate diagnosis is critical for managing brain metastases effectively. Neurological examinations, blood tests, imaging studies, and, in some cases, biopsies confirm the presence and nature of metastatic tumors. For example, magnetic resonance imaging (MRI) is the most sensitive imaging technique for detecting brain metastases. However, the neurosurgeon may use a computer tomography (CT) scan when the patient requires rapid assessment.

The patient may need a biopsy if the other tests do not provide enough information for the neurosurgeon to make a proper diagnosis. The doctor will remove a small amount of tissue from the tumor to test it for cancer cells, typically during surgery to remove part or all of a tumor.

Treatment options

Treatment for brain metastases depends on several factors, including the number and location of tumors, the patient's overall health, and how the primary cancer responds to treatment. In many cases, the neurosurgeon may recommend surgery for patients with a single, accessible brain metastasis, particularly if it causes symptoms or inflammation. Tumor resection can relieve pressure and provide tissue for diagnosis. After removing the tumor, the neurosurgeon may recommend radiation therapy or systemic therapies to improve treatment outcomes.

Call our office to schedule a consultation

Our team at Randall Porter, M.D. understands that brain metastases are a serious and complex medical condition. However, professional diagnosis and treatment can help improve your quality of life and outcome. We are here to support you. Call our Phoenix office to learn more or to schedule a consultation.

Request an appointment here: https://arizonaneurosurgeon.com or call Randall Porter, M.D. at (602) 603-8951 for an appointment in our Phoenix office.

Check out what others are saying about our services on Yelp: Brain Metastases in Phoenix, AZ.

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