| What symptom involves difficulty with vision that can occur in one or both eyes? | Gradual vision loss (unilateral/ bilateral) | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension | 101 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645069_1_brain_tumors.pdf | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. | 1 | page=1,block=11 | 0.700 | valid |
| What condition should be suspected in adults with onset seizures? | HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension | 240 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645069_1_brain_tumors.pdf | hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension |
| What is a possible sign of a brain tumor related to the cranial nerves? | Cranial nerve deficits (eg. hearing loss) | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension | 145 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645069_1_brain_tumors.pdf | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • |
| What is the term for unequal pupil size that may indicate a brain tumor? | Pupillary asymmetry – Anisocoria | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension | 488 | definition | 0.940 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645069_1_brain_tumors.pdf | hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension |
| What neurological symptom involves weakness in one limb or one side of the body? | monoparesis, hemiparesis | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension | 76 | definition | 0.940 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645069_1_brain_tumors.pdf | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. | 1 | page=1,block=11 | 0.700 | valid |
| What respiratory issues could be a sign of a brain tumor? | Respiratory distress , abnormal breathing patterns | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension | 544 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645069_1_brain_tumors.pdf | hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension |
| What cardiovascular symptoms might indicate a brain tumor? | Bradycardia and hypertension | Recent onset headache, with or without vomiting Seizures Focal deficit like monoparesis, hemiparesis Gradual vision loss (unilateral/ bilateral) Cranial nerve deficits (eg. hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension | 597 | list | 0.740 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645069_1_brain_tumors.pdf | hearing loss) Increasing head-size (children with open fontanalle) HIGH INDEX OF SUSPICION FOR BRAIN TUMOR WHEN PATIENT HAS: • Adult onset seizures • Progressive symptoms • Focal neurological deficits • Severe headache • Recurrent vomitings • Blurring of vision • Drowsy or altered sensorium • Recurrent seizures • Pupillary asymmetry – Anisocoria • Abnormal posturing • Respiratory distress , abnormal breathing patterns • Bradycardia and hypertension | 1 |
| What is the recommended dose of mannitol for adult patients? | 200ml (to adult patients or as per weight to children) 20% mannitol IV over 30 minutes | • Give Inj Dexa 4mg IV • Loading dose of antiepileptic to prevent seizure • 200ml (to adult patients or as per weight to children) 20% mannitol IV over 30 minutes (only if systolic BP > 90 mmHg) and refer to higher centre immediately after stabilisation of ABC Seizures Headache, vomiting • Focal deficit (monoparesis/ hemiparesis) • Vision loss • Cranial nerve deficit Metabolic workup (including Serum sodium, Blood sugar) • Phenytoinization (if seizures are present), • Airway protection (If patient has altered sensorium) Refer to higher centre for CT Scan Negative Positive Medical management Refer to higher centre for further workup (Medical College / Cancer Hospital, with neurosurgery and MRI Scan facility MRI image of Meningioma MRI image of Glioblastoma No surgery needed Surgery Radiosurgery Follow-up Possible here Available Not Available Not possible here Higher centre 1. | 76 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645069_1_brain_tumors.pdf | • Give Inj Dexa 4mg IV • Loading dose of antiepileptic to prevent seizure • 200ml (to adult patients or as per weight to children) 20% mannitol IV over 30 minutes (only if systolic BP > 90 mmHg) and refer to higher centre immediately after stabilisation of ABC Seizures Headache, vomiting • Focal deficit (monoparesis/ hemiparesis) • Vision loss • Cranial nerve deficit Metabolic workup (including Serum sodium, Blood sugar) • Phenytoinization (if seizures are present), • Airway protection (If patient has altered sensorium) Refer to higher centre for CT Scan Negative Positive Medical management |
| What should be done if a patient has altered sensorium? | Airway protection (If patient has altered sensorium) | • Give Inj Dexa 4mg IV • Loading dose of antiepileptic to prevent seizure • 200ml (to adult patients or as per weight to children) 20% mannitol IV over 30 minutes (only if systolic BP > 90 mmHg) and refer to higher centre immediately after stabilisation of ABC Seizures Headache, vomiting • Focal deficit (monoparesis/ hemiparesis) • Vision loss • Cranial nerve deficit Metabolic workup (including Serum sodium, Blood sugar) • Phenytoinization (if seizures are present), • Airway protection (If patient has altered sensorium) Refer to higher centre for CT Scan Negative Positive Medical management Refer to higher centre for further workup (Medical College / Cancer Hospital, with neurosurgery and MRI Scan facility MRI image of Meningioma MRI image of Glioblastoma No surgery needed Surgery Radiosurgery Follow-up Possible here Available Not Available Not possible here Higher centre 1. | 473 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645069_1_brain_tumors.pdf | • Give Inj Dexa 4mg IV • Loading dose of antiepileptic to prevent seizure • 200ml (to adult patients or as per weight to children) 20% mannitol IV over 30 minutes (only if systolic BP > 90 mmHg) and refer to higher centre immediately after stabilisation of ABC Seizures Headache, vomiting • Focal deficit (monoparesis/ hemiparesis) • Vision loss • Cranial nerve deficit Metabolic workup (including Serum sodium, Blood sugar) • Phenytoinization (if seizures are present), • Airway protection (If patient has altered sensorium) Refer to higher centre for CT Scan Negative Positive Medical management |