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This Concept Map, created with IHMC CmapTools, has information related to: Cliff Claven, Cliff Claven diagnosis pt is a 67 y/o retired postal worker 7 days s/p large intracranial meningoma ressection, decreased ROM, strength, and sensory in R UE and LE. pt is requires in Sit to Stand, self care, which prevents him from his hobbies of dollhouse building, reading and gardening, address tone ???? warm up stretch: hamstring, biceps, hip ABD, finger flexors 3 x 30s ea., Cliff Claven list hints glioblastoma most common accounts for around 50% most dangerous b/c malignant and spread, Cliff Claven list hints emryonal tumours most often in children in sub arachnoid space, Cliff Claven intercranial menigioma dx mri are the best way to find out fMRI and PET also work neuro exam: test nerves, balance, reflex, muscle strength, senses Lab test: spinal tap, mylogram DNA profiling (BDNF) Biopsy or not? can cause more damage than other methods rapid onset more likely stroke gradual onset more likely tumor, Cliff Claven intercranial menigioma sx and symptoms headaches seizures sensory or motor loss blood clots hearing loss vision loss fatigue depression behavioral and cognitive changes endocrine dysfunction attribute it to old age, Cliff Claven list hints anaplastic astrocytoma (grade III) arises from astrocytes star shaped cells "munchkins that eat" can occur in various parts of brain requires more aggresive tx, Cliff Claven learning issue time management chair Brooke good job!, Cliff Claven prognosis low grade slow growing - 80% will live ɱyrs high grade - 60% will live ɱyrs malignancy is less common but will affect the survival position of tumor in brain will affect the ability to be removed grade I resection and location leads to better prognosis 6 mos: can heal and improve not like stroke where there is cell death might not plateau, activities: dollhouse building will be tough language: is it motor or cognitive? sensory: has deficits, possibly due to the location of sx/tumor, Cliff Claven learning issue PTA: what can they do?, Cliff Claven intervention address tone, Cliff Claven medicare its confusing, brain tumors gliomas size, type, grade tx: sx and chemo rarely curable b/c of sensitive area, therex ???? bridging: 3 x 10 SLR supine,SL, & prone: 3 x 10, Cliff Claven central sulcus cerebral cortex seperates parietal from frontal, Cliff Claven list hints anaplastic = grade III glioma = astrocytoma = epindomal blastoma = malignant grade III or IV, Cliff Claven list hints primary CNS lymphoma non-hodgekins results from AIDS or epstein barr virus, Cliff Claven list hints pituitary secreting v non-secreting 9-12%, Cliff Claven list hints anaplastic oligodendroglioma link to virus and genetics (NJDS) grade II or III, Cliff Claven list hints low grade glioma (WHO grade 2) low differentiation- less damaging better prognosis malignant