Table 4.
Frequency of Common Symptoms in CNS Tumor Patients at EOL
Study/Symptom | Seizures | Speech problems | Dysphagia | Agitation, delirium or confusion | Neurologic deficits (CN, paralysis, gait) | Headache pain | Other |
---|---|---|---|---|---|---|---|
Vallero et al.,55 2014 39 children, mixed CNS tumors |
41% | __ | __ | __ | 69% had CN deficit, 41% confined to bed w/ paralysis or changes in cognition/ consciousness | __ | 83% were on steroids, 58% receiving palliative sedation for agitation, seizures, dysphagia, dyspnea |
Goldman et al.,56 2006 185 children, 59 w/ CNS tumors |
39% | 76% | 62% | __ | __ | 64% | 69% had increased oral secretions; 62% had hearing or vision problem |
Pace et al.,57 2009 169 adults, majority GBM |
30% | __ | 85% | 15% | __ | 36% | 85% had drowsiness |
Faithfull et al.,58 2005, 39 adults w glioma | 56% | 64% | __10% | 51% | 77% had poor mobility, 62% hemiparesis | 62% | __ |
Sizoo et al.,59 2010 55 adults, mixed CNS tumors |
45% | __ | 71% | 29% | 51% had focal neurologic deficits , | 33% | 33% with progressive cognitive decline, 87% had drowsiness or impaired consciousness |
Gofton et al.,60 2012, 168 adults, mixed CNS tumors | 57% | 27% | __14% | 27% | 65% had gait impairment, 58% had motor deficit | 26% | 22% had vision loss, 62% had cognitive/personality changes |