{"id":4150,"date":"2025-03-13T21:18:02","date_gmt":"2025-03-13T20:18:02","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=4150"},"modified":"2025-12-30T18:21:05","modified_gmt":"2025-12-30T17:21:05","slug":"tumeurs-cerebrales","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=4150","title":{"rendered":"Tumeurs c\u00e9r\u00e9brales"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li>Tumeurs primitives : n\u00e9es dans le SNC<\/li>\n\n\n\n<li>Tumeurs secondaires : n\u00e9s ailleurs dans le corps et m\u00e9tastasent jusqu&rsquo;au cerveau<\/li>\n\n\n\n<li>Les tumeurs secondaires sont dix fois plus fr\u00e9quent que les primitives<\/li>\n<\/ul>\n\n\n\n<h3 id=\"examen-histologiques-systematique\" class=\"wp-block-heading\">Examen histologiques syst\u00e9matique<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Toutes les l\u00e9sions expansives intracr\u00e2niennes ne sont pas des tumeurs<\/li>\n\n\n\n<li>Stratification pronostique et d\u00e9cision th\u00e9rapeutique<\/li>\n<\/ul>\n\n\n\n<h3 id=\"classification-de-loms\" class=\"wp-block-heading\">Classification de l&rsquo;OMS<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tumeurs neuro\u00e9pith\u00e9liales : gliomes<\/li>\n\n\n\n<li>Tumeurs m\u00e9ning\u00e9es primitives : m\u00e9ningiome<\/li>\n\n\n\n<li>Lymphomes primitif du SNC<\/li>\n\n\n\n<li>Tumers de la r\u00e9gion sellaire<\/li>\n\n\n\n<li>M\u00e9tastases intracr\u00e2nienne (c\u00e9r\u00e9brales, durales)<\/li>\n<\/ul>\n\n\n\n<h3 id=\"classification-histomoleculaire-des-gliomes\" class=\"wp-block-heading\">Classification histomol\u00e9culaire des gliomes<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>4 grades de malignit\u00e9 croissante<\/li>\n\n\n\n<li>I Astrocytome pilocytique ; II astrocytome ; III anaplasique, IV glioblastome<\/li>\n<\/ul>\n\n\n\n<h3 id=\"metastases-cerebrales-epidemiologie\" class=\"wp-block-heading\">M\u00e9tastases c\u00e9r\u00e9brales : \u00e9pid\u00e9miologie<\/h3>\n\n\n\n<p>Certains cancers donnent volontiers des m\u00e9tastases c\u00e9r\u00e9brales :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u00e9lanome<\/li>\n\n\n\n<li>Choriocarcinome<\/li>\n\n\n\n<li>Sein, poumon<\/li>\n<\/ul>\n\n\n\n<h3 id=\"mode-de-decouverte\" class=\"wp-block-heading\">Mode de d\u00e9couverte<\/h3>\n\n\n\n<p>3 grands modes de d\u00e9couverte des tumeurs intracr\u00e2niennes :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Syndrome d&rsquo;hypertension intracr\u00e2nienne (HTIC) <\/strong>: c\u00e9phal\u00e9e, vomissement, oed\u00e8me papillaire. Chez l&rsquo;enfant : accroissement anormal du p\u00e9rim\u00e8tre cr\u00e2nien, \u00e9largissement des fontanelles, dysjonction des sutures cr\u00e2niennes. URGENCE<\/li>\n\n\n\n<li><strong>Crise d&rsquo;\u00e9pilepsie<\/strong><\/li>\n\n\n\n<li><strong>D\u00e9ficit focal<\/strong> : d\u00e9pend de la localisation du processus expansif. Le d\u00e9ficit s&rsquo;installe progressivement puis s&rsquo;aggrave en \u00ab\u00a0t\u00e2che d&rsquo;huile\u00a0\u00bb<\/li>\n<\/ul>\n\n\n\n<p>Signes cliniques et localisation<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Frontal\/calleuse :<\/strong> syndrome frontal<\/li>\n\n\n\n<li><strong>Pari\u00e9tale <\/strong>: h\u00e9mihypoesth\u00e9sie<\/li>\n\n\n\n<li><strong>Temporale <\/strong>: aphasie, trouble mn\u00e9sique<\/li>\n\n\n\n<li><strong>Occipitale <\/strong>: QHL, HLH controlat\u00e9rale<\/li>\n\n\n\n<li><strong>Chiasmatique\/sellaire<\/strong> : h\u00e9mianopsie, d\u00e9ficit hormonaux par envahissement de la r\u00e9gion hypothalamo-hypophysaire<\/li>\n\n\n\n<li><strong>Noyaux gris et capsule interne<\/strong> : h\u00e9mipar\u00e9sie proportionnelle<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u00e9ningiome : pas agressif, n\u00e9 depuis la dure-m\u00e8re<\/li>\n\n\n\n<li>Lymphome : agressif<\/li>\n\n\n\n<li>M\u00e9tastase<\/li>\n<\/ul>\n\n\n\n<h2 id=\"prise-en-charge\" class=\"wp-block-heading\">Prise en charge<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Objectif principal : conserver une bonne qualit\u00e9 de vie<\/li>\n\n\n\n<li>PEC multidisciplinaire<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Examen histologiques syst\u00e9matique Classification de l&rsquo;OMS Classification histomol\u00e9culaire des gliomes M\u00e9tastases c\u00e9r\u00e9brales : \u00e9pid\u00e9miologie Certains cancers donnent volontiers des m\u00e9tastases c\u00e9r\u00e9brales : Mode de d\u00e9couverte 3 grands modes de d\u00e9couverte des tumeurs intracr\u00e2niennes : Signes&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=4150\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Tumeurs c\u00e9r\u00e9brales\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[412],"tags":[],"class_list":["post-4150","post","type-post","status-publish","format-standard","hentry","category-champ-neuro-autres"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - 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