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Malignant neoplasm of cerebral ventricle

ICD10CM code

Name of the Condition

  • Malignant neoplasm of cerebral ventricle
  • Primary brain cancer of the ventricular system

Summary

Malignant neoplasm of the cerebral ventricle refers to a cancerous tumor located in the brain's ventricular system, which is a network of cavities filled with cerebrospinal fluid. These tumors are rare and can affect brain function by disrupting the flow of fluid and applying pressure on surrounding brain tissue.

Causes

The exact cause of malignant neoplasms in the cerebral ventricle is not well understood, but they may result from a combination of genetic mutations and environmental factors.

Risk Factors

  • Genetic predisposition or family history of brain tumors
  • Previous exposure to radiation therapy in the head
  • Certain hereditary syndromes, such as Li-Fraumeni syndrome or neurofibromatosis

Symptoms

  • Headaches
  • Nausea and vomiting
  • Changes in balance or coordination
  • Altered mental status or cognitive dysfunction
  • Seizures

Diagnosis

  • MRI or CT scan for detailed imaging of the brain's structures
  • Biopsy for histopathological examination of tumor tissue
  • Neurological evaluation to assess brain function

Treatment Options

  • Surgery: To remove as much of the tumor as possible.
  • Radiation therapy: To target remaining cancer cells post-surgery or when surgery isn’t feasible.
  • Chemotherapy: To shrink or control tumor growth using cancer-fighting drugs.
  • Each treatment aims to control tumor growth, relieve symptoms, or prolong survival.

Prognosis and Follow-Up

  • Prognosis varies based on tumor size, location, and response to treatment.
  • Regular follow-up with imaging studies to monitor for recurrence or progression.
  • Lifelong monitoring may be necessary due to the risk of recurrence and late effects of treatment.

Complications

  • Hydrocephalus due to blockage of cerebrospinal fluid
  • Neurological deficits from tumor growth or treatment side effects
  • Recurrence or metastasis of the cancer

Lifestyle & Prevention

  • No specific lifestyle changes have been proven to prevent this type of tumor, but maintaining overall brain health through regular exercise, a balanced diet, and avoiding head injuries could be beneficial.
  • Early detection and management of risk factors are key.

When to Seek Professional Help

  • Sudden or severe headaches
  • Persistent nausea or vomiting unrelated to other known conditions
  • New or worsening neurological symptoms, such as weakness or speech difficulties

Additional Resources

Tips for Medical Coders

  • Verify the exact location and histological type of the tumor when coding.
  • Common errors include mistaking the ventricular system for other brain regions; ensure accuracy by referencing detailed imaging reports.

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