Brain tumour, malignant (cancerous)
Emily Jones was diagnosed with a brain tumour after experiencing repeated vomiting and dizziness for over a year. She talks about her difficulties getting a diagnosis and the treatment she received.
"I was studyingfor my Master's degree inHistory in the spring of 2011 when I began experiencing episodes of early-morning vomiting. As an otherwise fit and healthy 24-year-old, I initially put this down to food intolerances, hangovers and anxiety. A university friend had suffered from similar problems during our final year, so I assumed my symptoms could have been stress-related.
"Over the summer, I went to see my GP back home in Cheshire, who gave me some anti-sickness medication and told me to come back if the problem persisted.
"On returning to Oxford in the autumn, I began to experience extreme dizziness as well. At its worst, I was waking up in the night with the room spinning. This was diagnosed as labyrinthitis an inner-ear disorder most commonly seen in older people. The dizziness persisted into the New Year, and then my vision started to become blurry at times, especially in the afternoon. When I reported the latter symptom, I was simply told not to go on the Pill, because I would be at risk of a stroke. I never suffered from painful headaches.
"In Oxford alone, I had seen four different doctors on multiple occasions, all of whom came up with a range of diagnoses and anti-sickness tablets. It almost became normal to run to the bathroom as soon as I woke up.
"By the end of May 2012, a year later, I was nearly at my lowest: exhausted, being sick every morning, dizzy, with no appetite. I was unable to lie flat or turn sideways without feeling incredibly lightheaded; I couldnt finish a can of Coke without needing to sit down. I asked my GP for a specialist consultation and was referred to a neurologist at last, although as a non-urgent case.
"It wasnt until a wedding in June that my family became really alarmed at how ill I was. My mother, a nurse, insisted that I go back to my GP to arrange an urgent appointment to see a consultant privately, if necessary. Even at this point, I was told that my symptoms were nothing serious.
"The consultant neurologist diagnosed my brain tumour within 10 minutes, though she waited for the confirmation from a CT scan before breaking the news. I was admitted to the John Radcliffe Hospital in Oxford that afternoon and prescribed the highest dose of dexamethasone steroids to help reduce the pressure in my brain. Thankfully I was with my mother, and there were plenty of sympathetic staff. I hadnt even suspected that it could have been a brain tumour because I hadnt suffered from headaches so it was a big shock.
"A few days later, I went through a very long operation (posterior fossa craniotomy) to debulk the tumour which removed all of the cancerous cells. Post-surgery, I was told I would feel as if Id been hit by a bus. Never having been hit by a bus, I had no idea what to expect, so the alternative was the worst hangover youll ever have. It wasnt agonising pain, just very uncomfortable, and my energy levels dipped very suddenly.
"It took about six weeks to recover properly. The operation left me with double vision, but happily this corrected itself in three weeks (the given minimum time) whilst I was watching the Olympics.
"We then had to wait for the histology results. The tumour was an ependymoma of which around 85% are benign but mine wasnt. It was cancer. Because of where my tumour was, surrounded by spinal fluid, I needed extensive radiotherapy treatment to my whole head and spine.
"I was initially told in Oxford that this treatment could and most probably would damage my ovaries and my uterus. This was more of a surprise than the brain tumour: I had never desperately wanted children, but I always thought I would have the option.
"My boyfriend was absolutely brilliant throughout, but particularly so at this point. I was offered the option of IVF, which we tried, but my medication had halted my periods and so my only option was to go ahead with the cancer treatment.
"I decided to have my radiotherapy nearer to home at the Clatterbridge Cancer Centre on the Wirral. From the beginning of September, I went to Clatterbridge five days a week, for seven weeks. It was boring and tiring. I was still taking steroids, which made me gain weight and affected my personality. My hair fell out. I kept telling myself how lucky I was to be living in Britain in 2012. Since I was admitted to hospital (as an NHS patient) I have received the most amazing care and support from staff, as well as my friends and family.
"My scan, before Christmas 2012, was clear, as was my scan the following April. There was more cause to celebrate in January when my periods returned.
"We (my partner, family, friends, and I) have had one scare. My scan in September 2013 was reported with concerns. We always try and prepare ourselves for the worst case scenario, but it doesnt always work. Thankfully it was just scar tissue, but we had a horrible four days thinking it was something much worse.
"The following month my boyfriend and I got engaged on holiday in San Francisco, and Ive now been back in Oxford working on my PhD for a year. My hair is growing back and Ive lost all the weight I gained when on the steroids. I feel like a normal 26-year-old most of the time, but I still have a long way to go."
This case history was provided by Brain Tumour Research.
A malignant brain tumour is a fast-growing cancer that spreads to other areas of the brain and spine.
The symptoms of a malignant brain tumour depend on how big it is and where it is in the brain.
Most malignant brain tumours are caused by a cancer that started somewhere else in the body and spread to the brain, through the bloodstream.
If you develop the symptoms of a brain tumour, such as a persistent and severe headache, see your GP.
If you have a malignant brain tumour, you'll usually need surgery to remove as much of it as possible.
Malignant brain tumours often grow back after treatment, so regular follow-up appointments will be recommended to look for signs that this may have happened.
After collapsing at work, Alan Thomas was diagnosed with a brain tumour.He tells his story.
April Watkins was diagnosed with a brain tumour soon after starting university. She tells her story.
When David Grant was diagnosed with a malignant brain tumour, he was determined to live long enough to see his young daughter grow up. He tells his story.
Emily Jones was diagnosed with a brain tumour after experiencing repeated vomiting and dizziness for over a year.
John Pettyfer was just 51 years old when his life was cut short by an aggressive type of brain tumour called a glioblastoma multiforme. His daughter Clare tells his story.
Neville Holt passed away at the age of 74 after being diagnosed with an aggressive type of brain tumour called a gliosarcoma. His son Chris tells his story.