Oral complications affect the mouth. Some types of brain tumors, such as medulloblastoma and lymphoma, tend to respond better to chemo than others. Credit: iStock. Mayo Clinic, Rochester, Minn. Feb. 19, 2019. Pathophysiology A brain tumor is an overgrowth of cells that creates a mass of tissue within the brain. The effect of cancer treatment on cognitive function. Chemotherapy may also be given together with other drug treatments, such as biological therapy. Some chemotherapy drugs can affect how well your kidneys work (kidney function). The skull surrounds the brain, and any leaking blood from a hemorrhage can cause compression and damage to the brain tissues. But like other treatments, it often causes side effects. Chemotherapy drugs can temporarily affect the number of healthy blood cells in the body. The surgeon may insert tools through the incision to stop bleeding or remove a blood clot. Niederhuber JE, et al., eds. These cells keep you from bleeding too much by helping your blood clot. Semin Neurol. Behavioural changes. Cancer-associated stroke: Pathophysiology, detection and management (Review). The operation went well but he said he later suffered a bleed on the brain, which left him paralysed down the right side of his body. HHS Nausea and vomiting. Systemic thrombosis, embolism, or hemorrhage can be a clue to the cause, and appropriate neuroimaging and coagulation studies to aid in the diagnosis are available. ... the procedure, notify your care provider or nurse. Repeat brain imaging showed enlargement of the hematoma. Some cancer treatments, such as chemotherapy and targeted therapy, can increase your risk of bleeding and bruising. Chemo brain can also be called chemo fog, cancer-related cognitive impairment or cognitive dysfunction.Though chemo brain is a widely used term, the causes of concentration and memory problems aren't well-understood. Small metastases may bleed and cause acute symptoms. Cerebrovascular complications in cancer patients. This content does not have an Arabic version. A raquetball-sized GBM with no other symptoms except a brain bleed, which, for all intents and purposes, she should have died from. Mayo Clinic does not endorse companies or products. While basal cell and squamous cell carcinomas might bleed, itch, or become patchy and shiny, the signs of melanoma are a bit different. Chemotherapy for a brain tumour can be difficult to cope with. All rights reserved. The clinical signs of infarction are indistinguishable from other causes of stroke, except that tumor-related venous occlusion will usually first produce signs of increased intracranial pressure. Changes in how your kidneys work. This is a chemotherapy drug that works by sticking to one of the cancer cell’s DNA strains, which then slows or stops cancer cell growth. This can lead to bleeding during cancer treatment. Chemotherapy drugs interfere with how cancer cells develop and grow, and different drugs do this in different ways. In patients with solid tumors, a low-grade activated coagulation can result in systemic and cerebral arterial or venous thrombosis. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2015. http://www.ovid.com/site/index.jsp. Epub 2019 Jan 2. Giridhar KV (expert opinion). Pathology confirmed a metastatic DLBCL in the brain. Medicine (Baltimore). https://www.nccn.org/professionals/physician_gls/default.aspx. Some people find that chemotherapy makes them forgetful or unable to concentrate during or after treatment. 10th ed. Nosebleeds are common, and while the cause may be unclear at first, most cases are minor and can be managed from home. Primary or metastatic tumors in the brain or dura may hemorrhage, producing the initial clinical signs of the brain tumor or a change in chronic signs induced by the tumor. Some chemotherapy drugs are given on their own. Cerebral arterial or venous thrombosis is sometimes the result of cancer therapy. In cerebral venous occlusion, the initial symptom is usually a headache. Changes in how your kidneys work. So most often the above symptoms are caused by some other medical condition. Cognitive impairment in adults with non-central nervous systems cancer (PDQ). EC chemotherapy works by stopping the cancer cells from dividing and multiplying, which blocks the growth of the cancer. You may be referred to an occupational therapist or a neuropsychologist, who can help you adjust to your current job or identify your strengths so that you may find a new job. Accessed Jan. 17, 2019. A case of cerebral infarction due to pleomorphic carcinoma of the lung. In: Abeloff's Clinical Oncology. Serious infections Leukemia cells that spread to the brain and spinal cord can cause: 1. If the rupture of a vessel in the brain leads to a stroke, it is called a hemorrhagi… Blocking pain signals from the nerves to the brain with spinal treatments or nerve blocks. Without enough red blood cells to carry oxygen to tissues, you may experience anemia.Symptoms of anemia may include: 1. fatigue 2. lightheadedness 3. pale skin 4. difficulty thinking 5. feeling cold 6. general weaknessChemo can also lower your white blood cell count (neut… Most cancer survivors will return to work, but some will find tasks take extra concentration or time. Therapy of acute DIC is controversial and should be individualized for the clinical setting. The person may need to stay in the hospital for chemotherapy. DeVita VT Jr, et al., eds. The attribution of thrombosis to chemotherapy in many published cases is only speculative, because carefully conducted prospective studies that include investigation for other thrombotic causes are not available. You might bleed excessively from a small cut or bleed spontaneously from your nose or gums. Concurrent systemic thrombosis is present in many patients and is a useful clue to the diagnosis. Semin Neurol. The identification of one of these unusual stroke syndromes that leads to the diagnosis of an occult and treatable cancer can be particularly rewarding. Except for cerebral intravascular coagulation that is unassociated with NBTE, neuriomaging studies usually demonstrate one or more parenchymal infarctions. Distress management. Coagulation disorders are common in cancer patients. If you experience severe memory or concentration problems that make it difficult to do your job, tell your doctor. Studies show that chemotherapy can have many unpleasant side effects, one of which is oral mucositis, or mouth sores. Chemotherapy (sometimes called chemo) uses drugs to destroy cancer cells. Platelets in the bloodstream live approximately eight to 10 days and are rapidly replenished. When blood cells are affected by chemo, you are more likely to get infections and bruise or bleed easily. Therapy may ameliorate symptoms or prevent further episodes. This is called a stroke. Due to the stroke (left-side paresis and parts of the brain being resected during the surgeries), she would not qualify for any real form of treatment--chemo alone would kill her--and definitely not for any clinical trials. Tell your doctor or nurse about any problems or side effects that you have. Mayo Clinic is a not-for-profit organization. 2010 Jul;30(3):311-9. doi: 10.1055/s-0030-1255224. 2004 Dec;24(4):453-60. doi: 10.1055/s-2004-861539. ... You can bleed and bruise more easily than normal. There are many possible factors that might contribute to the signs and symptoms of memory problems in cancer survivors. In: DeVita, Hellman, and Rosenberg's Cancer: Principles & Practice of Oncology. There is no established treatment for the thrombotic coagulopathy associated with cancer, but anticoagulation should be considered. This is more severe than bleeding in the front of your nose. 2015;13:1. The cerebrospinal space is the area surrounding the spine and brain, which contains cerebrospinal fluid. https://www.nccn.org/professionals/physician_gls/default.aspx. Accessed Jan. 17, 2019. Rarely, dangerous internal bleeding can occur. Cancer treatments may also contribute to this coagulopathy, which usually, but not exclusively, occurs in the setting of advanced malignant disease. ... (CRCC) but it is sometimes known as chemo brain. This content does not have an English version. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. COVID-19 is an emerging, rapidly evolving situation. Cramer CK, Cummings TL, Andrews RN, Strowd R, Rapp SR, Shaw EG, Chan MD, Lesser GJ. 2. Clinical characteristics and outcomes of intracranial hemorrhage (ICH) among adult patients with various hematological malignancies are limited. Like no other time in history, we have more options and targeted technologies available to our cancer patientsthan ever before.  |  Our ability to create customized treatment plans for our patients using the latest cancer targets derived from cancer antigens, genetic biomarkers, and epigenetics combined with personalized delivery of therapies … So you may not make as much saliva as before. Etiology May be benign (non-cancerous) or […] Hemorrhages from radiation-induced vascular abnormalities are rare. This symptom sometimes is called “chemo fog,” or “chemo brain.” Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Severe and persistent headache 2. These are sores or ulcers that develop on the soft tissues of your lips, mouth, gums, and tongue, and, in some cases, extend into the esophagus. Rarely, dangerous internal bleeding can occur. Yoshikawa S, Kamide T, Kasakura S, Arai N, Osada T, Mouri A, Hamada M, Kawasaki T, Takao M, Kohyama S. Surg Neurol Int. Thrombocytopenia related to chemotherapy is often a short term problem. Signs and symptoms of chemo brain may include the following: If you experience troubling memory or thinking problems, make an appointment with your doctor. That’s because the drugs can harm cells in the bone marrow, where red blood cells are produced. Blood cells fight infection, cause the blood to clot, and carry oxygen to all parts of the body. These advancements make all the difference for the patients who have exhausted all previous options for treatment with no success. Whole brain radiation therapy (WBRT) is used to help treat brain tumors and to prevent new tumors from forming. Your mouth and throat may become dry. CSF examination is useful in diagnosing leptomeningeal metastasis. Lung, breast and melanoma are the tumours that most commonly metastasise to the brain. A search for lung or cardiac tumor should be performed when embolic tumor infarction is suspected. The diagnosis can be suspected by the clinical setting and by systemic thrombosis or hemorrhage. 1985 Jan;64(1):16-35. doi: 10.1097/00005792-198501000-00002. Blood thinners make it more likely for you to bleed or bruise. This can make eating and speaking more difficult. USA.gov. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2014. https://www.clinicalkey.com. A brain hemorrhage is bleeding in or around the brain. Cognitive changes related to cancer therapy. Learn about different reasons why a nose might bleed after being blown. The clinical signs of cerebral hemorrhage are fulminant and may be fatal. Immediate causes of … Brain hemorrhages can result from chemotherapy effects on the hemostatic system or a microangiopathic anemia. Platelets are the cells that help your blood to clot and stop bleeding. Radiotherapy to the head and neck area can affect the salivary glands. These treatments can lower the number of platelets in the blood. Since brain tumors grow slowly, stroke symptoms tend to develop over the course of days, weeks, or months rather than hours or minutes. Among the possible signs and symptoms of AML are: 1. No matter the cause, chemo brain can be a frustrating and debilitating side effect of cancer and its treatment. Advertising revenue supports our not-for-profit mission. The incision will let extra fluid or blood out of his brain. Legacy Brain & Spine Clinic Dr. Said Elshihabi is a board-certified neurosurgeon with personal interest and emphasis in the management of spinal disorders. Would you like email updates of new search results? Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, See our safety precautions in response to COVID-19, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online. You may have to wait until your platelet levels go up in order to continue with chemotherapy or to have surgery. If the number of platelets in your blood is reduced, you may notice you bruise easily or bleed more than usual from minor cuts or grazes. Rarely, mycotic aneurysms may bleed. Trouble with balance AML is not a common disease. Sometimes there is an associated hemorrhagic vasculitis or cerebritis. A high index of suspicion is needed to diagnose fungal infection because of the difficulty in culturing the organism from the blood or CSF. Therapeutic anticoagulation in patients with brain metastasis did not increase the risk for intracranial hemorrhage. Cerebrovascular disorders can complicate metastatic or primary tumor in the brain, skull, dura, or leptomeninges. If your mouth is dry, the following may help: Take sips of water often. The diagnosis of tumor-related infarction can usually be established by neuroimaging studies that show infarction and may show extracerebral sites of tumor. In general, chemotherapy affects rapidly growing and dividing cells. Chemotherapy can cause a dry mouth. Factors that may increase the risk of memory problems in cancer survivors include: The severity and duration of the symptoms sometimes described as chemo brain differ from person to person. The clinical picture varies with site of metastases and the rate of rise of intracranial pressure. We also look at the options for when the cause needs treatment. Hydration is vitally important for your body to take in the toxicity while flushing it. The wafer is made of carmustine. The best-known associations with thrombosis are L-asparaginase, which is typically used in the induction therapy of acute lymphocytic leukemia, and combination hormonal therapy and chemotherapy for breast cancer. ... You might bleed excessively from a small cut or bleed spontaneously from your nose or gums. MRI or MRV may demonstrate venous thrombosis. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. This site needs JavaScript to work properly. Marked fatigue and weakness 3. The bleeding usually occurs in the brain or subdural compartment, and rarely in the subarachnoid space. Neurocognitive effects. St Albans Crown Court today heard how Davey Everson, 23, was 'heavy handed' with Millie Rose Burdett, who died after suffering fractures and a bleed on the brain in 2018. ... on Wednesday after doctors found a bleed … The brain hemorrhage may require evacuation and the underlying tumor will usually require additional antineoplastic treatment. Medical Clinics of North America. Blood cells – white blood cells, red blood cells and platelets – are released by the bone marrow (spongy material in the hollow part of bones) to replace those naturally used up in the body. … Curr Treat Options Oncol. Congenital intracranial immature teratomas carry a dismal prognosis, and the usefulness of chemotherapy for these tumors has not been elucidated. A total of 2,574 adult patients diagnosed with hematological malignancies admitted to a single university hospital were enrolled into this study between 2001 and 2010. Weakening of the wall of a blood vessel that can break open and bleed into the brain. Blood Pressure Control. 2018 Jul-Sep;24(3):369-371. doi: 10.4103/IJPC.IJPC_210_17. The distribution of stenosis or occlusion is within the radiation portal and is typically more extensive than is atherosclerosis that develops in the absence of radiation. We originally thought aneurism, then after numerous tests, it was named a type of hemorrhage. Clipboard, Search History, and several other advanced features are temporarily unavailable. It can be established by examination of the peripheral smear, the platelet count, and tests of coagulation function. Bleeding from your mouth can range from mild, with some spotting when you brush your teeth, to severe, with bleeding that's difficult to stop. Please enable it to take advantage of the complete set of features! Others may be unable to return to work. It's likely that there are multiple causes. This could be due to: Underproduction of blood platelets - from chemotherapy, cancer in the bone marrow (such as leukemia, lymphoma, or multiple myeloma), viruses, drugs, or … [Cerebrovascular complications of cancers]. https://www.cancer.gov/about-cancer/treatment/side-effects/memory/cognitive-impairment-hp-pdq. If a blood vessel … Bleeding in the back of the nose may result in slow but steady bleeding. There may be TIAs or cerebral infarctions. Platelet levels begin to drop around one week after a chemotherapy session and reach the lowest level (the nadir) at around 14 days following an infusion. Effects on the blood. (Freak bleed) Mom hasn't taken her BP meds since she began chemo. Treatment of Radiation-Induced Cognitive Decline in Adult Brain Tumor Patients. An in-depth description of the potential side effects of chemotherapy for children suffering from brain tumours. Chemotherapy drugs can cause side effects, but they don’t have to take over your life.. Other equipment that may be used during the procedure includes an intravenous line (IV), ultrasound machine and devices that monitor your heart beat and blood pressure. It is especially common in acute myelogenous leukemias. Taking aspirin or other related drugs can also weaken blood platelets. Many chemo drugs lower the number of platelets for a time. This will help decrease pressure and prevent injury to the person's brain. Dardiotis E, Aloizou AM, Markoula S, Siokas V, Tsarouhas K, Tzanakakis G, Libra M, Kyritsis AP, Brotis AG, Aschner M, Gozes I, Bogdanos DP, Spandidos DA, Mitsias PD, Tsatsakis A. Int J Oncol.  |  This site complies with the HONcode standard for trustworthy health information: verify here. 2020 Aug 1;11:217. doi: 10.25259/SNI_37_2020. Chemo brain is a common term used by cancer survivors to describe thinking and memory problems that can occur during and after cancer treatment. ... get on with my chemotherapy and go to work as normal." Epub 2010 Jun 24. Seizures. Hyperleukocytosis (extreme elevation of the cell count) in acute myelogenous leukemia is a less common cause of brain hemorrhage in recent years because of improved methods to lower the cell count. Brain hemorrhages can result from chemotherapy effects on the hemostatic system or a microangiopathic anemia. Though chemo brain is a widely used term, the causes of concentration and memory problems aren't well-understood. Researchers are working to understand the memory changes that people with cancer experience. Surg Neurol Int. This is known as a brain aneurysm. This problem is called an arteriovenous malformation, or AVM. NBTE can be diagnosed by transesophageal echocardiography. 39 Likes, 3 Comments - Stanford Family Medicine (@stanfordfmrp) on Instagram: “Congratulations to our residents Grace and Jenny on completing their first rotation as intern and…” Brain tumor symptoms include headaches, nausea or vomiting, balance and walking problems, mood and personality changes, memory problems, and numbness or tingling in the legs. Telles JPM, Yamaki VN, Yamashita RG, Solla DJF, Paiva WS, Teixeira MJ, Neville IS. Accessed Jan. 25, 2019. This bleeding kills brain cells. Padma K, Nanaware S, Pande N, Ransing R, Kulkarni K. Indian J Palliat Care. Neurologic complications. The impact of urgent neurosurgery on the survival of cancer patients. Primary brain tumors among adults are astrocytoma, meningioma, and oligodendroglioma. Survivorship. In children, the cerebral vessels can be affected by brain radiation resulting in stenosis or occlusion. It's caused by an artery in the brain bursting and causing localized bleeding in the surrounding tissues. Radiation to the head and neck, typically administered for head and neck epithelial cancers or lymphoma, may result in delayed carotid atherosclerosis. Or it can be given at a clinic and the person goes home afterward. When your mouth sores bleed, continue cleaning your mouth as best you … Oral complications of chemotherapy and head/neck radiation are common and should be considered before, during, and after treatment. Different chemotherapy drugs attack the cancer cells at … In leukemia and lymphoma, the coagulopathy is typically acute DIC that can lead to systemic and brain hemorrhages. Chemotherapy drugs may cause problems with memory, or make it difficult to concentrate or think clearly. Chemotherapy is given into the veins (by IV) and sometimes into the fluid around the brain (the spinal fluid). It is a form of stroke.Causes of brain hemorrhage include high blood pressure (hypertension), abnormally weak or dilated blood vessels that leak, drug abuse, and trauma.Many people who experience a brain hemorrhage have symptoms as though they are having a stroke, and can develop weakness on one side of their body, difficulty … In rare cases, people with memory and concentration problems are unable to work and may consider applying for disability benefits. See our safety precautions in response to COVID-19. The complications may be side effects of the disease or treatment, or they may have other causes. He underwent right temporoparietal craniotomy for the removal of a hematoma, and tumor nodules adherent to the cortex was found. Chemo brain, which can affect concentration and focus; Mood changes; Changes in libido and sexual function; ... For instance, platelets help blood clot and prevent bleeding. Adjusting doses of chemotherapy. Hemorrhages from radiation-induced vascular abnormalities are rare. 2019 Mar;54(3):779-796. doi: 10.3892/ijo.2019.4669. Exactly two months to the day after Dx, moms brain began bleeding. Common symptoms and signs include: Headache. There are helpful clues to a neoplastic hemorrhage on brain CT or MRI scans. Radiation-Induced Neuropsychiatric Manifestations in a Patient with Brain Metastasis: A Diagnostic and Therapeutic Challenges for Consultation-Liaison Psychiatrist. Because of the widespread distribution of cerebral thromboses, there may be a superimposed encephalopathy; sometimes this is the only sign. Nosebleeds of this type are usually a result of injury, such as being hit on the head by a blunt object, or from contact sports. Plymouth Meeting, Pa.: National Comprehensive Cancer Network. Symptoms will vary based on the size and location of the tumor. Chemo brain is a common term used by cancer survivors to describe thinking and memory problems that can occur during and after cancer treatment. It’s often caused by your chemotherapy medicines, but it can also come from the cancer itself or other problems like infection, low blood counts, fatigue, sleep problems, or stress. eCollection 2020. Literature review showed that this was the first reported case of brain hemorrhage from metastatic lymphoma. Learn about preventing and managing mouth and throat problems like dryness, taste changes, pain, and infection in this expert-reviewed summary. Select chemotherapy medications, such as doxorubicin or irinotecan, may be used in the embolization treatment of tumors. WBRT can help you maintain your normal daily activities during treatment. Abnormal connection between the arteries and veins in the brain that usually forms before birth. Small clinical series suggest that surgical treatment is equally effective as in nonirradiated carotid atherosclerosis. Key points Your child may start to experience several side effects within 30 minutes to a day of having chemotherapy, followed by more side effects within two or three weeks. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Septic cerebral emboli may result in focal cerebral signs, seizures, or encephalopathy. Chemo is not as helpful for treating some other types of tumors, such as spinal … Increased bleeding and bruising. 2020 Aug 21;11:258. doi: 10.25259/SNI_476_2020. Opportunistic infections, especially fungal infections, can complicate cancer or its treatment. Dehydration. Asher A, et al. Vannorsdall TD. The laboratory evidence of coagulopathy is difficult to distinguish from the asymptomatic coagulopathy that often accompanies advanced cancer, and the test results must be interpreted cautiously. Caused her to be sick, however it had been within normal range. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). Complications are new medical problems that occur during or after a disease, procedure, or treatment and that make recovery harder. Brain tumor, breast cancer, colon cancer, congenital heart disease, heart arrhythmia. Taking longer than usual to complete routine tasks, Trouble with verbal memory, such as remembering a conversation, Trouble with visual memory, such as recalling an image or list of words, A cancer diagnosis can be quite stressful and it might lead to anxiety and depression, which can contribute to thinking and memory problems, Certain cancers can produce chemicals that affect memory, Cancers that begin in the brain or spread to the brain might cause changes in thinking, Menopause or other hormonal changes (caused by cancer treatment), Medications for other cancer-related signs and symptoms, such as pain medications, Other medical conditions, such as diabetes, thyroid problems, depression, anxiety and nutritional deficiency, Cancer that spreads (metastasizes) to the brain, Higher doses of chemotherapy or radiation, Younger age at time of cancer diagnosis and treatment. But more often, several chemotherapy drugs are given together. 5th ed. Opportunistic infections, especially fungal infections, can complicate cancer or its treatment. Your bone marrow makes cells called platelets. Chemotherapy reduces your blood's ability to clot. … Accessed Jan. 19, 2019. Unexplained and persistent fever 2. Routine blood count monitoring is a crucial part of chemotherapy. As it grows, this compresses the brain tissue, causing symptoms ranging in severity from minor headaches to brain death. Accessed Jan. 17, 2019. Blood flow to part of the brain stops. Seizures 3. Chemotherapy is the first treatment tried with the goal of achieving a remission. 2019 Apr 8;20(5):42. doi: 10.1007/s11864-019-0641-6. In general, chemo is used for faster-growing brain tumors. A chemo wafer, specifically a Gliadel wafer, is medication that is implanted to treat certain type of brain cancers. A clinician can usually establish the cause of stroke in the cancer patient by performing a careful review of the clinical setting--including the type and extent of cancer and the type of antineoplastic therapy--in which the stroke occurred. Keep a journal of your signs and symptoms so that your doctor can better understand how your memory problems are affecting your everyday life. Chemotherapy, radiation, and bone marrow transplants can destroy some of your platelets. 2017;101:1115. Doctors sometimes call this cancer-related cognitive changes (CRCC) but it is sometimes known as chemo brain. Some chemotherapy drugs can affect how well your kidneys work (kidney function). NIH  |  Chemotherapy treats many types of cancer effectively. Learn about surgery, types of brain tumors, and other treatments. The authors report on the successful management of a case of congenital intracranial immature teratoma by using neoadjuvant chemotherapy and surgery after the failure of an initial attempt at resection. These include: Blood cells. A Peterlee mum with three brain tumours has undergone life-saving brain surgery – just 24 hours after doctors told her she had two days to live. Steps a person can take to prevent a brain bleed include: exercising eating a healthful diet reducing stress limiting salt and fat intake stopping smoking limiting alcohol consumption NLM The nurse will give you telephone numbers to call if you have any problems at home. A brain hemorrhage is a type of stroke. Envita is truly in a category all its own. A low platelet count can delay your treatment. The clinical characteristics, image reports and outcomes were retrospectively … Easy bruising or bleeding 5. Oral complications are common in cancer patients, especially those with head and neck cancer. Certain chemotherapy drugs can damage your bone marrow — the spongy material found in your bones. The surgeon may place a device in the person's brain tissue. Make a donation. Ask your health care team for a referral to an oncology social worker or a similar professional who can help you understand your options. The symptoms of a stroke caused by an intracerebral hemorrhage are different from a typical stroke. Chemotherapy. Chemo brain can also be called chemo fog, cancer-related cognitive impairment or cognitive dysfunction.