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Central Nervous System

    continued...

    These symptoms may be caused by brain and spinal cord late effects:

    • Headache that may go away after vomiting.
    • Seizures.
    • Loss of balance, lack of coordination, or trouble walking.
    • Trouble speaking, swallowing or coordinating eye movements.
    • Numbness, tingling, weakness in the hands or feet; being unable to bend your ankle to lift your foot up.
    • Sudden numbness or weakness of the face, arm, or leg (especially on one side of the body).
    • Unusual sleepiness or change in activity level.
    • Unusual changes in personality or behavior.
    • A change in bowel habits or trouble urinating.
    • Increase in head size (in infants).
    • Sudden confusion, trouble speaking or understanding speech.
    • Sudden trouble seeing with one or both eyes.
    • Sudden severe headache with no known cause.

    Other symptoms include the following:

    • Problems with memory.
    • Problems with paying attention.
    • Trouble with solving problems.
    • Trouble with organizing thoughts and tasks.
    • Ability to learn and use new information slows down.
    • Trouble learning to read, write, or do math.
    • Trouble coordinating movement between the eyes, hands, and other muscles.
    • Delays in normal development.
    • Social withdrawal.

    Other conditions may cause the same symptoms. Talk to your child's doctor if your child has any of these problems.

    Certain tests and procedures are used to detect (find) and diagnose health problems in the brain and spinal cord.

    These and other tests and procedures may be used to detect or diagnose brain and spinal cord late effects:

    • Physical exam and history: An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient's health habits and past illnesses and treatments will also be taken.
    • Neurological exam: A series of questions and tests to check the brain, spinal cord, and nerve function. The exam checks a person's mental status, coordination, and ability to walk normally, and how well the muscles, senses, and reflexes work. This may also be called a neuro exam or a neurologic exam. In some cases, a more detailed exam may be done by a neurologist or neurosurgeon.
    • Neuropsychological assessment: A series of tests to examine the patient's mental processes and behavior. Areas that are checked usually include:
      • Knowing who and where you are and what day it is.
      • Ability to learn and remember new information.
      • Intelligence.
      • Ability to solve problems.
      • Use of oral and written language.
      • Eye-hand coordination.
      • Ability to organize information and tasks.
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