My aunt has Primary Central Nervous System Lymphoma. She was diagnosed in Nov. of last year. The tumor was located right above the brain stem. She’s gone through 14 rounds of high dose chemo (methotrexate and rotuxin) and it seems to have gotten rid of the tumor (two months ago the Oncologist said the tumor was no longer measurable). The tumor caused serious changes in her- safety awareness, impatience, anger, refusal to listen to doctors, etc. Plus things like left sided weakness, memory problems, difficulty talking/communicating, difficulty doing really anything complicated. She’s a completely different person now. The doctors have said that she’s unable to be alone so my mother and I take turns staying with her as her caretaker. Is there a possibility of these issues improving? Or are they permanent? While she had the tumor we could see marked improvements as it got smaller during each round of chemo. But now that the tumor is gone I’ve stopped noticing any other improvements. I know the tumor caused damage while it was in the brain. Does that damage remain? Also as a 2nd question- I’m not sure if you’d be addressing treatment questions or just tumor questions. She was doing really well with her treatments. She did chemo every other week for 8 rounds then she was switched to one round per month (it usually lasted about 1.5 weeks). Each month we would see slight improvements neurologically. However two months ago she drastically got worse instead of better. It was like we went back 4 months in reverse. The next month the same thing happened instead of an improvement she seemed to get worse (balance was worse, more issues talking, more confusion and hallucinations). The doctors did scans and said it wasn’t the tumor returning but felt it may actually be that the methotrexate was affecting her neurologically. Have you heard of this? And if so how do you treat this? Do you continue treatment as scheduled or do you alter treatment?
Thank you so much for your advice/info