Central Nervous System Tumors (Brain and Spinal Cord) - Childhood: Introduction

Approved by the Cancer.Net Editorial Board, 04/2020

ON THIS PAGE: You will find some basic information about this disease and the parts of the body it may affect. This is the first page of Cancer.Net’s Guide to Childhood Central Nervous System Tumors (Brain and Spinal Cord). Use the menu to see other pages. Think of that menu as a roadmap for this complete guide.

About the body's central nervous system

The body's central nervous system (CNS) consists of the spinal cord and the brain.

The spinal cord consists of nerves that carry information back and forth between the body and the brain. The brain is the center of thought, memory, and emotion. It controls the 5 senses, which include smell, touch, taste, hearing, and sight. It also controls movement and other basic functions of the body, including heartbeat, circulation, and breathing.

The brain is made up of 4 major parts:

  • The cerebrum. This is the largest part of the brain. It contains 2 cerebral hemispheres and is divided into 4 lobes where specific functions occur.

    • The frontal lobe controls reasoning, emotions, problem solving, and parts of speech and movement

    • The parietal lobe controls the sensations of touch, pressure, pain, and temperature

    • The temporal lobe controls memory and the sense of hearing

    • The occipital lobe controls vision

  • The cerebellum. Also called the "little brain," the cerebellum is located underneath the cerebrum. It controls coordination and balance.

  • The brain stem. This is the lowest portion of the brain and connects to the spinal cord. It controls involuntary functions essential for life, such as a person’s heartbeat and breathing.

  • The meninges. These are the membranes that surround and protect the brain and spinal cord. There are 3 meningeal layers, called the dura mater, arachnoid, and pia arachnoid.

When a tumor begins in the CNS

A CNS tumor begins when healthy cells within the brain or the spinal cord change and grow out of control, forming a mass. A CNS tumor can be either cancerous or benign. A cancerous tumor is malignant, meaning it can grow and spread to other parts of the body. A benign tumor means the tumor can grow but will not spread.

A CNS tumor is especially problematic because a person’s thought processes and movements may be affected. And, the tissues around the tumor are often vital to the body’s functioning. The treatment of a CNS tumor in infants and young children may be especially challenging because a child's brain is still developing. Doctors consider all these factors in creating the best treatment plan for each child with a CNS tumor.

Types of CNS tumors in children

In most instances, CNS tumors start in the normal cells of the brain and spinal cord called "neurons" and "glia." Tumors that start from neurons include medulloblastoma and primitive neuroectodermal tumors (PNETs). Tumors that start from glia include glioma, astrocytoma, oligodendroglioma, and ependymoma. The tumor's specific name often reflects the CNS tumor's tissue of origin.

In addition to the tumor's name, CNS tumors are described by grade. This means that each tumor is given a grade on a scale of I to IV (1 to 4). The tumor's grade reflects whether the tumor is likely to behave aggressively and whether it is likely to spread to other parts of the brain and spine. Grading is described later in this guide in more detail. There are also specific factors within each tumor type that affect how quickly the tumor will grow. Many of these differences depend on genetic changes found within the tumor (see Diagnosis).

The following types of CNS tumors are most common among children:

This guide covers CNS tumors diagnosed in children and adolescents. Learn more about brain tumors in adults in a separate guide on this website.

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If you would like more of an introduction, explore these related items. Please note that these links will take you to other sections on Cancer.Net:

The next section in this guide is Statistics. It helps explain the number of children and adolescents who are diagnosed with a CNS tumor and general survival rates. Use the menu to choose a different section to read in this guide.