• UCLA Health
  • myUCLAhealth
  • School of Medicine
UCLA Neurosurgery

UCLA Neurosurgery

UCLA Neurosurgery
  • About Us
    • Chair's Welcome
    • Neurosurgery Faculty
    • Our History
    • Clinical Quality Program
    • Innovation and Technology
    • Giving
    • eNewsletters
    • In the News
    • Webcasts
    • Webinars
    • Resources and Links
    • Global Neuro Health
    • Golden Portal Awards
    • Visionary Ball
    • Lab Party
    • UCLA Neurosurgery App
    • Spotlights
    • Chair's Welcome
    • Neurosurgery Faculty
    • Our History
    • Clinical Quality Program
    • eNewsletters
    • Innovation and Technology
    • In the News
    • Webcasts
    • Webinars
    • Giving
    • Global Neuro Health
    • Lab Party
    • Spotlights
  • Conditions Treated
    • Alphabetical Conditions
    • Brain Conditions
    • Brain Tumor
    • Pediatric Conditions
    • Spine Conditions
    • Acoustic Neuroma
    • Adult Tethered Cord
    • Acromegaly
    • Acute Subdural Hematomas
    • Anaplastic Astrocytoma (AA)
    • Ankylosing Spondylitis
    • Aqueductal Stenosis
    • Arachnoid Cysts
    • Arnold Chiari Malformation
    • Arteriovenous Malformation (AVM)
    • Astrocytoma
    • Ballism
    • Basilar Invagination
    • Brachial Plexus Injury
    • Brain Aneurysm
    • Brain Attack (Stroke)
    • Brain AVM
    • Brain Conditions
    • Brain Metastases
    • Brainstem Glioma
    • Carotid Dissection
    • Carotid Stenosis
    • Carpal Tunnel Syndrome
    • Causalgia
    • Cavernous Angioma
    • Cerebral Aneurysms
    • Cerebral Contusion and Intracerebral Hematoma
    • Chordomas
    • Chorea
    • Chronic Subdural Hematomas
    • Colloid Cyst
    • Coma
    • Concussion
    • Congenital Dermal Sinus
    • Cranial GunShot Wounds
    • Craniopharyngioma
    • Craniosynostosis
    • Cushing's Disease
    • Cyst Epidermoid Tumor
    • Dandy Walker Syndrome
    • Degenerative Disc Disease
    • Dermoid Tumor
    • Disc Herniation
    • Dural Arteriovenous Malformations
    • Dystonia
    • Ependymoma
    • Epidermoid Tumor (Cyst)
    • Epidural Hematomas
    • Epilepsy
    • Essential Tremor
    • Extratemporal Lobe Epilepsies
    • Facet Joint Syndrome
    • Fibromyalgia
    • Frontal Lobe Epilepsy
    • Ganglioglioma
    • Glioblastoma
    • Germinoma
    • Glioma
    • Glomus Jugulare Tumor
    • Glossopharyngeal Neuralgia
    • Hemangioblastomas
    • Hemi-Facial Spasm
    • Hydrocephalus
    • Hyperhidrosis
    • Intracerebral Hemorrhage
    • Intracranial Hypotension
    • JPA
    • Low-Grade Astrocytoma
    • Lymphocytic Hypophysitis
    • Lymphoma
    • Malignant Nerve Sheath Tumors
    • Medulloblastoma
    • Meningioma Brain Tumor
    • Meralgia Paresthetica
    • Metastatic Brain Tumors
    • Moyamoya Disease
    • Myelomeningocele
    • Myelopathy
    • Nelson's Syndrome
    • Neurocysticercosis
    • Neurofibromatosis Type 2 and Schwannomatosis
    • Normal Pressure Hydrocephalus
    • Oligodendroglioma
    • Optic Nerve Glioma
    • Osteoarthritis of the Peripheral Joint
    • Osteoarthritis of the Spine
    • Osteomyelitis
    • Osteoporotic Vertebral Fractures
    • Parkinsons Syndrome
    • Pediatric Conditions
    • Pediatric Hydrocephalus
    • Peripheral Nerve Injury
    • Phantom Limb Pain
    • Pineal Tumor
    • Pineoblastoma
    • Pineocytoma
    • Platybasia
    • Postherpetic Neuralgia
    • Post-Traumatic Seizures
    • Primary CNS Lymphoma
    • Pseudotumor Cerebri
    • Radiculopathy—Cervical & Lumbar (Pinched Nerve)
    • Recurrent Adenomas
    • Rheumatoid Arthritis
    • Schwannomas
    • Scoliosis
    • Seizure
    • Skull Fracture
    • Slit Ventricle Syndrome
    • Spasticity
    • Spinal Arteriovenous Malformation (AVM)
    • Spinal Compression Fractures
    • Spine Conditions
    • Spinal Cord Injury
    • Spinal Cord Lipomas & Lipomyelomeningoceles
    • Spinal Cord Tumors
    • Stenosis
    • Subarachnoid Hemorrhage
    • Syringomyelia
    • Tethered Cord Syndrome
    • Thoracic Outlet Syndrome
    • Thyrotroph (TSH) Secreting Adenomas
    • Torticollis
    • Traumatic Hematomas
    • Trigeminal Neuralgia
    • Trochanteric Bursitis
    • Ulnar Nerve Entrapment
  • Clinical Programs
    • Brain Tumor Center
    • Cerebrovascular
    • Epilepsy and Functional Neurosurgery
    • Neurotrauma & Neuro Critical Care
    • Pediatric Neurosurgery
    • Peripheral Nerve
    • Pituitary and Skull Base Surgery
    • Spine Center
    • Brain Tumor Center
    • Cerebrovascular
    • Epilepsy and Functional Neurosurgery
    • Neurotrauma & Neuro Critical Care
    • Pediatric Neurosurgery
    • Peripheral Nerve
    • Pituitary and Skull Base Surgery
    • Spine Center
  • For Patients
    • Appointment Request
    • Telemedicine and Remote Second Opinion
    • Contact Us
    • Maps and Directions
    • myUCLAhealth
    • UCLA Neurosurgery app
    • Preparing for Neurosurgery
    • Peer Support Program
    • Going Home After Surgery
    • Billing Information
    • Suspect a Brain Injury?
    • Patient Stories
    • Patient and Family Advisory Council
    • Resources and Links
    • Appointment Request
    • Telemedicine and Remote Second Opinion
    • Contact Us
    • myUCLAhealth
    • UCLA Neurosurgery App
    • Preparing for Neurosurgery
    • Peer Support Program
    • Going Home After Surgery
    • Billing Information
    • Suspect a Brain Injury?
    • Patient Stories
    • Patient and Family Advisory Council
    • Resources and Links
  • Research Innovation
    • Research Scientists
    • Brain Injury Research Center (BIRC)
    • Brain Tumor SPORE
    • Clinical Trials
    • Research Grant Funding
    • Surgical Neurology International
    • Publications
  • Education
    • Residency Training
    • Fellowship Programs
    • Visiting Scholars
    • Calendar
    • Events
    • Conferences and Courses
    • 100 Subjects in Neurosurgery
    • Submit Anonymous Feedback
  • For Healthcare Professionals
    • How to Refer a Patient
    • Clinical Updates
  • Find a Doctor
  • UCLA Health
  • myUCLAhealth
  • School of Medicine

UCLA Neurosurgery

Conditions Treated

Conditions Treated

Conditions Treated

  • Acoustic Neuroma
  • Adult Tethered Cord
  • Acromegaly
  • Acute Subdural Hematomas
  • Anaplastic Astrocytoma (AA)
  • Ankylosing Spondylitis
  • Aqueductal Stenosis
  • Arachnoid Cysts
  • Arnold Chiari Malformation
  • Arteriovenous Malformation (AVM)
  • Astrocytoma
  • Ballism
  • Basilar Invagination
  • Brachial Plexus Injury
  • Brain Aneurysm
  • Brain Attack (Stroke)
  • Brain AVM
  • Brain Conditions
  • Brain Metastases
  • Brainstem Glioma
  • Carotid Dissection
  • Carotid Stenosis
  • Carpal Tunnel Syndrome
  • Causalgia
  • Cavernous Angioma
  • Cerebral Aneurysms
  • Cerebral Contusion and Intracerebral Hematoma
  • Chordomas
  • Chorea
  • Chronic Subdural Hematomas
  • Colloid Cyst
  • Coma
  • Concussion
  • Congenital Dermal Sinus
  • Cranial GunShot Wounds
  • Craniopharyngioma
  • Craniosynostosis
  • Cushing's Disease
  • Cyst Epidermoid Tumor
  • Dandy Walker Syndrome
  • Degenerative Disc Disease
  • Dermoid Tumor
  • Disc Herniation
  • Dural Arteriovenous Malformations
  • Dystonia
  • Ependymoma
  • Epidermoid Tumor (Cyst)
  • Epidural Hematomas
  • Epilepsy
  • Essential Tremor
  • Extratemporal Lobe Epilepsies
  • Facet Joint Syndrome
  • Fibromyalgia
  • Frontal Lobe Epilepsy
  • Ganglioglioma
  • Glioblastoma
  • Germinoma
  • Glioma
  • Glomus Jugulare Tumor
  • Glossopharyngeal Neuralgia
  • Hemangioblastomas
  • Hemi-Facial Spasm
  • Hydrocephalus
  • Hyperhidrosis
  • Intracerebral Hemorrhage
  • Intracranial Hypotension
  • JPA
  • Low-Grade Astrocytoma
  • Lymphocytic Hypophysitis
  • Lymphoma
  • Malignant Nerve Sheath Tumors
  • Medulloblastoma
  • Meningioma Brain Tumor
  • Meralgia Paresthetica
  • Metastatic Brain Tumors
  • Moyamoya Disease
  • Myelomeningocele
  • Myelopathy
  • Nelson's Syndrome
  • Neurocysticercosis
  • Neurofibromatosis Type 2 and Schwannomatosis
  • Normal Pressure Hydrocephalus
  • Oligodendroglioma
  • Optic Nerve Glioma
  • Osteoarthritis of the Peripheral Joint
  • Osteoarthritis of the Spine
  • Osteomyelitis
  • Osteoporotic Vertebral Fractures
  • Parkinsons Syndrome
  • Pediatric Conditions
  • Pediatric Hydrocephalus
  • Peripheral Nerve Injury
  • Phantom Limb Pain
  • Pineal Tumor
  • Pineoblastoma
  • Pineocytoma
  • Platybasia
  • Postherpetic Neuralgia
  • Post-Traumatic Seizures
  • Primary CNS Lymphoma
  • Pseudotumor Cerebri
  • Radiculopathy—Cervical & Lumbar (Pinched Nerve)
  • Recurrent Adenomas
  • Rheumatoid Arthritis
  • Schwannomas
  • Scoliosis
  • Seizure
  • Skull Fracture
  • Slit Ventricle Syndrome
  • Spasticity
  • Spinal Arteriovenous Malformation (AVM)
  • Spinal Compression Fractures
  • Spine Conditions
  • Spinal Cord Injury
  • Spinal Cord Lipomas & Lipomyelomeningoceles
  • Spinal Cord Tumors
  • Stenosis
  • Subarachnoid Hemorrhage
  • Syringomyelia
  • Tethered Cord Syndrome
  • Thoracic Outlet Syndrome
  • Thyrotroph (TSH) Secreting Adenomas
  • Torticollis
  • Traumatic Hematomas
  • Trigeminal Neuralgia
  • Trochanteric Bursitis
  • Ulnar Nerve Entrapment
  • Acoustic Neuroma
  • Adult Tethered Cord
  • Acromegaly
  • Acute Subdural Hematomas
  • Anaplastic Astrocytoma (AA)
  • Ankylosing Spondylitis
  • Aqueductal Stenosis
  • Arachnoid Cysts
  • Arnold Chiari Malformation
  • Arteriovenous Malformation (AVM)
  • Astrocytoma
  • Ballism
  • Basilar Invagination
  • Brachial Plexus Injury
  • Brain Aneurysm
  • Brain Attack (Stroke)
  • Brain AVM
  • Brain Conditions
  • Brain Metastases
  • Brainstem Glioma
  • Carotid Dissection
  • Carotid Stenosis
  • Carpal Tunnel Syndrome
  • Causalgia
  • Cavernous Angioma
  • Cerebral Aneurysms
  • Cerebral Contusion and Intracerebral Hematoma
  • Chordomas
  • Chorea
  • Chronic Subdural Hematomas
  • Colloid Cyst
  • Coma
  • Concussion
  • Congenital Dermal Sinus
  • Cranial GunShot Wounds
  • Craniopharyngioma
  • Craniosynostosis
  • Cushing's Disease
  • Cyst Epidermoid Tumor
  • Dandy Walker Syndrome
  • Degenerative Disc Disease
  • Dermoid Tumor
  • Disc Herniation
  • Dural Arteriovenous Malformations
  • Dystonia
  • Ependymoma
  • Epidermoid Tumor (Cyst)
  • Epidural Hematomas
  • Epilepsy
  • Essential Tremor
  • Extratemporal Lobe Epilepsies
  • Facet Joint Syndrome
  • Fibromyalgia
  • Frontal Lobe Epilepsy
  • Ganglioglioma
  • Glioblastoma
  • Germinoma
  • Glioma
  • Glomus Jugulare Tumor
  • Glossopharyngeal Neuralgia
  • Hemangioblastomas
  • Hemi-Facial Spasm
  • Hydrocephalus
  • Hyperhidrosis
  • Intracerebral Hemorrhage
  • Intracranial Hypotension
  • JPA
  • Low-Grade Astrocytoma
  • Lymphocytic Hypophysitis
  • Lymphoma
  • Malignant Nerve Sheath Tumors
  • Medulloblastoma
  • Meningioma Brain Tumor
  • Meralgia Paresthetica
  • Metastatic Brain Tumors
  • Moyamoya Disease
  • Myelomeningocele
  • Myelopathy
  • Nelson's Syndrome
  • Neurocysticercosis
  • Neurofibromatosis Type 2 and Schwannomatosis
  • Normal Pressure Hydrocephalus
  • Oligodendroglioma
  • Optic Nerve Glioma
  • Osteoarthritis of the Peripheral Joint
  • Osteoarthritis of the Spine
  • Osteomyelitis
  • Osteoporotic Vertebral Fractures
  • Parkinsons Syndrome
  • Pediatric Conditions
  • Pediatric Hydrocephalus
  • Peripheral Nerve Injury
  • Phantom Limb Pain
  • Pineal Tumor
  • Pineoblastoma
  • Pineocytoma
  • Platybasia
  • Postherpetic Neuralgia
  • Post-Traumatic Seizures
  • Primary CNS Lymphoma
  • Pseudotumor Cerebri
  • Radiculopathy—Cervical & Lumbar (Pinched Nerve)
  • Recurrent Adenomas
  • Rheumatoid Arthritis
  • Schwannomas
  • Scoliosis
  • Seizure
  • Skull Fracture
  • Slit Ventricle Syndrome
  • Spasticity
  • Spinal Arteriovenous Malformation (AVM)
  • Spinal Compression Fractures
  • Spine Conditions
  • Spinal Cord Injury
  • Spinal Cord Lipomas & Lipomyelomeningoceles
  • Spinal Cord Tumors
  • Stenosis
  • Subarachnoid Hemorrhage
  • Syringomyelia
  • Tethered Cord Syndrome
  • Thoracic Outlet Syndrome
  • Thyrotroph (TSH) Secreting Adenomas
  • Torticollis
  • Traumatic Hematomas
  • Trigeminal Neuralgia
  • Trochanteric Bursitis
  • Ulnar Nerve Entrapment
  1. Home
  2. Conditions Treated
  3. Brain Metastases

Brain Metastases

Share this

About Brain Metastases

Metastatic Brain Tumors: Symptoms, Treatment and Diagnosis

Metastatic brain tumors spread to the brain or spinal cord from cancer originating in other organs. Cerebral metastases are the most common type of “brain” tumor. Common brain metastases in adults come from the lung, breast, kidney, colon and skin (melanoma).

Diagnoses

  • Computed tomography (CT) or magnetic resonance imaging (MRI) scans are used to identify the tumors within the brain.
  • Multiple tumors are found 35 percent to 50 percent of the time.
  • In cases with no established diagnosis of cancer, a search for the primary site must be undertaken:
    • Chest x-ray may visualize an obvious lung primary tumor or metastatic tumors to the lung.
    • A CT scan of the chest and abdomen is a more sensitive study to look for small or deep tumors in the body.
    • Mammogram in women.
    • Whole body positron emission tomography (PET) scans can sometimes detect occult cancer.

An MRI image which shows a metastatic brain tumor from lung cancer.

An MRI image (left) shows a metastatic brain tumor from lung cancer in the deep right parietal lobe (arrow). A photograph taken during surgery (center) shows the use of a minimally invasive port, only half an inch in diameter, to gain access so that the neurosurgeon can remove the tumor with minimal injury to the overlying normal brain. An MRI image following surgery (right) shows complete removal of the tumor (arrow) and the hardly visible surgical tract (below arrow).

Treatment

The management of brain metastatic disease requires a multidisciplinary team approach, with input from the oncologist, radiation oncologist and neurosurgeon.

  • Surgical management
    • Surgery to remove single tumors may be indicated under the following circumstances:
      • The primary disease is under control.
      • The lesion is accessible and large in size.
      • The lesion is symptomatic or life-threatening.
      • The diagnosis is unknown.
    • In some cases, such as failure to respond to other treatments, more than one metastatic tumor is considered for surgical removal.
    • Micro-surgical techniques and state-of-the-art technology that minimize the trauma associated with surgical removal of metastases. UCLA neurosurgeons are experts in minimally invasive surgical techniques.
    • UCLA neurosurgeons may recommend placing thin wafers containing chemotherapy (Gliadel wafers) into the surgical cavity to help kill residual microscopic cancer cells with a high concentration of chemotherapy only to that location. The procedure avoids intravenous chemotherapy.
    • Stereotactic biopsy may be considered for deep lesions to establish the diagnosis.
    • We use the complementary information obtained from multiple advanced brain mapping techniques, including positron emission tomography (PET) imaging, functional magnetic resonance imaging (fMRI) brain mapping and spectroscopic MRI imaging.
    • When appropriate, the intra-operative MRI scanner may be used to provide intra-operative updated MR imaging to both guide the surgeon toward the tumor and to assess the results of tumor removal prior to completing surgery.

  • Radiation therapy
    • Stereotactic radiosurgery (SRS)
      • SRS precisely delivers a high level of radiation to the tumor while giving the surrounding brain only small amounts of radiation exposure
      • UCLA uses the Novalis shaped-beam system, which is equally or more effective as Gamma Knife.
      • SRS can be used to treat up to seven small tumors (less than 2 cm in diameter).
    • Regional brain radiation
      • Radiation is delivered to a limited portion of the brain, typically reserved to the area surrounding a surgical resection
    • Whole brain radiation
      • Whole brain radiation is recommended for patients with multiple metastatic brain tumors if sole SRS is not an option.
      • Although many radiation oncologists treat every patient with a brain metastasis with whole brain radiation, UCLA physicians use an individualistic approach and often recommend local radiation treatment only.

  • Medical management
    • Anticonvulsants are sometimes prescribed to prevent seizures.
    • Steroids may be necessary to decrease the amount of swelling.
    • Chemotherapy may be offered by your oncologist.


The Neuro-ICU cares for patients with all types of neurosurgical and neurological injuries, including stroke, brain hemorrhage, trauma and tumors. We work in close cooperation with your surgeon or medical doctor with whom you have had initial contact. Together with the surgeon or medical doctor, the Neuro-ICU attending physician and team members direct your family member's care while in the ICU. The Neuro-ICU team consists of the bedside nurses, nurse practitioners, physicians in specialty training (Fellows) and attending physicians. UCLA Neuro ICU Family Guide

Facebook Twitter Instagram Youtube LinkedIn
UCLA Health hospitals ranked best hospitals by U.S. News & World Report
  • UCLA Health
  • Find a Doctor
  • School of Medicine
  • School of Nursing
  • UCLA Campus
  • Directory
  • Newsroom
  • Subscribe
  • Patient Stories
  • Giving
  • Careers
  • Volunteer
  • International Services
  • Privacy Practices
  • Nondiscrimination
  • Billing
  • Health Plans
  • Emergency
  • Report Broken Links
  • Terms of Use
  • 1-310-825-2631
  • Maps & Directions
  • Contact Us
  • Your Feedback
  • Report Misconduct
  • Get Social
  • Sitemap