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Grade 4 astrocytomas are aggressive brain cancers. Prognosis varies but typically includes surgery, radiation therapy (RT), and chemotherapy (CT). She should see her team regularly along with other experts if they feel it necessary. New symptoms such as fever, seizures increased headaches or behavioral changes mean that we need an immediate discussion so we may start correctly with the treatment regime too isolated be too. Medical guidance is important in deciding what will work ultimately.

I cannot provide personalized medical advice or diagnose online. If you are concerned about your son's health and whether he needs shunt surgery, consult with a professional pediatrician or a neurosurgeon. Shunt surgery is recommended for individuals with hydrocephalus or other conditions that cause an abnormal accumulation of cerebrospinal fluid (CSF) in the brain, leading to increased pressure and damage to brain tissue.

Symptoms may include headaches, vomiting, blurred vision, and changes in behavior. This condition arises when fluid accumulates in the brain, often due to blockages. Seeking advice from a pediatric neurologist or neurosurgeon specialized in this area is essential for proper diagnosis and management. They can recommend effective treatment options, which may include surgery to relieve pressure. I encourage you to reach out to a local children's hospital for a referral to a qualified specialist.