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Brain Tumor Leads Student to Pursue Nursing Career

Juliana Abraham has a variety of head coverings that she wears when she’s outside. One day might be a head scarf, another day a Cal State San Marcos baseball cap.

But Abraham isn’t trying to make a fashion statement. After undergoing radiation therapy as a teenager, she has a 75% higher risk of skin cancer. And when she removes the head covering that she’s chosen for a particular day, she can adjust her hair to show the C-shaped scar where doctors cut open the top of her head to perform brain surgery when she was 12 years old.

It has been nearly a decade since the surgery, and, not surprisingly, the experience has completely altered the course of Abraham’s life. Before the surgery, she was a Level 9 competitive gymnast, meaning she was on a path to try out for the Elite program from which U.S. Olympic gymnasts are selected. While that dream ended because of her health issues, the experience opened Abraham’s eyes to her future career.

“I've known that I've wanted to be a nurse since I got sick,” said Abraham, a first-generation college student who is graduating from CSUSM this month with a bachelor’s in kinesiology. “After the second time I got sick, I knew that was probably my calling. Before that, I was in the gym eight hours a day training five days a week, sometimes six, and that was my career. And then everything just kind of came to a halt once I got diagnosed with a brain tumor.

“I had the light-bulb moment during proton radiation therapy in 2016 after the second surgery. My nurses in both years when I was sick always made an impact on me. It always felt like home being in the hospital for some reason. It was such a connection that I had with those nurses. I cried when I was done with therapy and I rang that bell that they have you ring. I was so happy but also upset because I wasn't going to see them anymore. It was like I was losing a part of my family in a way.”

Abraham has been laser-focused on a nursing career ever since.

Abraham was still a tween when she began suffering a variety of ailments – including headaches, double vision, and back and stomach pain. She figured it must be related to her intense gymnastics training or puberty. A visit to an eye doctor changed everything. Abraham was diagnosed with papilledema, a swelling of the optic discs in the eyes. The doctor said Abraham needed to go to the emergency room immediately because of related pressure on the brain.

An MRI revealed the brain tumor. Doctors initially thought they were dealing with a common benign tumor, but a surgery that was expected to last five hours took more than eight as they discovered it was a central neurocytoma tumor, which is rare in children. It’s so rare that Abraham’s doctors published a case report about it in BMJ, an international peer-reviewed journal.

A groggy Abraham actually woke up toward the end of the procedure as the doctor was putting stitches in her head. Abraham, whose head and upper body were mobilized to ensure that she didn’t move during the procedure, asked her doctor if he could scratch her nose, which was bothering her. The doctor politely declined, noting that he was a tad busy. So, Abraham, ever the gymnast, lifted her knee to her nose, scratched it and put her leg back down.

“He stopped what he was doing, looked me dead in the eye and said, ‘Did you really just do that?’ I’m drunk on anesthesia, groggy and don't know what's going on and said, 'I think so.' And then I was out. That was the first thing he told my parents when he came out to speak to them.”

When Abraham was fully awake following the surgery, she was paralyzed on the left side of her body. Rigorous physical therapy helped her regain use of her left side and she even returned to gymnastics.

But during one of her follow-up appointments, doctors discovered a regrowth. Abraham underwent a second surgery a year after her first. This time, doctors were unable to remove it completely due to its proximity to the hypothalamus, which controls things like heart rate and hormonal release.

Abraham underwent proton radiation therapy to eradicate the remaining tumor and tried again to return to gymnastics. But one of the lingering effects of Abraham’s paralysis after her first surgery is drop foot syndrome, which means she can’t always lift the front part of the foot. As she increasingly had accidents while performing routines, she realized she had to retire from the sport she loved.

Nurses were a consistently positive presence throughout Abraham’s medical journey, and with Olympic dreams no longer a possibility, she turned her attention to a new goal. Figuring out how to finance that goal was a challenge for someone from a low-income background, but Abraham’s medical team stepped in to help.

Abraham was referred by her neuro oncologist to Make-A-Wish San Diego, which empowers children battling critical illnesses by granting them a wish. Make-A-Wish granted Abraham’s request for a scholarship to help pay for college, providing a $10,000 grant that covered costs for Abraham’s first year at CSUSM.

With many nursing programs in the state impacted, Abraham decided to major in kinesiology. She’s working her way through nursing prerequisites with an eye on starting a program in spring 2025. That would put her on track for two milestones in 2026 – a nursing degree and being officially clear medically. Doctors wanted Abraham checked annually for 10 years following the second surgery because of the regrowth, but the hope is that she will be declared clear in December 2026 and can fully focus on the next chapter of her life – helping others the way so many nurses helped her.

“What better profession for me to go into than nursing?” she said. “I know what kids are going to be going through and I know how to prepare them for it. I know how to be there for them and hopefully make them feel better and more comfortable. I can let them know, ‘Hey, I've been through this, too.’ ”

Media Contact

Eric Breier, Interim Assistant Director of Editorial and External Affairs

ebreier@csusm.edu | Office: 760-750-7314

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