Doctor in Exel Care hospital
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Joint Dislocation Treatment
Hepatitis B Treatment
Treatment of Spondylosis
Treatment Of Disk Slip
Treatment Of Herniated Disc
Treatment of Spine Injuries
Brain Tumor Surgery
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Accident Injuries Treatment
Hepatitis C Treatment
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A tumor is an uncontrolled and abnormal growth of cells. A brain tumor is thus an abnormal growth and multiplication of cells in the brain. The cell growth can also be in areas adjacent to the brain. The brain tumor may
- Have its origin in the brain (Primary brain tumor), or
- Its origin may be in some other parts or organs of the body, which gradually spreads to the brain (Secondary/metastatic brain tumor).
Not all brain tumors are harmful and life threatening.
Brain tumors that exist as noncancerous cell growths are known as Benign brain tumors. Benign brain tumors seldom pose any threat to life.
Brain tumors that are cancerous and, thus, harmful, are known as Malignant brain tumors.
Do not neglect any brain tumors (malignant or not). It is better to be safe than to be sorry.
Types of Primary brain tumors:
Based on its cell of origin, primary brain tumors (benign as well as malignant) may be of the following types:
- Meningiomas: Brain tumors that originate from the meninges (the membranes that cover the brain and the spinal cord). Meningiomas are seldom malignant.
- Acoustic Neuromas: A noncancerous cell growth that has its origin in the vestibulocochlear nerve (the eighth cranial nerve). This nerve connects the brain with the inner ear.
- Gliomas: Here, the tumor has its origin in the brain and the spinal cord (glial cells). This type of brain tumors, in most cases (~80%), are malignant.
- Primitive Neuroectodermal Tumors (PNETs): Extremely rare, PNETs are malignant tumors that develop in the embryonic cells in the brain.
- Medulloblastomas: Medulloblastomas is a malignant brain tumor that mostly affects children. It originates in the cerebellum (lower part of the brain).
- Craniopharyngiomas: A benign brain tumor that has its origin near the pituitary gland (base of the brain). Craniopharyngiomas are common in children.
Probability of a secondary brain tumor are more in people who have had;
The symptoms of brain tumor include:
- Chronic and regular headaches.
- A change in the headache pattern.
- A person may experience vision problems (Peripheral vision may be affected, double or blurred vision).
- There may be difficulty in hearing.
- Nausea and vomiting.
- Behavioral and speech problems.
- An arm or a leg may lose sensation.
- A person has difficulty with balance.
Diagnosis and Treatment:
Though brain tumor can affect anyone and everyone, its chances are higher in
- People who are more exposed to ionizing radiation. People having undergone a radiation therapy are equally vulnerable.
- Children as well as older people.
- People having a family history of brain tumors.
The diagnosis includes;
- An imaging test like the MRI, CT scan and PET (Positron Emission Tomography).
- Biopsy, whereby samples of the abnormal tissue is collected and examined.
- Neurological examination.
- Surgery is an effective treatment for brain tumors.
One can also opt for:
- Radiations, whereby the abnormal tumor cells are destroyed using protons and x-rays (high-energy beams).
- Chemotherapy: In this treatment, the tumor cells are destroyed using strong drugs (taken orally or intravenously).
- Targeted drug therapy: This treatment blocks the abnormalities that are characteristically present only in the cancer cells.
The cervical discs are protective cushions that allow the free movement of the neck. The intervertebral disks located between the cervical vertebrae (7 bones, C1-C7, that constitute the cervical spine) function as shock absorbers.
However, any damage and injury to the cervical disc, or an ailment can narrow the spinal canal. As a result, the intervertebral cervical discs exert pressure on the spinal nerves (responsible for movement and sensation in the upper body). There may be weakness and loss of sensation, causing pain (moderate to chronic) and discomfort in the neck. The free movement of the neck also gets affected (restricted).
In many cases, physiotherapy and other nonsurgical medications can help improve the condition. Cervical Disc Surgery comes as a blessing in extreme cases, where the non-surgical medications fail to provide any relief.
For long, the cervical disc surgery involved the surgical removal of the affected disc, followed by the fusion of the vertebrae located above and below the affected cervical disc (Traditional Fusion Surgery).
The advancement of technology has increased the effectiveness (higher success rate) of the cervical disc surgery. These days, the surgery is simple and involves replacing the affected cervical disk with an artificial one (Artificial Cervical Disc Replacement).
Triggers for a cervical disc replacement surgery:
Any damage to the cervical disc can affect the spinal cord and the neck adversely. A person may need to undergo a disc replacement surgery in case;
- There are pain and stiffness in the neck.
- Pain that gradually spreads into the arms and shoulder.
- One experiences extreme weakness in the arms, legs, hands or shoulders.
- There is a loss of sensation (numbness) or "needle prick" like sensations in the arms.
- There is a headache (moderate to severe).
Advantages of cervical disc replacement:
People have benefitted immensely from cervical disc replacement.
- In comparison to the fusion surgery, disc replacement has a faster recovery time.
- Disc replacement has a higher success rate (remarkable improvement in the shoulder and neck movement).
- It retains the cervical motion.
- It reduces the stress on the spinal cord and spine nerves greatly.
Risks involved in the cervical disc replacement:
With merits come the demerits. Though effective, there are some risks involved in the surgery.
- A person may experience some difficulty in breathing and swallowing of food.
- There may be some reactions to the anesthesia.
- The disc replacement may result in an infection, nerve injury, bleeding or leakage of the spinal fluid.
- Post replacement, there may be a stroke, voice modulation.
- In some unfortunate cases, there may be no improvement in the condition.
- The artificial disc may be affected (fractured or broken).
Recovery and Precaution:
A little alertness and precaution can speed up the recovery process.
- The first three weeks post-surgery, avoid strenuous work.
- For a better recovery, start walking after the surgery. However, do not overdo yourself.
- It is not advisable to start driving immediately after the surgery.
- Avoid rigorous exercise for as long as recommended by the doctor.
- Rest as much as possible.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.
Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-
Smaller incision compared to traditional surgical procedures, where only the injured area is accessed
The surrounding tissues are untouched, unless they are injured and require repair
Lesser bleeding compared to earlier techniques
Lesser painful procedure
Reduced hospitalization period
Quicker recovery and return to normal activities
The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.
Presence of symptoms relating to nerve compression, including pain from the spine down the leg.
Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.
People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.
Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.
Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.