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Brain Tumor Surgery Health Feed

Amnesia & Brain Surgery - Is There A Link?

Dr.Ramandeep S. Dang 87% (29ratings)
MCh - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Delhi
Amnesia & Brain Surgery - Is There  A Link?

Often it has been observed in patients undergoing brain surgery that their memory gets affected. The memory can sometimes be affected either by the tumor growing inside the brain or by the surgery for the removal of that tumor. Rather than the long-term memory, in the majority of the brain surgery cases, it is the short term memory that gets affected more noticeably. Further, sometimes, people have difficulties in making new memories after the brain surgery along with retrieving the old ones. Continue reading to know more about brain surgery and amnesia.

How is brain surgery connected to amnesia?
The presence of a tumor in the brain can affect one's memory in two different ways. Though not everyone suffers from it, there is a possibility that the treatment or the surgery often leads to memory difficulties and sometimes it's the location of the tumor in the brain that causes the memory damage. Sometimes, even radiations or chemotherapy sessions can also be responsible for amnesia. One must know that having a brain tumor or opting for a brain surgery doesn’t necessarily cause memory loss or amnesia for everyone. And those patients who do suffer from this, both the severity and symptoms of the memory loss vary from one to another.

Probable memory difficulties
Memory difficulties, also commonly referred to as amnesia, can be two different types, retrograde amnesia, and anterograde amnesia, irrespective of whether it is the result of the treatment or the location of the tumor. In the case of retrograde amnesia, the memory loss occurs before undergoing brain surgery, or sometimes even before developing the brain tumor. However, those who suffer from anterograde amnesia face difficulties in remembering their previous memories after the brain surgery is performed.

Coping with amnesia
Once the type of memory loss one is suffering from is identified, there are various ways and strategies to cope with amnesia, suggested by the doctors. Taking good care of one’s self, having the necessary amount of sleep along with a healthy diet helps one improve his or her capacity to recalling the forgotten memories in many cases.

Further, by adopting simple measures like maintaining a diary, following a routine and organizing one's medications with reminder notes can also help an amnesia patient in coping with normal life situations. Minimizing the distractions and focusing on a single thing at a time can also be helpful in not only coping with it but also in improving the memory.

In case one displays signs of having a memory problem after brain surgery, he or she should be immediately taken to a clinical psychologist or a neuropsychologist. Because it is with the help of this medical professional that severity of the amnesia that the person is suffering from and which part of memory has been affected can be determined, and the right ways of coping with the issue can be suggested.

3281 people found this helpful

Brain Tumor Surgery - Know More!

M.Ch (AIIMS) - Neuro Surgery, MS - General Surgery, MBBS, IFAANS (USA)
Neurosurgeon, Delhi
Brain Tumor Surgery - Know More!

Although surgery is considered to be the first step of treatment in any form of tumor but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery

  • Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
  • Complete resection of tumor
  • Removal of the tumor as much as possible to slow down its growth and improve the symptoms.
  • Remove the tumor in order to help other treatment
  • Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
  • To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery

The different types of surgery that are performed in cases of brain tumor include the following:

Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:

  • Extended bifrontal craniotomy
  • "Eyebrow" craniotomy (supra-orbital craniotomy)
  • "Keyhole" craniotomy (retro-sigmoid craniotomy)
  • Orbitozygomatic craniotomy
  • Translabyrinthine craniotomy

Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

Stereotactic surgery: This surgery is done by creating a three-dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is the tool which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:

  • Laser surgery
  • Photodynamic laser surgery
  • Ultrasonic aspiration
  • Fluorescent-guided surgery
  • Electrophysiological monitoring
3091 people found this helpful

What Is The Main Cause Of Brain Tumor?

Dr.Anurag Saxena 89% (17ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, M.Ch - Neuro Surgery, FRCS (Ed) Neurosugery
Neurosurgeon, Gurgaon
What Is The Main Cause Of Brain Tumor?

There is no trustworthy evidence regarding what causes brain tumors, but there are a few risk factors that have been substantiated through research. Children and young people who receive radiation around the head are susceptible to developing tumors in the brain once they grow up. Also, people with a certain kind of rare genetic condition like neurofibromatosis may develop a brain tumor though such cases are very few in number. Age is also an important factor as people aged over 65 years are diagnosed with brain tumors at quadruple times higher than children and younger people.

Types of Brain Tumours-

A primary brain tumor originates in the brain, and they may or may not be cancerous. Some tumors can be benign, which do not spread in the surrounding tissues and are not very malicious. However, that does not signify that they will not cause any harm over time. Sometimes these tumors can be severe and cause a threat to the life of the sufferer. The National Cancer Institute reports that approximately there were 23, 380 fresh cases of brain tumors in 2014.

Identifying the Symptoms of Brain Tumors-

The symptoms of the brain tumor are dependent on various factors such as the size, type as well as the exact location of the tumor. These symptoms are triggered when any tumor is pressed or clashed against a nerve or disturbs a part of the brain. Symptoms are also felt when any tumor particle blocks the fluid flowing around the brain or when there is a swelling in the brain owing to the build-up of fluid.

Common symptoms include- headaches that get worse in the morning, nausea along with vomiting, an alteration in the speech, hearing and imbalances in walking and movement, mood swings, change in personality and ability to concentrate or remember things and seizures or convulsions.

Treatment for Brain Tumor-

Surgery is normally the most usual treatment for brain tumors, and the patient is given anaesthesia, and the scalp is shaved before the surgery. Then, craniotomy is performed to open the skull, and the surgeon removes a bone piece out of the skull. Then the tumor is removed as much as possible. The bone is then restored back, and the incision on the scalp is closed. Sometimes surgery is not viable in case the tumor has developed in the brain stem or some other complex parts.

Neurosurgeons can surgically remove some tumors completely (called resection or complete removal). If the tumor is near sensitive areas of the brain, neurosurgeons will only be able to remove part of it (called partial removal). Even partial removals can relieve symptoms and facilitate or increase the effectiveness of other treatments.

The role of surgery in treating brain tumors

Surgery can provide:

- The complete removal of some brain tumors
- A sample to enable doctors to diagnosis the tumor and recommend the most appropriate treatment
- Better quality of life:
- Reduced symptoms and improved ability to function (e.g., to think, speak or see better)
- Less pressure within the skull from the tumor
- A longer life

In case you or any of your near ones is affected with brain tumor, you should visit the doctor to know the possible treatments other than surgery and other important questions related to brain tumor.

2817 people found this helpful

In Depth About Brain Tumor And Its Treatment!

MBBS, MS- General Surgery, M.Ch. - Neuro Surgery
Neurosurgeon, Meerut
In Depth About Brain Tumor And Its Treatment!

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

  1. Have its origin in the brain (Primary brain tumor), or
  2. 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:

  1. Meningiomas: Brain tumors that originate from the meninges (the membranes that cover the brain and the spinal cord). Meningiomas are seldom malignant.
  2. 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.
  3. 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.
  4. Primitive Neuroectodermal Tumors (PNETs): Extremely rare, PNETs are malignant tumors that develop in the embryonic cells in the brain.
  5. Medulloblastomas: Medulloblastomas is a malignant brain tumor that mostly affects children. It originates in the cerebellum (lower part of the brain).
  6. 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;

  1. Kidney cancer
  2. Breast cancer
  3. Lung cancer
  4. Colon cancer
  5. Melanoma

Symptoms:

The symptoms of a brain tumor include:

  1. Chronic and regular headaches.
  2. A change in the headache pattern.
  3. Seizures.
  4. A person may experience vision problems (Peripheral vision may be affected, double or blurred vision).
  5. There may be difficulty in hearing.
  6. Nausea and vomiting.
  7. Behavioral and speech problems.
  8. An arm or a leg may lose sensation.
  9. A person has difficulty with balance.

Diagnosis and Treatment:
Though brain tumor can affect anyone and everyone, its chances are higher in

  1. People who are more exposed to ionizing radiation. People having undergone radiation therapy are equally vulnerable.
  2. Children as well as older people.
  3. People having a family history of brain tumors.

The diagnosis includes;

  1. An imaging test like the MRI, CT scan and PET (Positron Emission Tomography).
  2. Biopsy, whereby samples of the abnormal tissue is collected and examined.
  3. Neurological examination.

Treatment:

  1. Surgery is an effective treatment for brain tumors.

One can also opt for:

  1. Radiations, whereby the abnormal tumor cells are destroyed using protons and x-rays (high-energy beams).
  2. Chemotherapy: In this treatment, the tumor cells are destroyed using strong drugs (taken orally or intravenously).
  3. Radiosurgery.
  4. Targeted drug therapy: This treatment blocks the abnormalities that are characteristically present only in the cancer cells.
2809 people found this helpful

Brain Tumor - 3 Ways To Treat It!

MCh (Surgical Oncology, MBBS
Oncologist, Guwahati
Brain Tumor - 3 Ways To Treat It!

Grading of brain cancer is entirely different as compared to the staging of other cancers in the body. Cancer in the breast, lung, colon etc. are staged depending on the possible spread, location of a tumor and lymph node involvement etc. However, brain tumors are graded based on the aggressiveness of the tumor cells under a microscope. The resect ability and the grade of the tumor cells guide a doctor on the treatment decisions. The decision of a brain surgery depends on factors such as the location, spread of a tumour and the general health of the patient.

Types of Brain Tumor Grading:

Grade 1 tumor- These sets of tumors are medically known as the juvenile pilocytic astrocytoma and subependymoma. They are slow growing and non-invasive. There is a likelihood of the patient getting cured with surgery.
Grade 2 tumor- These are brain tumors that do not possess dead cells as part of the tumour. But, they do portray a lot of abnormal cells. Tumors of this type can be categorized under oligodendroglioma, astrocytoma, and ependymoma.
Grade 3 tumor- Tumors of this type are graded based on the cell type of the cancer cells. For instance, an anaplastic astrocytoma is a grade 3 tumor that has no dead cells but possesses dividing cells. In contrast, anaplastic ependymoma and anaplastic oligodendroglioma are grade 3 tumor cells that have dead cells in them.
Grade 4 tumor- Tumors of this type are referred to as glioblastoma. The tumor cells are actively dividing, the growth of blood vessels is witnessed and areas of dead tissue keep expanding.

Treatment options:

  • Surgery- If the location of a brain tumor is such that it is accessible to a surgeon, the latter goes ahead and removes most of the tumor if not the whole. If, however, the brain tumor cells are placed very near to the surrounding very sensitive brain tissues, a doctor might remove a small portion of the tumor to curb its growth.
  • Radiation TherapyThis mode of treatment uses high energy X-ray beams to kill targeted cells of the brain. External beam radiation usually targets a small area of the brain. A whole brain radiation, on the other hand, is usually employed when a tumor has spread to most parts of the brain. Radiotherapy is now so evolved that it is highly targeted to tutor cells that kills cancer and spares normal brain.
  • Chemotherapy- Chemotherapy employs drugs to kill cancer cells. Chemotherapy can either be taken in the form of an IV or in the form of pills. The dosage of chemotherapy is decided based on the concentration of cancer cells, spread frequency, platelet count of the patient etc. The most common chemotherapy drug that is prescribed by doctors to fight cancer cells is temozolomide.
3044 people found this helpful

Brain Surgery In Children - Why It Is Required?

MBBS, DNB - Neurosurgery, Fellowship in Neurosurgery
Neurosurgeon, Delhi
Brain Surgery In Children - Why It Is Required?
Children s brain surgery is not always done to fulfill the purpose of removing tumors. True or false? Take this quiz to know now.
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346people took this quiz

Brain Tumor Surgery - All You Should Know!

Dr.Vineet Varghese 90% (67ratings)
MBBS, DNB - General Surgery, DNB- Neurosurgery
Neurosurgeon, Delhi
Brain Tumor Surgery - All You Should Know!

Although surgery is considered to be the first step of treatment in any form of tumor, but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery

  • Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
  • Complete resection of tumor
  • Removal of the tumor as much as possible to slow down its growth and improve the symptoms
  • Remove the tumor in order to help other treatment
  • Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
  • To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery: The different types of surgery that are performed in cases of brain tumor include the following:

Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:

  • Extended bifrontal craniotomy
  • "Eyebrow" craniotomy (supraorbital craniotomy)
  • "Keyhole" craniotomy (retro-sigmoid craniotomy)
  • Orbitozygomatic craniotomy
  • Translabyrinthine craniotomy

Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid, Cerebrospinal fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

Stereotactic surgery: This surgery is done by creating a three dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is a tool, which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:

  • Laser surgery
  • Photodynamic laser surgery
  • Ultrasonic aspiration
  • Fluorescence guided surgery (FGS)
  • Electrophysiological monitoring
2938 people found this helpful

When Is Brain Surgery Most Required?

Dr.Ravindra Srivastava 87% (37ratings)
M.Ch, MS, MBBS
Neurosurgeon, Greater Noida
When Is Brain Surgery Most Required?

Brain surgery involves several medical procedures, which incorporate fixing issues with the brain, including changes in the tissues of the brain, cerebrospinal fluid and brain blood flow. Brain surgery is quite a complicated method of surgery and the type of surgery to be conducted depends on the underlying conditions.

Reasons for Brain Surgery:
Brain surgery is performed for the correction of physical brain abnormalities. These abnormalities could occur because of diseases, birth defects and injuries. A brain surgery is required when the following conditions arise in the brain:

  1. Abnormal blood vessels
  2. Aneurysm
  3. Bleeding
  4. Blood clots in the brain
  5. When the protective tissue or dura is damaged
  6. Epilepsy
  7. Due to nerve damage
  8. Parkinson's disease
  9. Any kind of pressure after an injury
  10. Abscesses9290
  11. Skull fractures
  12. In case of stroke and tumors

A surgery may not be required for all the above mentioned conditions, but in case of many, a brain surgery is very important as the conditions may worsen health problems.

Types of brain surgeries:

  1. Craniotomy: During this open brain surgery, an incision is made in the scalp, and a hole is created in the skull, near the area, which is being treated. After this process is complete, the hole or bone flap is secured in its place using plates or wires.
  2. Biopsy: This form of brain surgery helps in the removal of a small amount of brain tissues or tumors. After removal, the tissues or tumors are examined under a microscope. The creation of a small incision and a hole in the skull is indicated as a part of this process.
  3. Minimally invasive endonasal endoscopic surgery: This form of brain surgery enables the removal or lesions and tumors via the nose and sinuses. Private parts of the brain can be accessed without creating an incision. An endoscope is utilized in the process which is used to examine tumors all across the brain.
  4. Minimally Invasive neuroendoscopy: This process is similar to the minimally invasive endonasal endoscopic surgery. This method also involves the use of an endoscope for removal of brain tumors. Small, dime-sized holes may be made in the skull to access some brain parts.

Risks:
Brain surgeries may be associated with several risks. They may be:

  1. Allergic reactions to anesthesia
  2. Bleeding9290
  3. Blood clot formations
  4. Swelling of the brain
  5. A state of coma
  6. Impairment in speech, coordination and vision.
  7. Problems in memory
  8. Strokes and seizures
  9. Infections in the brain

A brain surgery is a serious and very complex surgery. There are different kinds of brain surgeries, which are conducted depending on the condition and severity of the disease.

1789 people found this helpful

My daughter (13 years old) had undergone craniopharyngioma operation (Brain Tumor Operation - Benign Tumor) almost 18 months back. After the operation her academic performance is dropped and she could not concentrate in her academics properly. Any Advice. Please.

Dr.Pulak Mukherjee 92% (12104ratings)
BHMS
Homeopath, Hooghly
It's common after surgery,,have to concentrate gradually,,normal concentration power may not come ,,have to do some yoga,, meditation also,,need proper homoeopathic treatment which can help
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Brain Surgery - Can It Cause Amnesia?

Dr.Devesh K Singh 91% (20ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Mch - Neurosurgery, FLCS
Neurologist, Ghaziabad
Brain Surgery - Can It Cause Amnesia?

Often it has been observed in patients undergoing a brain surgery that their memory gets affected. The memory can sometimes be affected either by the tumor growing inside the brain or by the surgery for the removal of that tumor. Rather than the long-term memory, in the majority of the brain surgery cases, it is the short term memory that gets affected more noticeably. Further, sometimes, people have difficulties in making new memories after the brain surgery along with retrieving the old ones. Continue reading to know more about brain surgery and amnesia.

How is brain surgery connected to amnesia?
The presence of a tumor in the brain can affect one's memory in two different ways. Though not everyone suffers from it, there is a possibility that the treatment or the surgery often leads to memory difficulties and sometimes it's the location of the tumor in the brain that causes the memory damage. Sometimes, even radiations or chemotherapy sessions can also be responsible for amnesia. One must know that having a brain tumor or opting for a brain surgery doesn’t necessarily cause memory loss or amnesia for everyone. And those patients who do suffer from this, both the severity and symptoms of the memory loss vary from one to another.

Probable memory difficulties
Memory difficulties, also commonly referred to as amnesia, can be two different types, retrograde amnesia, and anterograde amnesia, irrespective of whether it is the result of the treatment or the location of the tumor. In case of retrograde amnesia, the memory loss occurs before undergoing a brain surgery, or sometimes even before developing the brain tumor. However, those who suffer from anterograde amnesia face difficulties in remembering their previous memories after the brain surgery is performed.


Coping with amnesia
Once the type of memory loss one is suffering from is identified, there are various ways and strategies to cope with amnesia, suggested by the doctors. Taking good care of one’s self, having the necessary amount of sleep along with a healthy diet helps one improve his or her capacity of recalling the forgotten memories in many cases.

 

Further, by adopting simple measures like maintaining a diary, following a routine and organizing one's medications with reminder notes can also help an amnesia patient in coping with the normal life situations. Minimizing the distractions and focusing on a single thing at a time can also be helpful in not only coping with it but also in improving the memory.

In case one displays signs of having a memory problem after a brain surgery, he or she should be immediately taken to a clinical psychologist or a neuropsychologist. Because it is with the help of this medical professional that severity of the amnesia that the person is suffering from and which part of memory has been affected can be determined, and the right ways of coping with the issue can be suggested. In case you have a concern or query you can always consult an expert & get answers to your questions!

2699 people found this helpful
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