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A brain tumor is an abnormal growth of cells in the brain. It can develop anywhere in the brain, such as the protective lining, skull base, brainstem, nasal cavity, and more. There are estimated to be 120 different types of brain tumors. Throughout this article, we’ll explore brain tumor types, symptoms, causes, and brain tumor surgery in India.
There are two types of brain tumors:
Benign: These brain tumors don’t grow fast and have well-defined borders. There’s no invasion or spread to other body parts, as they are non-cancerous.
Malignant: These brain tumors grow fast and are cancerous. Aside from invading nearby areas, they spread to different body parts. They’re the most aggressive form of brain tumor and can be deadly.
Brain Tumor Surgery in Delhi: Understanding the Types
Gliomas: This type of tumor starts in the nerve cells in the brain. Although the tumors can be benign, they’re primarily malignant. The most common malignant brain tumor is glioblastoma.
Choroid Plexus Tumors: These tumors start in the cells that make the fluid surrounding the brain and spinal cord. They can be benign or malignant, and most are in kids.
Embryonic Tumors: These start from cells in the brain after birth. They’re malignant brain tumors that primarily affect babies.
Germ cell tumors start from reproductive cells that become eggs and sperm. They are usually found in the ovaries and testes, but they can also be found in the brain. Children tend to get germ cell tumors more often, and they’re usually benign.
Pineal Tumors: Pineal Tumors start around and inside the pineal gland. It’s common for children and adults to get these tumors, which can be benign or malignant.
Nerve tumors: Doctors doing brain tumor surgery in India say that these are tumors in or around nerves. This happens on the main nerve that connects the inner ear with the brain.
Pituitary Tumors: These start in or around the pituitary gland and are usually benign. In some cases, the tumor happens in the pituitary gland, a small gland at the base of the brain.
● A brain tumor is characterized by persistent headaches, especially in the morning, vomiting, and nausea.
● The most common symptom of brain tumors is seizures, especially in people without a history of seizures.
● People with brain tumors can suffer from memory problems and other mental problems like thinking, reasoning, and solving problems.
● A brain tumor near the optic nerve can seriously damage hearing and cause double vision or partial or complete blindness.
● A brain tumor can affect your balance and coordination because it affects your cerebellum.
● A brain tumor increases intracranial pressure, leading to nausea and vomiting, especially in the morning.
● The nervous system can be severely harmed by tumors, causing numbness and weakness in the legs and other parts.
● Brain tumors can also damage the parts of the brain that control speech and language. Hence, someone with a brain tumor might slur their speech, have trouble finding words, etc.
How is a brain tumor diagnosed?
Diagnosis of a brain tumor before minimal access brain tumor surgery in India begins with a detailed neurological exam. The physical tests include:
Neurosurgery, Radiotherapy, or chemotherapy are the most widely used treatment modalities. However, with the advancement in medical technology, new treatments have been devised in India to cure people suffering from brain tumors. Some of these treatments are:
Neuroendoscopy surgery is a minimally invasive brain tumor surgery used to treat brain tumors using an endoscope. It allows surgeons to visualize and perform the surgical area using small incisions through natural body openings like the nose and mouth.
Gamma Knife Surgery: Gamma knife surgery is also known as stereotactic surgery. It is a noninvasive surgical technique that uses a particular device known as a gamma knife. It is a helmet-like structure containing cobalt-60 radiation sources. The radiation damages the DNA of the targeted cells so that the tumor does not grow further.
Cyberknife: It’s a noninvasive robotic radiosurgery system for treating brain tumors. It delivers high-dose radiation with real-time adjustments for patient movement. It’s painless, outpatient, and has minimal side effects.
Proton Therapy: Proton therapy uses protons instead of X-rays to treat cancer. The radiation is highly targeted, so there’s less damage to healthy tissue around it. This treatment is perfect for treating tumors near critical structures and in kids since it’s more precise and has fewer side effects.
Targeted drug therapy- Targeted drug therapy, or precision medicine, uses drugs to target genetic mutations or molecules involved in the growth of cancer cells.
Craniotomy: It is a type of brain tumor surgery in India that involves opening the skull to gain access to the brain tumor.
A craniotomy is a brain surgery where the neurosurgeon opens a piece of the skull to reach the brain. The same piece of skull is reapplied after the surgery.
Exploring Different Types of Craniotomy
There are several types of craniotomy procedures. The type depends on where the surgeon accesses your skull. The significant types of craniotomy surgeries include:
Stereotactic craniotomy
Stereotactic craniotomies use MRI or C.T. scans. During this procedure of your brain tumor surgery in Indraprastha Apollo Hospital, your surgeon takes pictures of your brain in three dimensions. It helps them distinguish between healthy and abnormal tissue. In addition, stereotactic techniques help your surgeon find the best spot to cut your scalp. This makes it easier to make minor cuts and do minimally invasive surgery.
Endoscopic craniotomy
During an endoscopic brain tumor surgery in Delhi, your surgeon makes a tiny hole in your skull. Then, they insert an endoscope, a small camera with lights. It’s commonly used with keyhole craniotomies.
Awake craniotomy
The awake craniotomy is done while you’re awake. During surgery, your surgeon monitors your brain activity while asking you questions. They’ll tell you which parts of the brain control speech, movement, and vision as you respond. While performing the surgery, they’ll avoid these areas.
Keyhole craniotomy
Keyhole craniotomies remove brain tumors. This is a minimally invasive brain tumor surgery with less scarring and a faster recovery. First, you’ll get a small cut behind your ear. Then, through this incision, the brain tumor is removed.
Supra-orbital ‘eyebrow’ craniotomy
To remove brain tumors from your forehead, you have a supra-orbital craniotomy. A small cut is made on your eyebrow. The procedure is minimally invasive and leaves minimal scars.
Pteronial (frontotemporal) craniotomy
The frontal, temporal, sphenoid, and parietal bones meet in a pterion. You’ll find it on the side of your skull near your temple. During a personal craniotomy, part of the pterion is removed. Next, your surgeon makes an incision behind your hairline so they can access multiple parts of your brain.
Orbitozygomatic craniotomy
Orbitozygomatic craniotomies are suitable for challenging tumors and aneurysms. First, there’s a small incision behind your hairline. In this procedure, your surgeon removes part of the bone that curves around your eye socket and cheek. It lets your surgeon reach deeper regions of your brain while reducing damage.
Craniotomy of the posterior fossa
The lower part of the skull is the posterior fossa. This part of the brain is near the brainstem and cerebellum, which controls balance and coordination. Tumors in the posterior fossa can put pressure on the cerebellum, brain stem, and spinal cord. A craniotomy in the posterior fossa can get rid of the tumor. This is done through an incision at the base of your skull.
The following steps are performed to treat brain tumors:
Anesthesia: The surgery starts with giving anesthesia to the patient to ensure they remain pain-free throughout the surgery.
Incision: Various types of incisions are made depending on the affected area of the brain. It can be made behind the hairline, in front of the ear, or anywhere else. If an endoscope is used, the incision made will be small. After the incision, a blonde flap is removed carefully.
Surgery: After removing the flap, the surgeon will assess the brain. The surgeon will then remove the tumor using specialized instruments.
Intraoperative Monitoring and Navigation: The surgeon can use intraoperative monitoring techniques to check brain function and ensure critical parts are safe during the procedure. It can involve monitoring electrical activity, blood flow, or nerve activity. In some cases, image-guided navigation can help locate the surgical target precisely.
Closure and recovery: After the endoscopic brain tumor surgery in India, the surgeon replaces the bone flap with plates, screws, or wires to hold it in place. Usually, sutures or staples are used to close the scalp incision. Following surgery, they will be transferred to the recovery room, where they will be closely monitored.
Precautions after the Surgery
Hospital | Accreditation | Best Doctor | Experience | Post | Cost |
---|---|---|---|---|---|
Max Super Speciality Hospital, New Delhi | JCI | Prof. (Col.) Dr. Bipin Walia. | 26+ Years | Principal Director and Head – of Neurosurgery for Max Saket Complex. Neurosciences, Neurosurgery, and Spine Surgery. | 7500$ |
Indraprastha Apollo Hospital | JCI | Dr. Sudheer Kumar Tyagi | 24+ Years | MBBS, MS – General Surgery, MCh – Neuro Surgery, Neurosurgeon, Indraprastha Apollo Hospitals | 10000$ |
Fortis Memorial Research Institute, Gurugram | JCI | Dr. Rana Patir, | 26+ Years | MS (General Surgery), MCh (Neurosurgery), CONSULTANT NEUROSURGERY, Fortis Memorial Research Institute, Gurugram | 7800$ |
Medanta the Medicity | JCI | Dr. VP Singh – Chairman Neurosurgery at Medanta the Medicity | 33 + Years | Chairman Neurosurgery at Medanta the Medicity | USD 10000 |
Artemis Hospital | JCI | Dr. Aditya Gupta | 27+ Years | Chief at Artemis Hospital (Neurosurgery & CNS Radiosurgery) and Co-Chief (Cyberknife Centre) Artemis Hospital in Gurugram. | USD 7000 |
Inclusions | Exclusions |
Routier Pre-op investigations | Stay beyond package days |
Single/Private Room | Added drugs and consumables to the list |
Implant cost | Consultation with specialists from other fields of medicine |
Rehabilitation during hospitalization | The complications involved |
Consultant’s and surgeon’s fees | |
O.T. charges and Anaesthesia charges | |
Medicines and consumables | |
Pickup and drop off at the airport | |
Attendant Stay and meals. | |
Access to the International Patient Care Lounge | |
Handhold care by an executive | |
Taxi to visit the hospital | |
Normal Hotel with kitchen 10 days |
Stay in hospital: 4 Days
Stay in India: 15 Days
Percentage of success: 99.9%
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