Meningeom - Hirnhauttumor | Asklepios

Welcome to the Asklepios health program The diagnosis of a brain tumor is always a shock at first, but not all tumors in the brain are malignant, the most common is minimal and in many cases it is benign and now we are talking about how to treat. My professor is Dr. Uwe Keller, he is the head doctor of neurosurgery at the Asklepios clinic in Altona, it's good that you have time, Professor Keller, tell us something like that, guys, I can barely pronounce it, a certain Menning Jung. What is management is possible and this management can arise anywhere where the meninges are, the entire brain is surrounded by meninges and the spinal cord is also surrounded by the skin, which means that these managements can occur not only in the head but also in the head? the spinal cord Now we are talking about menning children.

In my head let's say I just said that in many cases it is benign, what does that actually mean cancer or benign malignant tumor or is it anyway benign means that these tumors that grow push? the situation next a malignant tumor that would infiltrate changing the growth So, enter the brain and you can imagine that a tumor can be completely removed and infiltrate the path. A part of the brain would have to be removed so that the entire brain could be removed and. That is the great advantage and, furthermore, benign tumors normally do not metastasize. So the girl with the baby has no reason to fear any tumors and, in fact, no brain region can be found anywhere else.

Sometimes they continue to grow minimally and apparently that type of mening can metastasize here and that also has something to do with how quickly a tumor like that grows, yes, it has something to do with it, but that is not a sine qua non condition , then no. This has to mean that benign tumors always grow very slowly. There are also benign tumor managers that also grow relatively quickly. That is not the main criterion of distinction, yes. So can anyone get it or, in theory, can anyone get it? The older we get, the more likely we are to get it if you look at people in their 80s, which is about 34 percent of people in their 80s who have these types of tumors in women.

It is more common than this type of tumors and apparently there are also them. certain hormonal dependencies have to do with it, yes, and that means that when you reach menopause it will disappear again, it's not that it disappears but maybe it stops growing. Now you already said that most of them are benign, then. You shouldn't get excited at first, maybe what causes them or tell what situation your patients are coming from. Then I notice how they have such a young person. Most patients who come to us have developed some symptoms. The symptoms depend on where it is.

The tumor is located, for example if it is in a speech region then it may be that you have speech problems, if it is in the optic nerve it may be that you have vision problems or you may have epileptic seizures or sometimes you may also have personality. The changes can also give me a headache today, but because many patients, many people get a head image very quickly, it is very common for you to see it as an opportunity and suddenly see that it really has nothing to do with it. it has to do with technology, but there is a little big administrator, so they mean that someone is getting tested because they may have vision problems or because they just have problems that in the past would not have been tested with someone like that with someone like that with an MRI and that's a typical example of Well, if someone has had a traumatic brain injury to the skull and they haven't had an accident with the concussion, then today they have a CT scan or an MRI.

This is now completely irrelevant. and you have to do something about it. In many cases, especially with older people, with this type of religion you can just tune out. We know that they generally don't grow very quickly, especially with older people, and you can just do it. wait and see Take another picture in a year and then see if the tumor has not grown at all and is not showing any symptoms then you can leave it as it is but if it has grown you should generally try to do so. Remove it before and if it shows any symptoms.

If the patient is only half your age, you wait, but as they get older it always depends a little bit on where the tumor is located and that also depends on whether there is brain swelling around the tumor. then you would eliminate it very quickly, but if it's just a small tumor, even in a child in an unfavorable position, you can definitely wait and see what the dynamics are behind it. Yes, I would like to go back to the symptoms. Everyone has had a headache at some point, maybe nausea, the feeling that they can't see well.

Can you describe these symptoms in more detail so you know? But now I wanted to go to the doctor, so I said yes. Depending on where the tumor is, it can be of a very different nature, but that is the case with a headache. An important symptom when you have a headache, if you have a headache forever, you should at least clarify it with a picture. That is, with an MRI or CT scan image it would be better if you have had a headache for a long time, but the headache somehow changes and then has a new character.

Of course, you should also do this if you have a slowly developing visual impairment if you have a personality change and the ophthalmologist cannot find a cause for it. Then, of course, you should also look to see if there isn't something behind it that is causing you to experience a change. In personality there are tumors, especially in the frontal area of ​​the brain, which grow very slowly and patients fall. They do not have paralysis because paralysis or movement is encoded in other parts of the brain. The behavior is the impulse and if something grows there very slowly, sometimes it happens over the years that the patient changes and it may not happen at all.

It is noticeable because it is very slow, but patients who are somehow noticeable in this case should definitely have an image. I remember a patient who used to be strange in some way and she was getting more and more strange and she had a photograph taken because she actually she was strange and only when she went blind or had severe visual impairment, when was it obtained? a picture of how gigantic the tumor was and certainly this change in character was also caused by that so let's talk about the operation so that we do not observe we operate now how it works if such a thing works If the tumor is If it is symptomatic, then it should be removed if it's possible.

There are some places where it's pretty easy if it's up here in the brain. It is easy to reach by surgery, relatively little can happen, but the usual microsurgical costs are taken into account. account, what we have. We do operations like that every day, whether you're here every day, and they're good at microsurgery, but if there's a tumor at the base of the skull or somewhere deep where it's hard to get to, it can be quite difficult. This tumor may not be able to be completely removed. It would be better to leave small remains of the tumor in the nerves or vessels so as not to damage them and not impair the patient's quality of life. patient in some way.

So it would be better to have a small remnant that one can continue to observe Or maybe irradiated later or maybe operated on a second time, just don't make someone go crazier than him in the operation, and I have done that. If we worry about radiation to the head, we will not get something like that because this region is usually a very focused radiation treatment, let's say the so-called stereotaxic radiation is radiated from many sides and the actual radiation dose is only concentrated on the tumor or the tumor. is that in reality the brain barely receives anything, that is not very dangerous, of course it must be done with the appropriate experience to not cause any danger, yes and now this operation is an open operation or what does that mean?

To somehow get through the roof of the skull, when we operate inside the skull in the brain, we always have to open the skull in some way, but that is also routine. We have the appropriate instruments there, after where the skull opens. , it's very easy to open at the connection up here on the top of the head, for example, you can just cut with a kind of sewing area a small shoe so that you hurt your brain, because it gets a little more complicated when to go behind the ear at the base of the skull or under the eye where it needs to be, but of course that's what we eventually learned to do every day and then we developed the right expertise for it and what helps you not to hurt yourself or to know exactly where to orient yourself: we have a lot of help.

The important thing, of course, is to know the anatomy itself, but because tumors change the anatomy, the nerves can move, in addition to navigation, we also have integrative monitoring, which warns us, for example, if we touch a nerve or possibly we endanger it through manipulation. A typical example is the so-called facial nerves. When we approach them, loud alarms sound and we have to do it. Be careful that we are very, very careful so that nothing happens with all this aid. But with a little experience, these types of tumors can often be largely or completely removed, but it is always important that the surgeon always knows the pattern and also with the patient beforehand. discussions and if it is critical you risk damaging a function, it is better to leave it alone a small part, yes, that is unusual I think, so that is what happens with many other operations for tumors in the brain. doing too much often has very bad effects for the patient.

Consequences and, of course, we want to avoid that in all circumstances and in most cases we can avoid it very well. What risk remains for an operation of this type? The overall risk of what you have with the Porsche video, inflammation, secondary bleeding, that's why you should do it. For older patients taking blood thinners, always make sure they have been stopped beforehand. A bleeding in the head always ends and can. they become dramatic very quickly, unlike a small bleed you might have in your hand or thigh, which then of course goes away again. In the process, brain tissue is also damaged, which may not be able to regenerate again, so of course you have to try to eliminate things like that, there is always a residual risk.

There can also be fun in a container that you have prepared. This means that today there is very low morbidity, so the risk to patients is low. , can be treated and eliminated. Then let's talk about the successes when you had surgery and the minimization went away. Then my symptoms disappeared too. Yes, if the symptoms are caused by that, then something is imprinted in the way. recovers you always think a little depending on how long the symptoms have existed, for example, we have pressed something against the optic nerve for a long time, the optic nerve hardly works anymore, then it may be that you are still partially recovered if you are completely blind , you may not recover at all, that's why in such cases you don't need to operate it too late, operate it early enough, but yes, if these tumors are removed, they usually go away and they usually remain. also disappeared, but we have to say that when we remove a tumor it is similar to when we vacuum here, for example, then everything looks clean or there are still some grains of dust there, so we also know during the operation itself and the tumor.

Apparently, under the microscope they have been completely eliminated, there are still individual cells and that is why we have to monitor patients who have had such a tumor, even if it seems that it has disappeared and everything has gone well, even in the years later, it is not like that. It does not come from any cell that we do not have. A new tumor develops. Thanks for this interesting conversation. See you again at www Asklepios com, on Facebook and on YouTube, you will recover.