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Meningeom - Hirnhauttumor | Asklepios

Mar 26, 2024
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 the minimal one 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 is good that you have time, Professor Keller, tell us something like this, guys, I can barely pronounce it, a certain Menning Jung, What is handling? It 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 spinal cord.
meningeom   hirnhauttumor asklepios
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 can be removed. That is the great advantage and, furthermore, benign tumors normally do not metastasize.
meningeom   hirnhauttumor asklepios

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So the girl with the baby does not have to fear any child tumor and then no brain region can get 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 does not have to mean that benign tumors always grow very slowly. There are also managers of benign tumors that also grow relatively quickly. That is not the main criterion of distinction, yes.
meningeom   hirnhauttumor asklepios
So, can anyone get it or is predestined to it ?Theoretically, anyone can get it. The older we get, the more likely we are to get it if you look at people in their 80s, which represents about 34 percent of people in their 80s who have these types of tumors in women. It is more common than this type of tumor and apparently there are also certain hormonal dependencies that have to do with it, yes, and that means that when you reach menopause, it will be removed again, it is not that it will go away, but that maybe it stops growing.
meningeom   hirnhauttumor asklepios
Now you already said that most of them are benign, So you shouldn't get excited at first, maybe what causes them or say what situation your patients come in. 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 this tumor is located, for example if it is in a speech region then you may have speech problems, if it is in the optic nerve you may have vision problems or you may have epileptic seizures or sometimes Having personality changes can also give me a headache today, but because many patients, many people get a head image very quickly, it is very common that you see it as an opportunity and suddenly see that it really has nothing to do with technology, but there is a great little administrator, so they mean that someone is getting tested because they may have vision problems or because they simply 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. "It's 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 don't usually grow very quickly, especially with older people, and you can just 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 normally try to remove it before it shows any symptoms and if it does, if the patient is only half your age, you wait, but as it grows 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 remove 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 one time or another, maybe nausea. The feeling that you don'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, it depends 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 an imaging, that is, with an image from an MRI scan or a CT scan.
MRI 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 do this too. If you have a slowly evolving visual impairment, if you have a personality change and the ophthalmologist cannot find the cause, then of course you should also check if there is something behind it that is causing the experience. a change in personality. There are tumors, especially in the frontal area of ​​the brain, that grow very slowly and patients fall. Not at all. 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 the patients who are somehow noticeable in this case should definitely have done it. A photo taken of them. I remember a patient who used to be strange in some way and she was getting stranger and stranger and she took a photo because she was actually strange and Only when she became blind or severely visually impaired, when do you get an idea of ​​what gigantic that 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 does it work if such a thing works?
The tumor is symptomatic, so it should be removed if possible. There are some places where it's pretty easy if it's up here in the brain. It's easy to get to. Relatively simple surgery, relatively little can happen, but the usual microsurgical costs are taken into account, which we have. We do operations like this every day, whether you are here every day, and they are good at microsurgery, but if there is a tumor at the base of the skull or somewhere deep where it is difficult to reach it can be quite difficult. It may be that this tumor cannot be removed completely.
It would be better to leave small remains of the tumor in the nerves or vessels so as not to damage them, so as not to harm the patient's quality of life. life in any way. So it would be better if you had a small remnant that you could continue to monitor Or maybe irradiated later or maybe operated on a second time, just don't make someone go crazier during the operation than him, and I have to worry about the radiation in the head, we will not get something like that because this region is usually a very focused radiation treatment, let's say that the so-called stereotaxic radiation is irradiated from many sides and the real radiation dose is only concentrated on the tumor or tumor is that the brain actually you receive almost nothing, that is not very dangerous, of course you have to do it with the appropriate experience so as not to cause any danger, yes and now this operation is an open operation or what does that mean?
Somehow we have to get through the roof of the skull, when we operate inside the skull in the brain, we always have to open the skull somehow, but that is also routine. We have the appropriate instruments there. After where the skull is. open, 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 stitch region a small shoe so that you hurt your brain, because it becomes a little bit more complicated when you 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 developed the right expertise for it and what you It helps you not get injured or know exactly where to go: we have a lot of help.
The important thing, of course, is knowing the anatomy itself, but because tumors change the anatomy, the nerves can move, in addition to navigation, we also have integrative monitoring. that warns us, for example, if we are on a nerve, for example, or possibly putting it in danger with manipulation. A typical example is the so-called facial nerves, when we approach them, the corresponding loud alarms are activated and we must be careful, we are very careful that nothing happens with all these aids. 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 only a small part, yes, that is unusual I think, so that is what happens with many other operations for tumors in the brain.
The problem is that if you do too much, it 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? Well, of course, there remains The general risk of what you have with the Porsche video, inflammation, secondary bleeding, that's why you have to do it. For older patients taking blood thinners, always make sure they have been stopped beforehand. A bleed in the head always ends and can become dramatic very quickly, unlike a small bleed you may 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 that kind of thing, 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 there is low risk to patients. , can be treated and eliminated. Then let's talk about the successes when you have had surgery and the minimization is gone. Then my symptoms will disappear too. Yes, if the symptoms are caused by that and something is printed in the way, then it recovers that always thinks 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 so it may still be partially recovered if you are completely blind it may not recover at all so in such cases it is important that it is not too late to operate early enough but yes , if these tumors are removed, they usually disappear and usually disappear as well. 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 and we know this also during the operation itself and the tumor apparently under the microscope. was completely removed, there are still individual cells there and that is why we must monitor patients who have had such a tumor, even if it seems to have disappeared and everything has gone well, even in later years, it does not appear again. from any cell that we do not have A new tumor arises Thank you for this interesting conversation and see you again at www Asklepios com on Facebook and on YouTube you will recover

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