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What is a Brain Tumor?

It is defined as any intracranial tumor created by abnormal and uncontrolled cell division, normally either in the brain itself (neurons, glial cells (astrocytes, oligodendrocytes, ependymal cells), lymphatic blood vessels), in the cranial nerves (myelin-producing Schwann cells), in the brain envelopes , skull, pituitary and pineal gland, or spread from cancers primarily located in other organs (metastatic tumors). Primary brain tumors are commonly located in the posterior cranial fossa in children and in the anterior twothirds of the cerebral hemispheres in adults, although they can affect any part of the brain.

Most Advanced Brain Tumor Treatment available at World Class Hospitals in India
Brain Tumor is no more a scary health condition as modern technology and advanced surgical modalities now offer near perfect clinical outcomes and the patients can soon return to normal life after surgery. Following Advanced Minimally Invasive Techniques for Brain Tumor Treatment are available in Brain & Spine Centres of Excellence at our associated Super Specialty Hospitals in India.

1. Brain Suite - Intra-operative MR Navigation Microsurgery 2. Trans-Nasal Endoscopic Removal of brain Tumor through the nose 3. Stereotactic Radiosurgery - Gamma Knife & Novalis TX 4. Tumor Embolization using Neuro Interventional Radiology

Brain Suite - Intra-operative MR Navigation Microsurgery Amongst very few such facilities worldwide
It is the most advanced Neuro-Surgical Operating Room with high field MR. This system permits the neurosurgeon to have an MRI study on the patient during surgery, and if tumour has remained which was hidden to the human eye, can be detected by special MRI sequences, and can be targeted using neuro navigation (which works on the same principle as the GPS system). The Brain Suite has two main parts. There is a high-intensity MRI scanner integrated with an image-guided surgical system. The MRI scanner has a wide-bore opening allowing a patient to lie on his or her side. Previously, tumours that could only be accessed from the side of the skull were not easy to scan. This special MRI system lets doctors repeat scans during the operation to get more accurate information on the location, shape and size of the tumour. This minimizes problems associated with brain tumors shifting during excision.

Trans-Nasal Endoscopic Removal of Brain Tumor through the nose

The endoscopic trans-nasal approach is performed through the nostrils. A natural passage way exists at the backend of the nose leading into the sphenoid sinus( an air filled cavity in the depths of the skull) , which can be enlarged so that the endoscope so that the endoscope and instruments can pass into this air filled cavity. From this region the sella turcica is easily accessed, which is the location of pituitary gland. Neurosurgeons use this route normally to remove the tumor from pituitray ( the master gland)

Stereotactic Radiosurgery - Gamma Knife & Novalis TX
Gamma Knife RadioSurgery : Advanced Non Surgical Treatment for Brain Tumors Though it is called Gamma Knife, there is no blade used or blood loss in this advanced stereotactic radiosurgical treatment There is a new ray of hope for patients diagnosed with brain tumor disorders for treatment by Gamma Knife radiosurgery. Although it's called Gamma Knife, there is no blade or blood. Instead, it's a stereotactic radiosurgical treatment that delivers a dose of gamma radiation to the target with surgical precision and is the most accepted and widely used radiosurgery treatment in the world. Novalis Tx Radiosurgery is one of the most precise, non-invasive radiosurgery treatments available for cancerous and noncancerous conditions of the entire body. It represents a new standard in radiosurgery treatment, featuring advanced technologies that deliver highly precise treatment while protecting surrounding healthy tissue and offers one of the fastest treatment times available-minutes, not hours-giving new hope to patients with tumors once considered untreatable.

Tumor Embolization using Neuro Interventional Radiology

Neurointerventional radiology focuses on diagnosis and treatment of abnormalities of the nervous system, spine, head and neck. This rapidly advancing specialty provides imaging of and minimally invasive treatment for conditions, such as aneurysm or stroke, which previously may have required major surgery. Tumor embolization is used to close off the vessels supplying blood to a tumor, especially when the tumor is difficult or impossible to remove. How it works: Your neurointerventional radiologist uses xray imaging and a contrast material to visualize the blood vessel. He or she inserts a catheter (through a nick in the skin) into the blood vessel and advances it to the treatment site. A medical material made up of tiny particles (called an embolic agent) is inserted through the catheter and directed to the tumor. The embolic agent will block the blood vessels that supply blood to the tumor. Following embolization, the tumor will likely shrink or grow more slowly than before.

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