Case Studies Brain Tumors

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14 year old girl

An 8th std student with a right sided brain tumor involving the right tempro-pareital area. She had seizures and headache.

Follow-up scans initially showed a small lesion which had progressed in size on subsequent scans.

CT scan images (above) showing the tumor in the right parietal area (arrows).

An MRI image showing the two components of the tumor (black arrow-cystic, white arrow-solid). The bright area around the tumor represents edema (swelling) of the adjacent normal brain.

She underwent a craniotomy (opening of the skull bone) of the area overlying the tumor. The tumor was completely removed (see post-operative scan) and she did very well post-operatively. There were no adverse consequences of the surgery. She was discharged on the 3rd day after the surgery.

Post-operative scan showing complete excision of the tumor with a little blood in the surgical cavity.

 

28 Year old lady

Pre-operative images of a lady with a large tumor (white arrows) arising from the fifth cranial nerve (the nerve that subserves sensation to a large area of the head and face and also controls the muscles for chewing). The location of the tumor makes its removal challenging. The tumor is abutting on and compressing the brain stem (vital area controlling consciousness, breathing, heartbeat among others marked with black arrows). The tumor was removed through a microsurgical approach.

Post-operative contrast enhanced MRI scans showing no tumor and no areas of abnormal enhancement.

34 year old gentlemen

A 34 year old gentleman presented with progressively increasing headache for 2-3 years with blurring of vision (symptoms of raised intracranial pressure).

CT scan images (above) show a huge 10 cm tumor in the midline displacing critical structures and causing increased pressure within the skull.

The patient underwent a craniotomy and successful complete removal of the tumor. The 8-hour surgery was uneventful and there were no untoward events during the surgery. Post-operatively, the patient was conscious and alert with no limb weakness, but he was unable to speak (perhaps due to manipulation of areas involved with speech during the surgery). By the 3rd day, his speech had completely recovered and he was discharged. Fortunately, the tumor turned out to be benign (non-cancerous) and the patient should have a productive, normal life span subsequently.

His post-operative CT scans are below showing complete removal of the tumor.

 
Sita Bhateja Speciality Hospital : Langford Gardens, Bangalore 560025. Ph. +91 80 22210701/22214074