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Large frontal meningioma, procedures for surgery - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your query
User :   hi
User :   i have been diagonised with large frontal meningioma with bone invilvement and orbital extension
Doctor :  
ok
User :   as per the mri of the brain
Doctor :  
ok
Doctor :  
when was this MRI done?
Doctor :  
please provide your age, gender, location, occupation
User :   on 3rd Nov 2009
Doctor :  
ok
User :   age 32
Doctor :  
ok
Doctor :  
A meningioma is a tumour of the meninges, which are the protective membranes around the brain and spinal cord
User :   The Scan summary is as follows
Doctor :   ok
Doctor :  
please go ahead with the summary
User :   there is an intensely enhancing, lobulated, extraaxial mass with base at orbital roof and frontal bone measuring 9x8 cms
Doctor :  
can you give me a second
Doctor :  
I shall close this and you can re enter with the same login
User :   there is destruction of frontal bone and orbital roof with extension to right orbit and frontal sinus. there is a mild edeama
User :   ok
Doctor :   Ok
User :   hi Doc r u there
Doctor :   Let us continue
User :   There is a mild edema in the adj brain
User :   ventricles are compressed
User :   mid line shift to nleft by 1.8cm
User :   there is a mild distortion of the mid brain
Doctor :  
ok
User :   incidentally noted a polyp inthe left sphenoid sinus
User :   so wot do u suggest?
Doctor :  
Ok
Doctor :  
What are you current symptoms?
User :   slight bulge of my right eye
User :   swelling in eyes
Doctor :   Did the neurosurgeon said it can be operated or not?

User :   yes he said it can be operated
Doctor :  
Did the doctor put you on steroids to reduce the swelling and the edema?
User :   no
User :   he has prescribed the following medication for present
Doctor :  
Ok since it is operaable
Doctor :  
Surgery is the main treatment for meningioma and in many cases the tumour can be removed completely with no complications.
User :   tab. predniosone, tab Rantac, Tab Eptoin
User :   so I would like to know whether this tumour can be removed completely
Doctor :   Yes Prednisone is the steroiid
User :   and it wont be reforming in the future
Doctor :  
it will reduce your swelling and edema
User :   ok
Doctor :  
nothing to worry majorily here
Doctor :  
in fact your meningioma is at an accessible
Doctor :  
area where it can be operated
User :   can you suggest me a neurosurgeon in
User :   how serious is this tumour
Doctor :  
The doctor shall do a surgery and remove the tumor as extent as possible
Doctor :  
If possible, all involved or involved bone should be removed. The dura involved by the tumor as well as a dural rim that is free from tumor should be resected
User :   ok
Doctor :   After that it is necessary you may have to undergo radiotherapy
Doctor :  
but the doctor shall say that after the surgery
User :   please suggest me a neuro surgeon
Doctor :  
how much he is able to remove
User :   ok
Doctor :  
Sure I shall do that
User :   radiotherapy means can u be more specific abt it
Doctor :   It is a combination of radiation
Doctor :  
that can help to reduce the un resectable tumor
User :   ok
Doctor :  
high-grade and/or recurrent tumors.
User :   so how many sittings of radiotherapy will take in the worst case scenario
Doctor :   That cannot be predicted
Doctor :  
now
Doctor :  
Since the tumor is large and approachable
Doctor :  
Most of it if not attached to a major structure in the brain or blood vessels can removed completely
User :   ok
Doctor :  
then the RT can be very minimal
Doctor :  
if the residcual tumor or the inaccessible tumor is more then the sitting can increae
Doctor :  
Finally this is a Multidisciplinary approach
User :   ok
Doctor :  
by Neurosurgeon, Neurologist and Oncologist
Doctor :  
So it is good to choose hospital who ahave all these
User :   it would be kind if you suggest me a hospital and a neurologist in bangalore so I could consult him with my MRI Scans for further assessment
Doctor :   Manipal, NIMHANS are the best ones that I can think of
Doctor :  
Would you like for an appointment fixing with one
Doctor :  
A meningioma who undergo surgery can resume their normal activities after an adequate period of postoperative rest (1-3 mo)
User :  
Doctor :   It is a good opinion too
Doctor :  

Doctor :  
Whom are you consulting now?
Doctor :  
and are you happy with it?
Doctor :  
One of the our team members shall contact you and help you
Doctor :  
Is it fine?
User :   But I would like to have a second opinion.
Doctor :   Ok fine

Doctor :  
You can go ahead
Doctor :  
If you need any help from us please let us know
Doctor :  
But do not be depressed, keep the spirits up
User :   ok thanks
Doctor :  
It is higly curable
User :   ok
Doctor :  
and moreover easily resectable
Doctor :  
in yur case
Doctor :  
as this is just in that region and hope not attached to any major strucutre
Doctor :  
It cannot spread to the brain
Doctor :  
as it is not its feature
User :   ok
Doctor :  
it can only spread to the skull
Doctor :  
I hope I answered all your questions
Doctor :  
Please fill the feedback form say done when done
Doctor :  
Hello are you there
Doctor :   are you back?
User :   Thanks for your Consultation time. Is it ok if I chat to you at later point of time today after discussing your points with my family, in case they have some queries
Doctor :  
Yes
Doctor :  
very much
User :   thanks
User :   bye
Doctor :  
Bye
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