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January 26, 2020 0

Gurgaon Hub of Neurosurgery

Neurosurgery is a specialty in medicine that handles the prevention, diagnosis, surgical treatment, as well as rehabilitation of disorders that affect any part of the nervous system. The parts include the brain, spine, peripheral nerves, as well as the extra-cranial cerebrovascular system. The top hospital for neurosurgery in India incorporates different modern procedures in its service to ensure that it covers the entire range of neurological conditions present. In addition, the facility employs the use of complex modern equipment which sets them apart from other facilities in terms of the conditions that they can successfully handle with minimum human effort and reduced occurrence of complications.

There are quite a number of neurosurgical procedures aimed at handling different neurological conditions. These procedures range from minor and simple to those that are quite extensive and complex. The top Hospital for Neurosurgery in Gurgaon employs modern procedures from its diagnostic and imaging processes which enables a successful diagnosis of the patient’s conditions. Some of the technically surgical procedures that are employed include craniotomy, spinal fusion, ventriculostomy, pallidotomy, trepanning, and much more. These procedures are aimed at repairing, rehabilitating, and treating different kinds of neurological conditions.

The best spine surgeons in Gurgaon specializes in treating a different kind of neurological conditions. This specialization leads them down different paths as far as procedures are concerned. As such, the surgeons end up performing different procedures that are relevant to their area of expertise throughout their career, unless they decide to get training on other procedures. This kind of specialization has made it possible for surgeons to deeply interact with the conditions the handle as well as the equipment used to treat them. In effect, this interaction has made the surgeons become masters in their areas of expertise, therefore, greatly increasing their success rate and reducing the chances of recurring complications after a surgical procedure has been conducted.

Dr. Arun Saroha is the Director and Head of the Neurosurgery Unit at Spine and Brain India hospital. He is a neurosurgery genius with an incredible 6,000 successful neurosurgeries performed in his 15 years as a spinal surgeon. The wealth of experience that the doctor has gained throughout this time has made it possible for him to attend to a wide range of neurological problems. However, the doctor’s areas of specialization are Complex Spine Surgery, Disc Replacement, Brain Tumors, Transnasal Surgery, Stroke, and Cerebrovascular malformation, Pediatric Neurosurgery, and Trauma. His wide range of expertise has made him operate on people from all walks of life from all over the world making him one of the most renowned experts in the industry. Having gone through the rigorous and required training, Dr. Arun Saroha dispenses the best of service to all the patients who happen to cross his path.

Spine and Brain India has invested in the best of equipment in the industry which sets them apart from other facilities. This bold step has made it possible for the facility to handle complex neurosurgical procedures competently giving its patients an incredible opportunity to go back to their normal lives. In addition to this, the facility has a number of well-trained spine experts in India. These experts ensure that the entire processes leading to surgery are professionally handled. From the diagnosis of the problem to the treatment option that may be recommended before surgery, these experts closely observe how the patients respond in order to advise on the most appropriate way forward. As one of the top hospitals for neurosurgery in India, the facility has gained popularity throughout the country, and the world at large for its services and successes that have left many happy with their services.

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January 26, 2020 0

Complex Brain Tumor Surgery

A brain tumor is a mass of tissue that forms in any part of the brain due to the accumulation of abnormal cells. The normal cycle of a cell in the body involved its production, aging, then death and replacement by other cells. This is not the case for tumors as the cycle is disrupted making the tumor cells to grow despite not being needed by the body. The reasons for the formation of brain tumors are unknown to medical practitioners. However, some risk factors have been researched on and have been found to increase the chances of someone getting a brain tumor. For instance, children that are exposed to radiation in the head are highly likely to develop tumors as adults, the case is the same for people who have some rare genetic conditions like Li-Fraumeni syndrome. Top neurosurgeons in Gurgaon, however, express this as a fraction that also as a degree of uncertainty because not all people exposed to these risk factors end up developing brain tumors.

Tumors can be classified as either benign or malignant. Benign tumors are noncancerous and they usually have clearly defined borders. For these reasons among others, brain tumors of this nature can easily be removed using surgical means if they are not located in delicate hard to reach areas. Malignant tumors, on the other hand, are deeply rooted in the brain tissues which make them hard to surgically remove. Top neurosurgeons in Gurgaon also explain that these tumors have a high probability of reoccurring after their removal, and also that they are cancerous.

Brain tumors have a wide range of symptoms which vary based on the type and the place they are located. Some of the symptoms may not show until the tumor has grown to a considerably big size. However, the most common indicators that someone may have a brain tumor include headaches that do not respond to painkillers and other headache remedies out there. However, this is just an initial indicator that may not even be related to a brain tumor. Top neurosurgeons in Gurgaon have also identified seizures, changes in speech or hearing, changes in vision, and much more as indicators that one may have a brain tumor. Despite these symptoms being associated with brain tumors, they do not necessarily prove its existence and may be caused by other ailments.

Complex brain tumor surgery is a technique that is employed to remove a brain tumor once its diagnosis has been made. However, unlike benign brain tumors that may not be deeply rooted in the brain, complex brain tumor surgery is devoted to the extraction of lesions and tumors that are deeply rooted to the brain, and are located in hard-to-reach regions of the brain. The surgery addresses tumors that are regarded as high-risk and inaccessible. The best spine hospital in Gurgaon ensures that its specialists provide gentle, precise, and safe procedures to their patients eliminating instances of a complication occurring after the surgery.

Spine and Brain India hospital acknowledge the fact that some brain tumors cannot be removed. The facility, however, emphasizes on treatment because as brain tumors keep on growing, there is a high chance that the bodily functions of the afflicted may deteriorate. For tumors that cannot be surgically removed after they have been diagnosed, a biopsy is recommended which helps the specialists to study the type of cells that make up the tumor, therefore, giving them a clear picture on the right treatment approach to take. With a team of competent, and rigorously trained neurosurgeons, and a facility that is the state-of-the-art machines, Spine and Brain India hospital ensures that all the patients that are diagnosed with brain tumors at the hospital are aggressively treated.

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January 21, 2020 0

What Are The Warning Signs Of Brain Tumor?

The symptoms of brain tumors occur as per the size of the tumor, the rate of growth, the level of malignancy and the location of the tumor. As the tumor presses against the nerves and adjacent tissues, it gradually destroys these healthy cells.

The location of the tumor directly affects the intensity and type of symptoms. Certain brain tumors grow away from the crucial points of the brain and may not exhibit symptoms and hence these are not detected until they have reached a considerable size that triggers severe symptoms. Tumors that grow close to the vital areas show symptoms from the initial stage and can be detected early. Other types of tumors grow rapidly or are positioned close to vital areas of the brain, causing symptoms to occur quickly. As a tumor grows, the brain may swell and fluid often develops. As this mass continues to expand within the limited space of the skull cavity, the pressure on the other parts of the brain increases and triggers a wide range of symptoms and life-threatening conditions.

In case the tumor is affecting the hormonal balance, the symptoms are experienced throughout the body. The largest part of the brain is the cerebrum, which is again divided into two parts that store different types of information and the cerebrum executes decision-making by perfect coordination between these two parts. Tumor in this region directly affects the sensory function and memory.

There are brain tumor symptoms which are generic and come across as warning signs that should not be ignored.

1. Headache

This won’t feel like a normal stress headache. It is a deep, dull headache that reoccurs frequently. The pattern of the headache will seem to change. Headache is not a very early symptom of a brain tumor and is not felt until the tumor has reached a significant size.

2. Seizures

This is a symptom of something wrong in the body. The tumor exerts pressure and obstructs the brain neurons which makes them respond aggressively and they lose control. This triggers abnormal movements in the body. These movements cannot be controlled by the person experiencing it. When a seizure strikes it could be in any form like jerking, muscle-flexing in the limb or face or entire body convulsions. This is a grave state because the person needs immediate attention and help when there is a body convulsion. Patients who experience seizures, constantly need someone along with them, especially when they are outdoors. Seizures could also be followed by loss of consciousness and abnormal breathing. Post seizure, the person feels weak, sleepy and can experience a headache.

3. Numbness

A tumor that suppresses nerves that control the limbs causes numbness and weakness of limb muscles. This happens when the tumor forms in the brain stem that is connected to the spinal cord where the limb nerves shoot out.

4. Nausea

Abnormal nausea or sudden vomiting could also be a symptom of a brain tumor.

5. Loss of control

When the tumor grows in the region that controls limb movements or body balance, the patients experience difficulty in handling objects or balancing. The person might seem to be fumbling with keys, losing balance, spilling liquids while handling a glass, cup or bowl. The symptoms also include problems in swallowing food, controlling facial expressions and remembering things.

6. Faulty vision

The patient experiences sensory changes in vision, hearing, touch, taste, and smell. There could be a loss of partial or complete vision.

7. Personality change

With all these symptoms cropping up at a time, the overall personality and behavior of the person are altered. Clumsiness, memory loss and aches cause the person to get irritated due to the inability to perform daily activities normally. Moreover, the loss of control makes the person helpless. There could be sudden outbursts of anger, aggression, impulsive sex drive and grumpiness.

The cause of the brain tumor is not yet known. Doctors have been able to identify certain risk factors but not the exact cause that triggers uncontrolled cell mutation that makes the tumor. Only awareness and prompt medical attention can help detect and treat brain tumors.

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January 21, 2020 0

A Headache might be a sign of brain tumor

Most brain tumor patients experience a headache. Headache can be caused by various triggers and a headache might be a sign of a brain tumor.

What causes headaches due to a brain tumor?

The type and intensity of the pain depend on the location and growth of the tumor. When the brain tumor compresses the vital functioning organs in the skull like the veins, nerve fibers, large arteries, and the skull wall, a pattern of headaches is triggered.

When a tumor grows in the brain, there could be brain swelling. This causes intracranial pressure (ICP). ICP is the pressure exerted on the brain tissues and cerebrospinal fluid that surrounds the brain.

In the case of a brain tumor, the headache comes along with a sequence of other symptoms like vomiting. Seizures or body convulsions are other symptoms of brain tumor post which the person experiences a dull headache and weakness.

How is it different from a Migraine headache?

Most headaches cannot be associated with a brain tumor. But out of all the patients diagnosed with a brain tumor, 50% have experienced severe or minor headaches. There are striking similarities between the headaches in the case of migraine and those in brain tumors. Migraines can also cause nausea for some people. But the migraine pains do not occur with seizures or loss of control. Patients should also note other changes in the body like numbness in limbs, dizziness, vomiting, loss of sensory control, etc. The ultimate solution here to seek a neurologist and get checked. The specialist will be able to clearly distinguish and figure out the nature and cause of headache. Migraines are common and need not be worried about. But brain tumor is life-threatening and needs immediate treatment.

Brain tumor headache characteristics:

The generic nature of brain tumor headache could be associated with the below features.

  • Persistent dull headache
  • Sometime it could be a throbbing unbearable headache
  • Pain that steadily begins on waking up and continues for a few hours
  • Headache that worsens on coughing, sneezing, movement of head and changes in body position
  • This pain might not usually respond to the headache medication or remedies

Headaches in brain tumor do not occur separately but are in sync with other neurological symptoms like:

  • Muscle flexing in face or limbs, jerking, full-body convulsions. This could be followed by temporary unconsciousness and abrupt breathing.
  • Changes in sensory organs like altered vision or hearing
  • Weakness and numbness in arms and legs
  • Slurred speech, uncontrolled facial expression
  • Vomiting
  • ​​Memory loss
  • Abrupt changes in mood, aggression, and loss of balance.

Gradually, as the tumor grows, the headaches will seem to occur more frequently and with increased intensity. Lying down or resting worsens this type of ache.

If you are experiencing any of these symptoms, talk to your doctor. The specialist will ask you various questions to understand the nature of ailment and family history. The doctor would also want to know what medications you take to control the headaches, do they work, remedies that you use to soothe the headache, etc. It is best to keep a journal and note that occurrences of such aches and if there are other symptoms. This will help the doctor understand the exact pattern and frequency. The further course of tests and treatment can then be derived.

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January 21, 2020 0

Is Brain Tumor A Type Of Cancer?

There is a general misconception about brain tumors and brain cancer being the same thing. Even though they are related, it is important to understand the types of brain tumor and at what particular stage does it turn cancerous.

Our body is comprised of millions of cells where each cell performs requisite functions. Certain cells multiply by diving to form new cells to keep the body functioning. When these cells lose the control of multiplication they divide in any order and at any rate. The extra cells form a mass or lump of tissues which is not required in the body and is called a tumor.

Brain Tumor Type:

Benign brain tumors are those that can be removed and are not likely to reoccur. They do not contain cancer cells and do not invade adjacent tissues. They can exert pressure on the veins and nerves that come in their path and cause the symptoms.

Malignant brain tumors are cancerous reoccurring tumors. They are fatal as they grow rapidly and their roots spread into adjacent healthy tissues and organs. Malignant tumor without roots is compact and said to be encapsulated.

Primary Brain Tumor

Originating from the brain, the primary tumor can be benign or malignant. Usually, the primary tumor starts in the cerebrum, which is the main part of the brain. Some tumors can start in the meninges, a thin membrane around the brain and spinal cord. A tumor can also begin growing in the glands associated with the brain, i.e. the pituitary gland or the pineal gland.

Gliomas: Primary malignant brain tumor originates in the brain and the cells can spread within the brain and reach up to the spine. They rarely spread to other parts of the body. Approx 80% of malignant primary brain tumors are collectively known as gliomas. These originate in the glial cells which form the basis of the connective tissues of our central nervous system.

Depending on the range or degree of malignancy, the gliomas are classified into four grades:

  • Grades I and II are considered low-grade tumors that grow at a slow rate and are least malignant. Grade I is actually the borderline stage between benign and malignancy.
  • Grades III and IV reflect high-grade. Grade III tumors are malignant and seem to grow at a moderate rate. Grade IV tumors, like the glioblastoma multiforme, are the most malignant primary tumors and also the fastest-growing.

Depending on the location of the tumor, the gliomas are described as:

  • Gliomas developing in the lowest part of the brain are termed as brain stem gliomas and around 20% of tumors in children fall in this category. The brain stem connects the cerebrum to the spinal cord.
  • Tumors that form in the cerebellum are termed as cerebellar astrocytoma. The cerebellum is a crucial part of the brain that controls body balance and coordination.
  • Optic gliomas grow in the optic nerve and parts of the eye. It is observed to affect children younger than age 10.

Prognosis

Survival from primary brain tumors and the outcome of the treatment depends on the type of tumor, its location, size, and extent of its growth.

It also depends on the patient’s age, their ability to function and also if there are any other illnesses that can complicate the treatment, like diabetes.

Secondary Brain Tumor

It is a cancerous tumor that originates in any part of the body and the cancer cells spread to the brain. It is also known as a metastatic brain tumor. Cancer cells in the tumor break away from the primary tumor and travel through the bloodstream across the body. These cells can lodge in the brain and grow into new tumors. Cells from cancer of the lung, breast, kidney, stomach, bowel, and skin can reach the brain.

This is a more complicated form of brain tumor because here the origin of the tumor needs to be traced because the treatment depends on the correct identification of the primary cells. If the origin of cancer was in the kidney, then the cancer cells the brain are actually the kidney cells. In the case of primary brain tumors, the cancerous cells are brain cells.

Prognosis

Survival from secondary brain tumors cannot be accurately predicted because if the cells reached the brain, they could have reached other parts and begin shooting cancerous growths there. The complications increase and it is difficult to predict the outcome of treatment.

 

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About Dr. Arun Saroha


Dr.Arun Saroha is working as Neurosurgeon with a special interest in spine surgery for the last 15 years. He specializes in Neuro-oncology, Paediatric Neurosurgery, Neurotrauma, Stroke & Cerebrovascular surgery including Transnasal surgeries. He has also been performing instrumented/ Non-instrumentation spine surgeries, including minimally invasive spine surgeries. He has performed more than 6,000 Neurosurgeries (Spine and Brain) successfully till date with patients from all over the world.




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