Brain tumors can be treated surgically in various ways. We use neuronavigation (frameless stereotaxy), which uses information based on a patient’s CT or MRI scan to find the exact location of the brain tumor, allowing the safest, shortest access possible. After skin incision, holes are drilled and a craniotomy is performed (where a small flap of bone is removed and replaced with small screws after tumor removal). Next, the lining of the brain is opened and the
tumor removed using suction (and ultrasonic aspiration in some cases).
Our practice is unique in the ability to perform awake operations when the tumor is near a movement or speech region (“eloquent cortex”). This minimizes injury to the brain resulting in possible paralysis, speech problem, visual problem, or other disorder. In keeping with the latest technology offering the safest options, we may refer patients who may benefit from focused radiation (as opposed to surgery), or sometimes just follow up the tumor without need for surgery in specified cases.FOR AN ANIMATED VIDEO OF CRANIOTOMY FOR TUMOR, please CLICK HERE
In October 2009, our practice was the first in North America to eradicate a brain tumor using the Visuale laser in an awake patient. The new treatment device called the Visualase® Thermal (LASER) Therapy System is a device that uses a laser to kill tumor cells and is guided using magnetic resonance thermal imaging [MRTI]). The Visualase® Thermal Therapy System is used to treat brain tumors that cannot be removed as well by surgery or treated by other methods successfully. Many patients have failed surgery, chemotherapy, or radiation therapy. Advantages can include the following: not undergoing general anesthesia, making a needle incision only, and being able to go home soon after the operation (with imaging showing the tumor to be visibly gone after the procedure).
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