Brain & Skull Base Tumors

We operate all types of tumors in any location including Brain, spine, orbit, Skull Base and nerves. We use microsurgery or endoscopic surgery for all cases, both benign & malignant.

Brain tumor present with raised ICP, focal deficit, seizure, global deficit, psychiatric symptoms. They can be Benign/Malignant, Disseminated/solitary, Localized / Diffuse, Contained / Infiltrating. There are no stages and generally do not spread outside cranium.

Surgery remains the mainstay of treatment for most of tumors. Complete tumor removal have been possible in most of our cases without the need of Neuronavigation or intraoperative MRI or CT (very costly tools and possibly not much needed), which was always confirmed on CT or MRI after surgery.

Preservation of functions by intraoperative neurophysiological monitoring, awake craniotomy or special approaches are used in special cases with desired benefits. We use gamma knife or X-knife only for small invincible lesions.

Almost always complete tumor removal through safest corridor, for even operated or rejected cases has given good results. At our center, no age or functional status is absolute contraindication to surgery. Similar good results can be achieved at any age.

Pituitary tumors

We remove them through Transnasal Transhphenoidal route with the help of Microscope for 14 years or Endoscope for 10 years. In microsurgicval approach cut is needed behind lip or inside the nose. In endoscopic approach no cut is made outside. We confirm the tumor complete tumour removal by MRI or CT scan within 1-2 days after surgery and within 3-6 months after that. Increase in urine production (Diabetes Insipidus) used to occur after surgery for few days to weeks; Now it does not occur more than few hour to 1-2 day. No patient had it persisted permanently. One of patient had worsening in pituitary controlled hormonal level as compared to before surgery status in earlier cases. However, for last many cases even transient worsening is not seen in almost all cases. Most of the cases present with worsening of eyesight which invariably improves in all cases but may no trecover permanently. Most of the patients are satisfied with the results and outcome. CSF leak has been the biggest challenge, we lost few patients because of CSF (brain-fluid) leak associated infection; however, for last many years, no patient had problematic CSF leak.

We have operated two patients even during pregnancy saving child as well as the eyesight of the mother successfully.

Open method by opening head was never required in last 12 years or so.