Brain tumor surgery is a highly successful procedure in India.
The Average cost of Brain Tumor Surgery in India ranges between USD 3000 to USD 7200. depending on the brain tumor size, type, and location of the tumor. also hospital location and surgeon experience.
A brain tumor is a mass or growth of abnormal cells in your brain.
Many different types of brain tumors exist. Some brain tumors are noncancerous (benign), and some brain tumors are cancerous (malignant). Brain tumors can begin in your brain (primary brain tumors), or cancer can begin in other parts of your body and spread to your brain (secondary, or metastatic, brain tumors).
How quickly a brain tumor grows can vary greatly. The growth rate as well as location of a brain tumor determines how it will affect the function of your nervous system.
Brain tumor treatment options depend on the type of brain tumor you have, as well as its size and location.
The signs and symptoms of a brain tumor vary greatly and depend on the brain tumor’s size, location and rate of growth.
General signs and symptoms caused by brain tumors may include:
There are over 130 types of brain tumour, as classified by the World Health Organisation. Here are some of the most common types of brain tumours including glioblastoma, astrocytoma and Oligodendroglial tumours.
Brain tumours can differ in terms of the cells they originate from, how quickly they are likely to grow and spread, and the part of the brain they affect. Knowing your tumour’s type can therefore help you understand your condition.
As a general rule, brain tumours are named according to the type of cell they start from and/or where in the brain they are located. Information about the most common brain tumour types is below.
A primary brain tumor is a tumor that starts in the brain. A primary brain tumor is often described as “low grade” or “high grade.” A low-grade tumor generally grows slowly, but it can turn into a high-grade tumor. A high-grade tumor is more likely to grow faster.
Currently, the types of gliomas include:
Astrocytoma. Astrocytoma is the most common type of glioma. Astrocytoma cells look like glial cells called astrocytes that are found in the cerebrum or cerebellum. Astrocytoma in children is more common than astrocytoma in adults. There are 4 grades of astrocytoma.
1. Grade I or pilocytic astrocytoma is a slow-growing tumor that is most often benign and rarely spreads into nearby tissue.
2. Grade II or low-grade diffuse astrocytoma is a slow-growing tumor that can often spread into nearby tissue and can become a higher grade.
3. Grade III or anaplastic astrocytoma is a cancerous tumor that can quickly grow and spread to nearby tissues.
4. Grade IV or glioblastoma is a very aggressive form of astrocytoma.
Oligodendroglioma. Oligodendroglioma is a tumor whose cells look like glial cells called oligodendrocytes. These cells are responsible for making myelin. Myelin surrounds the nerves and is rich in protein and fatty substances called lipids. They are subclassified as either oligodendroglioma, which is considered low grade, or anaplastic oligodendroglioma.
Ependymoma. Ependymoma commonly begins in the passageways in the brain where CSF is made and stored. In adults, they occur more often in the spine and can also be of the myxopapillary subtype. Learn about ependymoma in children.
Brain stem glioma. A brain stem glioma begins in the glial cells in the brain stem. Learn about brain stem glioma in children.
A secondary brain tumor is a cancerous tumor that started in another part of the body, such as the breast, lung, or colon, and then spread to the brain. A secondary brain tumor may also be called metastatic cancer or brain metastasis.
If cancer spreads to the meninges and the cerebrospinal fluid (CSF), it is called leptomeningeal metastases or neoplastic meningitis. This condition occurs more commonly in people with leukemia, lymphoma, melanoma, breast cancer, or lung cancer.
The rest of this section mainly covers primary brain tumors, while providing some information on brain metastasis. To learn more detailed information about cancer that started elsewhere in the body and spread to the brain, read about that specific type of cancer.
Non-glioma tumors are tumors that arise from cells in the brain that are not glial cells. Types of non-glioma tumors include:
Meningioma. Meningioma is the most common primary brain tumor. It begins in the meninges and is most often noncancerous. Meningioma can cause serious symptoms if it grows and presses on the brain or spinal cord or grows into the brain tissue.
Pineal gland and pituitary gland tumors. These are tumors that start in the pineal gland and pituitary gland.
Primary CNS lymphoma. This is a form of lymphoma. Lymphoma is a cancer that begins in the lymphatic system. Primary CNS lymphoma starts in the brain and can spread to the spinal fluid and eyes.
Medulloblastoma. Medulloblastoma is thought to start from a specific type of cell in the cerebellum. These cells are called cerebellar granule progenitor cells. It is most common in children and is usually cancerous, often spreading throughout the CNS. Learn about medulloblastoma in children.
Craniopharyngioma. Craniopharyngioma is a benign tumor that begins near the pituitary gland located near the base of the brain. These tumors are rare. Learn about craniopharyngioma in children.
Schwannoma. Schwannoma is a rare tumor that begins in the nerve sheath, or the lining of the nerves. It may often occur in the vestibular nerve, which is a nerve in the inner ear that helps control balance. It is typically noncancerous.
The risks of brain tumor surgery are greater compared to other types of surgeries.
Wash hair at least one day before the surgery and ensure they are dry so that your head can be shaved properly
If a person has symptoms that suggest a brain tumor, the doctor may perform one or more of the following procedures:
Physical exam— The doctor checks general signs of health.
Neurologic exam— The doctor checks for alertness, muscle strength, coordination, reflexes, and response to pain. The doctor also examines the eyes to look for swelling caused by a tumor pressing on the nerve that connects the eye and brain.
CT scan— An x-ray machine linked to a computer takes a series of detailed pictures of the head. The patient may receive an injection of a special dye so the brain shows up clearly in the pictures. The pictures can show tumors in the brain.
MRI—A powerful magnet linked to a computer makes detailed pictures of areas inside the body. These pictures are viewed on a monitor and can also be printed. Sometimes a special dye is injected to help show differences in the tissues of the brain. The pictures can show a tumor or other problem in the brain.
The doctor may ask for other tests:
Angiogram— Dye injected into the bloodstream flows into the blood vessels in the brain to make them show up on an x-ray. If a tumor is present, the doctor may be able to see it on the x-ray.
Skull x-ray—Some types of brain tumors cause calcium deposits in the brain or changes in the bones of the skull. With an x-ray, the doctor can check for these changes.
Spinal tap—The doctor may remove a sample of cerebrospinal fluid (the fluid that fills the spaces in and around the brain and spinal cord). This procedure is performed with local anesthesia. The doctor uses a long, thin needle to remove fluid from the spinal column. A spinal tap takes about 30 minutes. The patient must lie flat for several hours afterward to keep from getting a headache. A laboratory checks the fluid for cancer cells or other signs of problems.
Myelogram—This is an x-ray of the spine. A spinal tap is performed to inject a special dye into the cerebrospinal fluid. The patient is tilted to allow the dye to mix with the fluid. This test helps the doctor detect a tumor in the spinal cord.
Biopsy—The removal of tissue to look for tumor cells is called a biopsy. A pathologist looks at the cells under a microscope to check for abnormal cells. A biopsy can show cancer, tissue changes that may lead to cancer, and other conditions. A biopsy is the only sure way to diagnose a brain tumor.
Surgery is to remove whole brain tumor. its the most common treatment for brain tumor. a neurosurgeon makes an opening in the skull. This procedure is called a craniotomy. Whenever possible, the surgeon try to remove the entire tumor. If the tumor cannot be completely removed without damaging vital brain tissue, your doctor may remove as much as tumor surgeon can removal in surgery. Partial removal helps to relieve symptoms by reducing pressure on the brain and reduces the amount of tumor to be treated by radiation therapy or chemotherapy.
Some tumors cannot be removed. In such cases, your doctor may do only a biopsy. doctor will take small piece of the tumor so that a pathologist can examine it under a mircosope to confirm the tye of cells it contains. this helps your doctor to decide which is the best treatment option for the particular tumor.
Sometimes, a biopsy is done with a needle. Doctors use a special head frame (like a halo) and CT scans or MRI to pinpoint the exact location of the tumor. The surgeon makes a small hole in the skull and then guides a needle to the tumor. Using this technique to do a biopsy or for treatment is called stereotaxis.
Other advanced techniques during surgery include brain mapping to find functional pathways near tumors, endoscopy to perform biopsies and open spinal fluid pathways through a small scope and advanced frameless stereotaxic computer assisted tumor resections. Intraoperative MRI also is available to help maximize tumor removal.
Neurosurgeons use minimally invasive techniques for this brain tumour surgery to remove the cancerous cells. This technique reduces your hospital stay duration, decreases your recovery time, and lowers the mortality rate.
Stereotactic radiosurgery is not a form of surgery in the traditional sense. Instead, radiosurgery uses multiple beams of radiation to give a highly focused form of radiation treatment to kill the tumor cells in a very small area. Each beam of radiation isn’t particularly powerful, but the point where all the beams meet — at the brain tumor — receives a very large dose of radiation to kill the tumor cells.
There are different types of technology used in radiosurgery to deliver radiation to treat brain tumors, such as a Cyberknife, Gamma Knife or linear accelerator.
Radiosurgery is typically done in one treatment, and in most cases you can go home the same day.
Radiation therapy, also called radiotherapy, is the use of high-powered rays to damage cancer cells and stop them from growing. It is often used to destroy tumor tissue that cannot be removed with surgery or to kill cancer cells that may remain after surgery. Radiation therapy also is used when surgery is not possible.
Radiation therapy may be given in two ways. External radiation comes from a large machine. Generally, external radiation treatments are given five days a week for several weeks. The treatment schedule depends on the type and size of the tumor and your age. Giving the total dose of radiation over an extended period helps to protect healthy tissue in the area of the tumor.
External radiation may be directed just to the tumor, the surrounding tissue or the entire brain. Sometimes the radiation is also directed to the spinal cord. When the whole brain is treated, the patient often receives an extra dose of radiation to the area of the tumor. This boost can come from external radiation or from an implant.
Radiation also can come from radioactive material placed directly in the tumor, or implant radiation therapy. Depending on the material used, the implant may be left in the brain for a short time or permanently. Implants lose a little radioactivity each day. The patient stays in the hospital for several days while the radiation is most active.
The Gamma Knife, or stereotactic radiosurgery, is another way to treat brain tumors. The Gamma Knife isn’t actually a knife, but a radiation therapy technique that delivers a single, finely focused, high dose of radiation precisely to its target. Treatment is given in just one session. High-energy rays are aimed at the tumor from many angles. In this way, a high dose of radiation reaches the tumor without damaging other brain tissue.
Chemotherapy is the use of drugs to kill cancer cells. The doctor may use just one drug or a combination, usually giving the drugs orally or by injection into a blood vessel or muscle. Intrathecal chemotherapy involves injecting the drugs into the cerebrospinal fluid.
Chemotherapy is usually given in cycles. A treatment period is followed by a recovery period, then another treatment period and so on. Patients often don’t need to stay in the hospital for treatment and most drugs can be given in the doctor’s office or clinic. However, depending on the drugs used, the way they are given and the patient’s general health, a short hospital stay may be necessary.
Advances in chemotherapy include direct placement into the tumor cavity using a new technique called convection enhanced delivery
Brain tumor surgery is performed under general anesthesia by a reputed neurosurgeon and his competent team. Since this is an extensive surgery, it can take anywhere between 4 to 8 hours to finish the whole procedure. The following are the steps involved in the surgical technique:
A Tiny area of the Mind may be shaved and the Individual Could be given a Nearby anesthetic to a Part of Their Entire Scalp
An incision (cut) is made in the scalp and a Tiny part of the skull (‘bone flap’) will Probably Be Eliminated.
Awake Craniotomy: During this, the individual is going to be awakened at this point to permit the physician to map where the works of the mind are situated in the brain. Patient could have a sense of pulling something out but shouldn’t feel pain because the mind itself can’t feel pain.
Just as a lot of this tumor as is safely possible, will probably be eliminated
The bone flap is going to be replaced along with the wound closed with stitches or metal clips.
Patients are for the most part placed on steroids to aid with almost any swelling.
The patient is required to stay in the hospital for 3-7 days.
Brain surgery recovery is a gradual process and can take two months, and sometimes more. It eventually improves the quality of patient’s life and is worth the patience. A recovery plan is created by the team treating you. All steps of the treatment plan after brain surgery must be followed so that subsequent complications are avoided.
Typically, a brain surgery procedure requires that a patient be monitored in the hospital for a few days, depending on the type of brain surgery performed. In case of a minimally invasive brain operation, the patient can leave within 2-3 days after the procedure, depending upon overall patient health and determination of risk of subsequent complications by the doctors. Post-operation assessment is continual for the duration of the hospital stay and involves frequent testing of responses and blood flow.
Brain surgery recovery is often aided by lifestyle changes involving a more active lifestyle with less stress, reduction in consumption of alcohol and frequent check-ups to monitor symptoms. Brain surgery is known to make patients very weak and tired immediately after the procedure, and it is necessary for the body to have adequate rest at this time.
In some cases, physiotherapy or speech therapy is recommended to patients who have undergone the brain surgery procedure to help with rehabilitation. Psychological therapy may be necessary if major life and lifestyle changes are foreseen due to brain operation.
Patient may need to rest for an hour or two each day the first few weeks. Fatigue is normal depending on the nature of the procedure.
Walking is an excellent exercise and you may walk outside if weather permits. Increase the distance you walk every day if possible but listen to what your body is telling you.
You may resume sports in 2 to 3 months. Please check with your surgeon first. Start ALL activities slowly and begin with stretching or warm-up exercises.
You might be discharged with steroid medication to limit brain swelling. Follow the directions carefully for steroids and do not deviate from the prescribed course.
Resume your previous medications but check with your surgeon before resuming any blood thinners.
Please take your pain medicine only as prescribed.
Patient have some headaches but they should not be severe.
For brain tumor patients, typically your pathology should be back at the time of your first visit although there are exceptions. We will help coordinate care with your oncologist, radiation oncologist, and family physician if need.
Q: What is the cost of brain tumor surgery in India?
A: The Average cost of brain tumor surgery in India varies between USD 5000 to USD 7200. depends on hospital location and doctor experience.
Q. How to prepare for a brain tumor surgery?
A. Your Surgeon will give you detailed instructions about how to prepare for the brain tumor surgery. Inform the to your surgeon about medications that you are on, including over-the-counter medications and supplements. Let your doctor know about any allergies you have, surgeries you had in the past, and if you have been drinking alcohol.
Q. Can I eat and drink the night before the surgery?
A. Ideally, you should not eat or drink anything after midnight the night before the surgery. You can eat something light before midnight so that you will not feel hungry in the morning. You can have small sips of water until 2 hours before the surgery, if your surgeon permits.
Q. Who will perform the surgery and how long does it take?
A. A team of specialized neurosurgeons and anesthetists will perform the operation. Keyhole surgery for brain tumor can take up to 3 hours, while a regular craniotomy can take 3-5 hours. An awake craniotomy can take 5-7 hours.
Q. How do I find a doctor for my brain tumor surgery?
A. Brain tumor treatment requires an intensive approach by the neurosurgeon. If you are looking for experienced neurosurgeons in India, you can consult Medicare Spots. We have state of the art techniques and equipment to make brain surgery a success.
Q: Should a person be worried about Headaches?
A: There are various causes for headaches. Many people experience headaches throughout their lifetime, but there certain patterns will tell-tale signs of a more serious, underlying problem. A patient must seek doctors attention if there is a headache.
Q: What is the difference between benign and malignant tumors?
A: Brain tumors are commonly classified as benign or malignant. Different types of tumors can produce unique symptoms depending on their location in the brain.
Malignant Tumors: are generally considered to be more dangerous and tend to develop faster and more aggressively.
Benign Tumors: are slow growing tumors and are less likely to grow back after the treatment.
Q: What possible problems should a patient look for after the surgery?
A: Patients should call the doctor if they experience seizure, severe headache, worsening neurological problems, fever or chills, swelling of the ankles, bleeding or bruising, severe nausea or vomiting, and skin rash.
Q: When can a patient start their day to day activity after the surgery?
A: Benign brain tumors can sometimes grow back after treatment, so regular follow-up appointments will often be recommended to look for signs. Patients can get back to their day to activity after four to six months.
Learn More About Top 10 Brain Tumor Surgeons In India
Learn More About Top 10 Brain Tumor Surgery Hospitals In India