[Specialties · 01]
Neuro-oncology and Skull Base
Surgical treatment of brain and spinal cord tumours, using neuronavigation, intraoperative neuromonitoring and, when needed, awake craniotomy.
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Symptoms
- Persistent headache that is worse in the morning, nausea and vomiting
- Visual disturbance, double vision
- Numbness or loss of strength in an arm/leg
- Balance and walking problems, speech problems
- A first-ever epileptic seizure
- Changes in personality or behaviour
- In spinal cord tumours, back pain and bladder/bowel problems
Diagnostic Methods
- MRI (the main method), MR spectroscopy/diffusion
- CT (bony structures/calcification)
- Angiography (planning for vascular tumours)
- Biopsy (open or stereotactic)
Techniques Used for Brain Tumours
- Microscopic tumour resection
- Neuronavigation-assisted surgery
- Awake craniotomy (near functional areas)
- Checking for residual tumour with intraoperative MRI/ultrasound
- Intraoperative neuromonitoring (motor/sensory pathways)
Surgery for Spinal Cord Tumours
- Tumour removal under the microscope
- Preservation of the nerve roots
- Spinal stabilisation when needed (screws/plates)
The Post-operative Period
- Intensive care: 1–2 days • Hospital stay: 5–7 days (average)
- Rapid recovery, rehabilitation when needed
- Radiotherapy/chemotherapy plan according to the pathology
When Should You Seek Advice?
- Worsening headache or a first seizure
- New weakness/numbness, problems with vision, speech or memory
- A mass found on MRI
Frequently asked questions
- 01Is brain tumour surgery risky?
- Every operation carries risk; the aim is to keep risks as low as possible with advanced technology and experience.
- 02Can the tumour be removed completely?
- It depends on the location and type; in some cases partial removal is preferred in order to preserve function.
- 03Will it come back?
- Malignant tumours carry a risk of recurrence; oncological treatment after surgery and regular follow-up are needed.
- 04What is awake brain surgery?
- The patient is kept conscious and comfortable; the aim is a safe resection while protecting areas such as those for speech and movement.