Wednesday, May 1, 2019

Spine Tumor Surgery In Gurgaon By Best Spine Surgeon In Gurgaon and Rohtak

The fundamentals of spinal tumors:

Spinal tumors are abnormal growth of cells in and around the spinal cord. Spinal tumors are commonly due to deposits of cancer cells from elsewhere in the body, secondary/metastatic tumors, rather than primary tumors which arise from the spinal tissue itself. These tumors can be of two types, benign or malignant.
Spinal tumors are classified according to the region where they are found such as cervical, thoracic, lumbar or sacral tumors as well as their location within the spine such as intradural-extra-medullary, intramedullary and extradural.
The most common types of intradural-extramedullary tumor to affect the adult population are meningiomas, neurofibromas and ependymomas. Of the intramedullary type, the most common tumors are gliomas, ependymomas and lipomas. The most common extradural tumors are usually secondary deposits from elsewhere in the body or they can be schwannomas.
Primary spinal tumors are very rare, and the incidence is only around one spinal tumor for every intracranial tumor which occurs.
The causes: Although the cause for many of the primary spinal tumors remain unknown, some tumors such as spinal cord lymphomas are thought to arise as a result of a compromised immune system. The presence of genetic conditions such as Neurofibromatosis 2 and Von Hippel-Lindau Syndrome has been associated with the development of spinal tumors.

When should I suspect that I have spinal cord tumor?

There a set of common symptoms, which patients who have been plagued by spinal tumors commonly complaint of. These include:
  • Backache – which is by far the commonest symptom. Pain which is gradually increasing, worse at night and worsens with activity. If the tumor is compressing nerve roots, you may experience radiating pain shooting down your arms or legs, depending on the location.
  • Tingling sensation or loss of sensation in your arms and legs
  • Muscle weakness in the extremities
  • Loss of bladder and bowel function
  • Paralysis in certain areas of the body depending on the location of the tumor
  • Deformities of the spine such as scoliosis

What are the treatment options available for spinal tumors?

Your treatment options for spine tumors include non-surgical methods and surgical methods. Non-surgical methods include radiotherapy and chemotherapy. Sometimes if the tumor has been found accidentally while investigating for other conditions, is still in its early stages and is not causing symptoms or disability, then watchful waiting, to see if it is growing bigger is also a form of treatment that some doctors may suggest. Because the risks of living with a tumor which is not growing outweighs the risks of undergoing surgery.
Radiation therapy is often used to treat metastatic spinal tumors or secondary deposits. It involves delivering doses of high energy radiation to those areas of the body affected by the tumor cells, in order to destroy the cells. The latest method of delivering radiation therapy uses an instrument called the cyber knife which uses a robotic arm in order to deliver focused high dose radiation to the spinal cord, and is thought to be extremely useful because of the flexibility of the arm, which makes it all the more precise.
Chemotherapy makes use of chemicals which are either taken orally or injected into a vein, which are then taken up by the tumor cells and causes slow destruction of these cells.
A variety of surgical methods are available for the treatment of spinal tumors. Which of these procedures a patient undergoes, will be decided by the doctor, depending on factors such as the type of spinal tumor the patient has, the exact location and size of it as well as patient factors such as the age and general health status of the patient. The different types of surgical procedures include:
  • Laminectomy and Excision of Tumour – where the entire tumor or part of it is excised/removed along with part of the vertebral column in order to relieve the pressure on the spinal cord, because of which the spinal cord is being compressed and causing symptoms.
  • Embolization – is a procedure which is most often used along with other techniques because it helps to shrink the tumor. It involves passing a catheter from the groin region to the blood vessels which supply the tumor and blocking these vessels using an embolic agent. This will cut off the blood supply to the tumor, prevent its growth, leading to a reduction in the size of the tumor.
  • Spine stabilization surgery – which is used when your spine has become unstable because of the weakening of the vertebrae which make up the vertebral column, which houses the spinal cord. When the tumor has invaded the bone, the vertebrae can fracture and this requires stabilization using procedures such as kyphoplasty, vertebroplasty or the use of bone graft.
  • Kyphoplasty or vertebroplasty – is the injection of bone cement into a fractured vertebra in order to make it stable. Spinal tumors which invade the bone make cause it weaken and break, and these bones then need to be stabilized using a bone like substitute.

How safe is surgery for spinal tumors?

Spinal surgery has evolved in more ways than one over the years. The advancement of technology and the availability of precision tools as well accurate imaging techniques, has led to development of unique surgical procedures which allow surgeons to access the spinal cord in less invasive ways than before. And even though there still is some risk involved with it, surgeons are able to keep it down to a minimum
As a result of which surgeons are able to perform more and more successful surgeries, which help the patients get back their quality of life. Because more than the risks involved with spinal surgery, the risks of opting out of surgery can be catastrophic to the patient, as it can end up with vertebral fractures and collapse, leading to spinal cord compression and even partial paralysis. So excision of the tumor at the right time is of utmost importance, and if you have the chance of getting rid of it once and for all, as is the case with benign tumors, then you couldn’t ask for more !

How different is spinal surgery from other surgeries performed?

All major surgeries will carry with them a certain amount of risk, because it involves general anesthesia, being unconscious for the duration of the surgery, an incision being made in your body and the insertion of instruments into your body. So any major surgery performed in any part of your body, will be a tough decision to make.
Spinal surgeries are different because they don’t involve a very large incision, and surgeons are always trying to make it as minimally invasive as possible, with the use of the most accurate tools making spinal surgeries much safer than they were in the days gone by. The risk of extensive bleeding which is present with other surgeries is minimal when compared to spinal surgeries because there are no major blood vessels which can easily be punctured during the surgery.
Since the symptoms of a spinal tumor can be very debilitating and distressing for the patient, more and more people are currently opting to undergo spinal tumour excision surgery, because they want to have a good quality of life.

See my pdf:
https://issuu.com/drvikaskathuria/docs/best_neurologist_in_gurgaon

Tuesday, March 26, 2019

Skull Base Tumor Treatment In Rohtak

What are tumors of the skull base?

The base of the skull is that part of your head on which your brain lies. It is made of multiple bones which are fused together with sutures. It is a complex region of the brain, because all the blood vessels supplying the brain traverse through the base of the skull in order to reach the other parts of the brain. Even most of the critical nerves supplying the rest of the body pass through the base of the skull. From the outside, the base of the skull is somewhere in the region behind your eyes and nose. Therefore tumors which arise in this part of the head, require complex procedures which have to be done with extreme precision in order to obtain the desired results and prevent adverse consequences of surgery. Therefore you want someone with experience and adequate knowledge to handle the surgery for you, and Dr. Vikas Kathuria, the best neurosurgeon in Rohtak, is the person you want to go to. With vast experience and the skill of performing these complex procedures, he is well known as an expert in brain tumor surgery in Rohtak.

Are there different types of skull base tumors?

Yes, not all skull base tumors are the same, and they differ from one another in the basic way, which is whether it is a primary brain tumor, arising from the brain tissue itself, or if it is a secondary deposit from a tumor which has spread from elsewhere in the body. Furthermore, primary skull based tumors are also differentiated according to the type of brain tissue they arise from. For example the different types of brain tumors include, Chondrosarcoma, Chordoma, Schwannoma, Meningioma, Pituitary tumor, Glomus jugulare and Craniopharyngioma. Depending on the type of tumor, the size of the tumor and its precise location, the type of procedure done to remove it will vary.

How would I know that I have a skull base tumor?

There are certain symptoms which are common to all skull base tumors, they include:
  • Nausea and vomiting
  • Severe headache, which are frequent
  • First-time seizures
  • Drowsiness and altered levels of consciousness
  • Dizziness
  • Changes of voice and hoarseness and voice
  • Hearing disturbances and even loss of hearing
  • Tinnitus/ringing in the ears
  • Difficulty with balance and coordination
  • Speech difficulties
  • Difficulty swallowing
  • Facial pain
  • Twitching, or paralysis of the facial muscles
It is not necessary that everyone who develops a skull base tumor, presents with the above mentioned symptoms. Most people will have only some of them. But if you have developed any of the above, mentioned symptoms, it should raise concern, and you should discuss this with your doctor.
There are also other symptoms which are specific and characteristic of certain types of skull base tumors. For example, a pituitary tumor has characteristic features which are not seen in any other type of skull base tumor, and they include:
  • Rounding of the face
  • Very tall stature
  • Disproportionate face, hands and feet
  • Joint pains
  • Increased blood pleasure
  • Easy bruising
  • Presence of stretch marks
  • Excessive sweating

What causes tumors of the skull base?

No specific cause has yet been identified for the development of these tumors. And they are thought to be multifactorial in origin. Certain factors such as exposure to particular types of chemicals, exposure to radiation and a strong family history of similar brain tumors have been associated with an increased risk of developing skull base tumors.

How is a skull base tumor diagnosed?

Diagnosis of this condition is made using a complete history and physical examination, which give your doctor clues regarding the condition you may be suffering from. But investigation such as imaging techniques remain the mainstay of diagnosing a skull base tumor. These investigations include:
  • CT Scan
  • MRI
  • Dynamic MRI
  • Functional MRI
  • Dynamic CT Scan
  • MRA
  • MRS
  • PET
  • FS MRI
  • Cerebrospinal fluid examination
  • Endocrine evaluation
  • Perimetry
  • Stereotactic biopsy

How is a skull base tumor treated?

There a number of treatment options when it comes to the management of skull base tumors, such as:
  • Observation
  • Pharmacological therapy/medication
  • Placement of a shunt
  • Surgery
  • Embolization
  • Other therapies, such as radiotherapy and chemotherapy
Which form of treatment a patient undergoes depends on the exact tumor they have, the precise location and other factors such as the general health condition of the patient. Sometimes your doctor may suggest that you undergo a combination of treatments, in order to achieve better outcomes.
Brain tumor surgery has long been the treatment of choice when it comes to skull base tumors, with craniotomy, where the surgeon makes a small incision on the skull and tumor is removed through this, being the most common. But with the development of innovative techniques such as minimally invasive microsurgery, surgeons prefer to avoid surgery as much as possible, considering the risks involved. A shunt is long, thin tube which is placed inside you skull in order to remove excessive cerebrospinal fluid, which is collecting within the cranial cavity. This tube is connected from the brain to the abdomen, allowing the fluid to drain into the abdomen, to relieve the pressure build up within the skull.

If  you want to read more  visit

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Wednesday, March 13, 2019

Best neurosurgeon doctor in gurgaon, India

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When it comes to problems related to the nervous system, which includes the brain, spinal cord and the nerves which carry impulses all throughout our body, you want nothing but the best treatment from one of the best doctors. Because the nervous system is basically like the electrical network that controls your entire body and how it functions, and when a problem arises in this system, you want to make sure that the correct treatment is given at the appropriate time, so that adverse consequences can be avoided. And for this you need a skilled and experienced doctor who can make the right diagnosis and initiate the correct treatment. Dr. Vikas Kathuria is the best neurologist in Gurgaon, a doctor who has vast experience in matters dealing with the nervous system, and his experience is exactly what you need.
Specializing in neurosurgery, Dr. Vikas Kathuria is the best neurosurgeon doctor in Gurgaon and is well known to treat many conditions of the nervous system such as tumors of the brain and spine, infections of the brain and spine, vascular surgery, stroke as well problems related to trauma of the brain and spine. Some of these conditions require you to undergo complex procedures related to the brain and spine, and this means that you run the risk of permanent damage to a part of your nervous system if the surgery is not carried out with extreme care and skill. Dr. Vikas Kathuria specializes in surgical procedures such as:
  • Spinal Surgery
  • Disc Arthroplasty
  • Those related to head injury
  • Carpal tunnel
  • Those related to a Stroke
  • Brain Attack
  • Dementia
  • Awake Craniotomy
  • Pinhole surgery
  • Carotid Endarterectomy
  • Onyx Radio Surgery
  • Open surgery
With the use of innovative treatment techniques and a team of highly skilled medical personnel Dr. Vikas Kathuria offers you the possibility of complete cure from whatever condition you may be suffering. Whether it be spinal surgery such as Minimally Invasive Lumbar Disecotmy, to correct problems related to back pain, or whether it be surgery done to relieve pressure from the region of the neck, when it comes to neck pain, or even non-surgical methods to help relieve the symptoms of the condition you may be suffering from.

See my pdf:
https://www.yumpu.com/en/document/view/62570282/best-neurologist-in-gurgaon

If  you want to read more  visit

spine tumor surgeon in gurgaon 

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