Brain tumor cases

 

Malignancies has became a global problem particularly in Iraq as a result of environmental pollution and other factors. Brain tumors dose not differ from other body tumors parts from classification points as there is benign and malignant tumors. But the brain tumors has it's particular from being  to handle. So the brain tumors is the night mares for the most people. With a great advances in the early detection of the tumors by imaging techniques such as CT scan and MRI as well as the new modalities of treatment such as endoscopic surgery, steriotactic and Gamma knife surgery give easy access for excision of brain tumors.

 Some of cases treated in Alumran clinic                

35 years old female had lethargies with enlargement  of nose, lips, hands and feet. she has history of 4 years absent of menses with headache. Brain MRI show diffuse enlargement of pituitary glands with suprasellar extension. Growth hormone is so high (19.7 ng/ml). surgical intervention was done with subfrontal approach to excision of tumor. After surgery she return back to normal  activity.

4-8-07sabiha1  4-8-07sabiha3 4-8-07sabiha4

           

53 years old female had sudden onset of tonic-clonic fit follow by loss of her consciousness. Brain CT scan with MRI show a mass occupying left temporal lobe. Total removal with inferior temporal approach, left temporal lobe have speech centre, during surgery and send the mass for histopathology (low grade glioma). After surgery she has talking and moving normally.

 slema1 slema2

14 years old male exposed to road traffic accident with avulsed scalp before 5 year. Before 3 month he complain from a painful swelling at right sided of his head with no response to analgesia. Brain CT scan show soft tissue swelling with bone erosion at right temporal region. Completely excision of muscle and bone eroded with its margin was done during surgery and send for histopathology. After surgery the pain completely relieve. Histopathology result showed a histiocytosis mass.

 kasm2 kasm1

young patient 19 years old had a headache with right side weakness. Brain MRI showed right cerebellar mass (PFT). Posterior fossa approach with complete excision of the mass done. Histopathologycal results show medulloblastoma, he refused radiation. The patient completely freeing from any symptom for one year, after that he became complain from repeated vomiting and right side weakness. Brain MRI showed recurrent tumour at the posterior fossa. Urgent ventriculoperitoneal shunt inserted was done to decrease intracranial pressure. After 2 weeks re-exploration and complete excision was done. The  histopathologycal results show medulloblastoma nodylar type.

pft7-6-2006 Preoperative MRI pft-6-2006 Postoperative MRI

35 years old female had a Headache with visual deterioration for 3 months. Repeated vomiting and inability to walk for one month. Brain CT scan revealed a 7x4 cm mass at left frontal region. Surgical intervention on 13-2-07 with very vascular tumor and she received 9 pints of blood. The mass removed completely and sent for histopathology.

TEXT c2 

 

65 years old male had Right sided weakness for one month with headache. Brain CT scan revealed a big right frontal mass.  Operated on 4-2-07,  total left frontal lobectomy was done and sent for histopathology. The result showed diffuse astrocytoma grade 2.

       

17 years old male had a headache with repeated vomiting for 3 months. Brain CT scan showed a posterior fossa mass compressing the fourth ventricle causing hydrocephaly. Urgent ventriculoperitoneal shunt was done. The   vomiting and headache disappeared. After 2 weeks, total removal of posterior fossa mass. The histopathology result revealed desmoplastic medulloblastoma.

 c7Preoperative  c8Postoperative

25 years old male had complaining  from generalized tonic clonic attack of fit. He had history of meningitis in the first year of  his life.  In last 6 months, he received medication for  submandibular tuberculosis.  Brain MRI showed left frontal suprasylvien mass. Subtotal excision was done, postoperatively the patient  became very well. Histopathology revealed diffuse astrocytoma grade 2 ,so he was sent  for radiotherapy to complete his management.

 zaher     zaher2

12 years old male presented as scalp mass at right temporal area. Brain CT scan revealed a bony erosion with soft tissue swelling. Surgical total excision with removal of  unhealthy bony margin. Histopathology result showed a histiocytosis mass.

airalla

45 years old female had a headache for 2 years. In the last 6 months she developed right sided parasthesia and numbness with visual deterioration on the right eye. Brain MRI showed  parasellar mass engulfing the right optic nerve and optic chiasm with pressure on the left optic nerve. Surgical intervention under  microscopical field was done on 18-12-06. Complete freeing of the right optic nerve, right carotid artery and left optic nerve. She was very well in the post operative period and her vision  improved gradually. Histopathological result showed meningioma.

nadra nadra1

70 years old female had one year right sided weakness. Treated as cerebrovascular accident. In last one month she  became Unable to speek.  Brain CT scan showed left convexity meningioma. Surgery was done at 29-10-06 with complete excision with dural base, dural graft use to close the dural defect. In the 1st postoperative day she started to have normal speech. In the 7th postoperative day, she was discharged home with normal gait.

jllio

33 years old male had 4 months headache with vision deterioration, and  hearing loss in the left ear. On examination, bilateral papilledema with left sided facial palsy and absent left corneal reflex . Brain CT and MRI scan showed cerebellopontine angle tumor. Surgery was done with left sub occipital approach and debulking was done. On the 1st postoperative day ,the patient  was very well with no more headache and gradual improvement of his vision. Histopathology result revealed schwannoma (a benign tumor with a very response to gamma knife) ,so he was sent  for gamma knife for removal of ruminant part of the tumor.

shaker shaker1

 

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Basra, Iraq

Syed Ali al-Moussawi Street
Near a hospital Musawi