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Common Brain Disorders Requiring Surgery: A Comprehensive Guide

The human brain, a complex organ, is susceptible to various disorders that may necessitate surgical intervention. Neurosurgery, a specialized field focusing on the central and peripheral nervous system, plays a crucial role in treating various brain disorders.

Why Brain Surgery is Performed

Tumor Removal: Brain tumors, both malignant and benign, necessitate surgery to alleviate pressure on surrounding tissues and prevent further complications

Aneurysm Repair: Surgery becomes vital in treating aneurysms, abnormal bulges in blood vessels, to prevent rupture and potential life-threatening consequences.

Epilepsy Treatment: Certain cases of epilepsy that do not respond to medications may require surgical intervention to control seizures.

Common brain disorders that often require surgery

Glioblastoma Multiforme (GBM): Glioblastoma is an aggressive form of brain cancer, and surgery is a primary treatment to remove as much tumor tissue as possible. This is often combined with other therapies such as chemotherapy and radiation.

Meningioma: Meningiomas are usually benign tumors that grow on the brain's surface. Surgical removal is the standard approach, especially when the tumor causes symptoms or poses a risk of becoming malignant.

Arteriovenous Malformation (AVM): AVM is a condition where blood vessels in the brain form abnormally. Surgery may be required to remove the AVM and prevent potential complications, such as bleeding.

Hydrocephalus: Hydrocephalus occurs when there is an accumulation of cerebrospinal fluid in the brain, leading to increased pressure. Surgery involves the insertion of a shunt to redirect the fluid, alleviating pressure and preventing damage.

Traumatic Brain Injury (TBI): Severe cases of TBI may require surgical intervention to address bleeding, swelling, or skull fractures. Timely surgery can significantly impact recovery outcomes.

Epilepsy: In some cases, surgery may be considered for epilepsy patients who do not respond to medications. Procedures like temporal lobectomy aim to remove brain tissue triggering seizures.

Pituitary Tumor: Pituitary tumors can affect hormonal balance. Surgery is often necessary to remove these tumors and restore normal pituitary function.

What Happens During Brain Surgery?

Incision and Skull Opening: In many cases, a surgeon makes an incision and opens a hole in the skull to access the brain.

Tumor Resection: The removal of tumors involves precise techniques to minimize damage to healthy brain tissue.

Aneurysm Clipping or Coiling: Aneurysms may be addressed by clipping or coiling, depending on the specific case.

Follow-Up Care Required Post Brain Surgery

Monitoring and Medications: Patients undergo careful monitoring post-surgery, with prescribed medications to manage pain and prevent infections.

Rehabilitation: Depending on the surgery's nature, rehabilitation may be necessary to regain cognitive and physical functions.

Follow-Up Imaging and Consultations: Regular imaging and follow-up appointments with the neurosurgeon are essential to monitor recovery and address any emerging issues.

Conclusion

Surgical intervention plays a crucial role in treating various brain disorders. Each case is unique, requiring a personalized approach to ensure the best possible outcome for the patient. Understanding common brain disorders requiring surgery, the intricacies of the surgical process, and the necessary post-operative care is crucial for patients and their families.

Recent Oncological Imaging

Dr Vignesh Sayeerajan
Consultant – Neurosurgery
Apollo Cancer Centre, Chennai


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