The female patient had a 3x5 cm meningioma, which was operated on with a small 3 cm incision above the eyebrow, to fragment and remove the entire tumor, for safety and aesthetics.
On June 13, Dr. Phan Van Dinh (Department of Neurosurgery, Neurology Center, Tam Anh General Hospital, Ho Chi Minh City) said that the team of doctors had just performed surgery on a meningioma in the skull base area for Ms. Duong Thi Hong (45 years old, Binh Thuan), safely and aesthetically.
According to Ms. Hong, she had chronic sinusitis and often had dull headaches. She went to a massage and it went away, so she was subjective. Recently, her eyes were a bit blurry and she felt unwell, so she went to Tam Anh General Hospital for a general check-up. The doctors ordered her to have a magnetic resonance imaging (MRI 3 Tesla), and the results showed a meningioma in the pituitary gland (a part of the pituitary gland).
The tumor is 3x5 cm in size, located in the middle of the skull base, surrounded by many important components such as the anterior cerebral artery, optic nerve, pituitary gland... Doctor Van Dinh commented that skull base tumors are difficult to operate on, if not careful, they can leave many sequelae for the patient.
The patient is undergoing robotic surgery. Photo: Provided by the hospital
Previously, to operate on this type of tumor, the doctor had to make a skin incision and open the skull floor about 15 cm. Currently, thanks to the application of the keyhole technique, the doctor only needs to make a small incision about 3 cm right above the eyebrow to open the skull for surgery. This helps reduce the impact on the brain, limit the risk of brain retraction, brain contusion, and does not leave scars after surgery.
"This new surgical technique is more difficult. We use a combination of artificial intelligence brain surgery robots, microsurgery glasses, specialized cusa machines to shrink tumors, and ultrasound to suck out tumors... This avoids the risk of rupturing blood vessels, nerves, or brain damage during surgery," said Dr. Van Dinh.
The surgery lasted 3 hours. After the surgery, the patient was awake, the tumor was gone, the nerve structure, cerebral arteries... were preserved. The next day, the patient walked and ate normally, recovered his vision and no longer had headaches.
Doctor Van Dinh checks the patient's surgical wound. Photo: Provided by the hospital
Doctor Van Dinh said that most patients with meningioma often have symptoms of blurred vision and headaches. Many people with blurred vision, double vision... only go to the doctor and treat eye symptoms. It is only when the patient has blurred vision, has oculomotor paralysis or severe vision loss that the brain tumor is discovered. At that time, the tumor has grown large, invading and affecting important brain parenchyma.
Through many surgeries for large meningiomas that have been left untreated for a long time, neurosurgeons warn that brain tumor symptoms are easily confused with other diseases. Therefore, patients with symptoms such as unusual headaches, blurred vision, partial or total loss of vision, double vision, tinnitus, hearing loss, deafness, facial numbness, progressive weakness or paralysis, convulsions; memory loss, difficulty sleeping... should go to the doctor for timely treatment. When the tumor proliferates, compressing the nerves and healthy brain tissue can easily endanger life.
Dawn
* Patient's name has been changed.
| In order to update the latest information on brain tumor surgery and cerebral hemorrhage stroke using the Modus V Synaptive robot with artificial intelligence, the only one in Vietnam, Tam Anh General Hospital System organizes an online consultation week on VnExpress newspaper. The program takes place from June 8-14, readers can follow and ask questions here to get answers from doctors. |
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