Meningioma – one of the most common brain tumors, almost 37% of all tumor types. This tumor occurs in the upper layers of the meninges and progresses slowly. Due to this, it is successfully treated with the help of modern neurosurgical techniques. 70% of patients with meningioma live 5 years or more. This indicator can be higher if you select the right treatment regimen.
 
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Treatment plan of brain meningioma
Watchful waiting tactics for meningioma of the brain
Operation for the treatment of cerebral meningioma
Radiosurgery for the meningioma of the brain
Chemotherapy for meningioma of the brain
Medical treatment of meningioma

Plan of treatment of brain meningioma

To formulate a plan of procedures and to select the necessary methods of treatment is possible only after complex diagnostics. It includes a study using an MRI or CT scan. These images help doctors determine the size of the tumor, its boundaries and the depth of its spread.

After that, doctors prescribe procedures, taking into account these factors:

  • Location of the meningioma. If it is located near vital structures, the operation is done using microsurgical techniques. In this case, doctors can remove the tumor partially. After this, radiotherapy is prescribed to destroy residual neoplastic cells;
  • Size of the meningioma. Surgery is used for different tumor sizes. Treatment of brain meningioma without surgery with radiotherapy is possible for tumors less than 35 mm;
  • Degree of malignancy. For the meningioma of the brain, 3 degrees are distinguished: benign, anomalistic, malignant. For the treatment of the first two types, wait-and-see tactics or surgery is used. In the case of the last two, radiotherapy or surgery;
  • Presence of symptoms. If the meningioma is small, benign and does not present itself symptomatically, doctors recommend watchful waiting management. If there are manifestations, then an operation or radiotherapy is used and additionally prescribe medicines to relieve symptoms.

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WAIT-AND-SEE TACTICS WITH BRAIN MENINGIOMA

Watchful waiting tactics consist of constant supervision of the doctor and regular inspections. Such strategy of treatment doctor chooses in the absence of symptoms and small dimensions of an extra-cerebral meningioma. Tumor should be benign and not growing are main signs for implementing such tactics.

 

In the case of wait and see management, doctors can not guarantee that surgery or radiotherapy will not be needed in future. Therefore, it is necessary to take a responsible attitude to regular consultations so as not to miss the onset of disease progression.

OPERATION FOR TREATING MENINGIOMA OF THE BRAIN

Treatment plan of brain meningioma

Most often, an operation is prescribed for the treatment of meningiomas. The tumor is in the shell of the brain and has distinct edges. Due to this, it is easy to remove without touching healthy tissue. Risk during operations is minimal, the safety of the procedure has reached to 94%.

 

Complexities arise when the meningioma is deep, for example near the lateral ventricles of the brain. In this case, doctors remove only part of the tumor. The remaining cells are irradiated through CyberKnife or Gamma knife.

 

The operation for the treatment of cerebral meningiomas is performed under general anesthesia with the help of craniotomy.

 

A hole is made in the bones of the skull and a tumor is removed through it. In such cases, doctors use microsurgical instruments, neuronavigation systems and lasers. This is for making sure not to hurt important parts of the brain and completely remove the tumor. After surgery, the skull flap is restored. The patient recovers within 2 months.

RADIOSURGERY FOR TREATMENT OF BRAIN MENINGIOMA

Stereotactic radiosurgery is another method of treating meningioma of the brain without surgery. During the procedure, radioactive rays destroy the tumor cells and slow down its growth. Neighboring healthy tissues are not affected. This is linked with the quality of the radiotherapy devices used in operation.

 

Treatment of the meningioma can be performed through CyberKnife and Gamma Knife. With the help of such equipment, the radiologist accurately sets the intensity and width of the radiation beam, directs it to the target (meningioma). Thus, the tumor receives the maximum dosage of radiation.


The main difference between the Gamma knife and CyberKnife is its adaptability. CyberKnife can independently adjust to the target. This setup can irradiate the meningioma from all sides and does not lose accuracy even during patient’s movement. The Gamma knife does not have such a functional. Therefore, during the procedure, the head of a person is tightly fixed using a metal framework under local anesthesia. Between the settings there are a few more differences, so only the doctor can choose the procedure you need.


Radiotherapy as the main method of treatment for meningiomas is used for tumors less than 35 mm. The number of sessions depends on the location and size of the lesion. Irradiation takes place on an outpatient basis, after the procedure the patient can go home immediately. As a rule, the result of radiotherapy is observed after 1-2 months.
 

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CHEMOTHERAPY WITH MENINGIOMA

Chemotherapy for meningioma of the brain

Chemotherapy as a method of treating meningiomas of the brain is rarely used.

 

This is due to the fact that the tumor is benign and poorly perceives chemical preparations. Such treatment is prescribed as an auxiliary for high degrees of malignancy of the meningioma.

 

This helps to slow its growth and does not allow it to spread into the deep structures of the brain.


MEDICAL TREATMENT OF MENINGIOMA

Medications in the treatment of meningiomas are used to relieve symptoms, reduce the tumor, improve the cerebral circulation. Most often, drugs are used before surgery or during expectant management. It is impossible to completely cure meningioma with medication.

 

Treatment of meningiomas of the brain is a complex and responsible process. For diagnosis and appointment of a procedure plan it is important to choose a high quality clinic and an experienced doctor. In this case, you need to pay attention to the availability of modern facilities and tools: CyberKnife, Gamma knife, operating lasers, neuronavigation systems. To analyze all these factors, choose a hospital and doctor with the help of specialists of MediGlobus. They will look at your medical reports, take into account your financial desires, and suggest a better option for treating the brain’s meningioma.
 

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