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Gleneagles Hospital, Kuala Lumpur
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Multi Specialty
370 Number of beds
Kuala Lumpur
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Doctors for Brain Tumor in Gleneagles Hospital, Kuala Lumpur

KPJ Ampang Puteri Specialist Hospital, Ampang
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Multi Specialty
200 Number of beds
Ampang
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Doctors for Brain Tumor in Pantai Hospital Kuala Lumpur
Frequently Asked Questions related to Brain Tumor
Craniotomy Surgery
What are the side effects of craniotomy?
Some of the side effects of Craniotomy are scars, injury in head region, facial nerve damage, infection of the bone flap or skin, seizures and brain swelling.
What are the restrictions of the patient post craniotomy surgery?
Walking and taking personal care is allowed after a day of the craniotomy surgery. Strenuous activities like work-outs, lifting heavy weights and strong exertions should be avoided for at least four to six weeks.
How long do you stay in the hospital after a craniotomy?
Craniotomy requires hospital stay of about three to seven days. The stay in hospital depends on your condition.
How long does it take to recover after a craniotomy?
It will take around 4 to 8 weeks to recover from surgery, you will feel tired for several weeks after surgery, you may also have some headache and problems in concentrating. The cuts will be sore for about five days after surgery.
When can the patient resume work?
It depends on the occupation of the patient. Strenuous work are best avoided for longer periods until his/her physical strength is regained. Normally, patients are allowed to resume their work after two to four weeks post surgery.
Can the tumor be removed completely?
To remove a brain tumor, a neurosurgeon makes an opening in the skull. This operation is called a craniotomy. Whenever possible, the surgeon attempts to remove the entire tumor. If the tumor cannot be completely removed without damaging vital brain tissue, your doctor may remove as much of the tumor as possible.
Will this procedure hamper my neck movement?
There is no such restriction on the neck movement.
Will this procedure hamper my neck movement?
There is no such restriction on the neck movement.
What risks are associated with craniotomy?
The risk of rare and it has the potential to interfere with memory, speech, vision, muscle control, coordination an balance. Other potential risks that are specifically associated with brain surgery include coma, blood clots, hemorrhaging or swelling of the brain, stroke and seizures.
How craniotomy surgery is done?
Skin incisions are usually made behind the hairline. A hair sparing technique is used, where only a 1/4-inch wide area along the proposed incision is shaved. The skin and muscles are lifted off the bone and folded back. Next, small burr holes are made in the skull with a drill. Similar to using a jigsaw, the surgeon cuts an outline of a bone window .The cut bone flap is lifted and removed to expose the protective covering of the brain and the bone flap is safely set aside and will be replaced at the end of the surgery. The dura is opened to expose the brain. Varieties of small instrument are used to work deep inside brain, after the problem has been removed or repaired, any retractors are removed, and the dura is closed with sutures. The bone flap is put back in its original position and secured to the skull with titanium plates and screws (Fig. 5). The plates and screws remain permanently to support the area. At last muscles and the skin are sutured back.
For how many days do i need to stay in the hospital?
5 days in the hospital.
For how long will the patient stay in the ICU?
The patient has to stay in the ICU for at least a night or two depending on the progress of his/her condition post-surgery. IVs, monitors and bladder catheters are removed in the morning following the surgery.
The patient is allowed to eat a normal breakfast and he/she can walk on the first day after the surgery.
What you should do before the procedure?
Your doctor will explain you about all these. You need to undergo blood test, diagnostic test and neurological examination before the surgery.
How long does it take for craniotomy surgery?
It will take around three to five hours to do craniotomy, if you are undergoing regular craniotomy.
When can the patient resume work?
It depends on the occupation of the patient. Strenuous work is best avoided for longer periods until his/her physical strength is regained. Normally, patients are allowed to resume their work after two to four weeks post-surgery.
For how long will the patient stay in the ICU?
The patient has to stay in the ICU for at least a night or two depending on the progress of his/her condition post surgery. IVs, monitors and bladder catheters are removed on the morning following the surgery. The patient is allowed to eat a normal breakfast and he/she can walk on the first day after the surgery.
Do I need any more treatment after this surgery? Like Chemo or Radiation?
It depends upon the osteopathy reports of the tumor sample.
What are the restrictions of the patient post craniotomy surgery?
Walking and taking personal care is allowed after a day of the craniotomy surgery. Strenuous activities like work-outs, lifting heavy weights and strong exertions should be avoided for at least four to six weeks.
Can the tumor be removed completely?
To remove a brain tumor, a neurosurgeon makes an opening in the skull. This operation is called a craniotomy. Whenever possible, the surgeon attempts to remove the entire tumor.
If the tumor cannot be completely removed without damaging vital brain tissue, your doctor may remove as much of the tumor as possible.
Is a craniotomy a high risk surgery?
Craniotomy has got several risks such as bleeding and infection just like other type of brain cancer surgery.
Is it a cancerous or non-cancerous tumor?
The malignancy of the tumor can only be established post osteopathy of the tumor sample. IF it turns out to be cancerous, the additional treatment protocol may be advised.
What is Craniotomy?
Craniotomy is the surgery to remove the part of bone from skull for exposing the brain, the bone flap is being temporarily removed and then replaced after brain surgery.
How should the patient prepare himself/herself a week before the surgery?
The patient should stop taking blood-thinning medications. He should also stop taking medicines like Clopidogrel, Plavix and Warfarin.
Is it true i will have to be awake during my craniotomy?
Yes it is true, awake craniotomy is usually done in those patients who have lesions in critical areas. But with advances in imaging/ surgery and brain mapping it is not used these days. Of course in places where such equipment is not available, it can be done. It difficult in many patients because of patient has to understand and be mature enough to lie still for 4 hours or so It is slightly uncomfortable too
Is it a cancerous or non-cancerous tumor?
The malignancy of the tumor can only be established post histopathy of the tumor sample. IF it turns out to be cancerous, additional treatment protocol may be advised.
Can the patient have food or water before the craniotomy surgery?
One is not allowed to eat or drink anything before a craniotomy surgery.
When would a craniotomy be performed?
Craniotomy is done to treat various conditions such as brain tumors, traumatic brain injury, hemorrahage, aneursysms. Damaged tissue, abscesses, epilepsy and facial pain.
Is a craniotomy a serious surgery?
Yes, Craniotomy is a serious surgery, it involves temporary removal of bone from the skull to repair in the brain. The procedure has various risks which makes it a serious surgery.
How should the patient prepare himself/herself a week before the surgery?
The patient should stop taking blood-thinning medications. He should also stop taking medicines like Clopidogrel, Plavix, and Warfarin.
Can the patient have food or water before the craniotomy surgery?
One is not allowed to eat or drink anything before a craniotomy surgery.
Stereotactic Radio Surgery
How much time is needed for the surgery?
The time duration of the surgery is around half an hour to four hour depending on the size and shape of the target organ.
Does radiation stay in your body forever?
After a radiographic, fluoroscopic, CT, ultrasound, or MRI exam, no radiation remains in your body.
Does radiation cause brain damage?
Damage to healthy brain tissue is rare, this side effect can cause headaches and seizures temporarily.
Does radiation cause memory loss?
Some of these side effects can happen because radiation has caused the brain to swell. These delayed effects can include serious problems such as memory loss, stroke-like symptoms and poor brain function.
How is stereotactic radiosurgery done?
In gamma knife radiosurgery aims at closing 200 beams of highly focused gamma radiation is used at target region. Stereotactic radiosurgery is being used for small to medium size brain tumor or the abnormalities of head and neck region. In cyberknife technology linear accelerator machine uses high energy of x rays target the tumor.
Does stereotactic radiosurgery leads to hair loss?
Stereotactic radiosurgery may cause patchy hair loss or thinning of the hair where radiation is given, it result in patchy hair loss or thinning of the hair where radiation is being directed but the hair loss is temporary and it subsides with time.
What are the risks of stereotactic radiosurgery?
Some of the risks of sterotactic radiosurgery includes skin problems which causes redness, swelling and blistering of skin, hair loss, difficulty in swallowing, nausea, vomiting and headaches.
What is the long-term result of stereotactic radiosurgery?
The long- term result of the surgery depends on the condition which is being treated. Radiotherapy damages the DNA of the cells in the area which is being targeted.
How should you prepare for stereotactic radiosurgery?
You have to undergo imaging tests such as CT scans or MRI scan before the treatment. A contrast agent may be injected for understanding the size and location of the tumor. You should inform doctor about the medications which you are taking or if you have any device implanted such as pacemaker, implanted pump, stents or an artificial heart valve. Some of the precautions which you should follow before surgery are:
- Before midnight don’t eat anything
- Don’t wear makeup and use hair products and if you have eyeglasses remove it before treatment
How long does it take to recover from stereotactic radiosurgery?
In most of the cases patient can return back to their normal activities within one to two days after the surgery.
How long does radiation therapy take to work?
Radiation therapy does not kill cancer cells right away. It takes days or weeks of treatment before cancer cells start to die. Then cancer cells keep dying for weeks or months after radiation therapy ends.
When the effect of the surgery is seen?
The effect of the surgery is seen after few weeks of the procedure.
What is sterotactic radio surgery?
Stereotactic radiosurgery is a specific form of radiation therapy which is used for treating the abnormalities present in brain and spine. This surgery also includes cancer, epilepsy, trigeminal neuralgia and other malformations.
Who is the candidate for stereotactic radiosurgery?
Usually the patient who has got small size tumor and other candidate are those whose disease are not surgically accessible.
Do you loose hair after radiation?
Radiation therapy will generally cause hair loss to the body part that is being treated.
For example, if your arm were treated with radiation, you may lose any hair on your arm, but the hair on your head would not be affected.
Does hair grow back after radiation ?
Hair often begins to grow back during chemotherapy treatment. For radiation therapy, hair regrowth will not begin until several months after radiation treatment is completed.
Scalp hair usually grows about a half-inch each month and new growth may be slightly different in texture and color.
Why is stereotactic radiosurgery performed?
Sterotactic radiosurgery uses very minute and powerful type of radiation. In this treatment a very high dose of radiation is used. Basically this treatment was used for treating small and deep tumors of brain. This surgery is being done for treating deep brain tumors, pituitary tumors, eye cancer, neurological problems, tumors of lungs, liver, spine, prostate, head and neck and Parkinson’s disease.
Does radiation affect immune system?
Radiation treatments can irritate the skin, causing small breaks that could allow bacteria and germs to enter. Radiation is more likely to weaken your immune system if it's directed at the bones, especially the bones in your pelvis, where the marrow functions as a blood cell factory.
Do I need a followup visit to my Surgeon?
As you recover from the treatment you won't need to go so often. Your radiotherapy team will be in touch with you to tell them about your progress.
Follow up appointments give you the chance to discuss any problems or worries which may have come up.
Can radiotherapy cause nerve damage?
Some anti-cancer drugs can cause nerve damage. Rarely, radiotherapy may damage nerves in the treated area. This can cause symptoms such as numbness and weakness. These may develop months or years after treatment.
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