The meninges are protective linings around the brain and spinal cord viz dura mater, arachnoid mater, and pia mater. Meningioma arises from these layers. The most common symptom is no symptoms; as it grows, it compresses the neurovascular structures and complicates surgery. Fortunately, benign meningiomas are more common than malignant. These tumors are divided into grades I, II, and III. Grade III is the most malignant type. Generally, grade I meningiomas grow slower than atypical and malignant meningiomas. Looking for the best brain tumor or meningioma treatment center in Guntur and Andhra Pradesh, Dr. Rao’s hospital is the right choice, and Dr. Mohana Rao Patibandla is the best option; he did neurooncology and stereotactic radiosurgery fellowship along with minimally invasive keyhole neurosurgery.
Risk factors for meningioma development:
- Sex: two times more common in women
- Age: 40-70
- Genetic: History of breast cancer or sarcoma, as part of the Li-Fraumeni syndrome
- A diagnosis of neurofibromatosis type 2 (NF2)
- Radiation exposure, especially to the head – who work in the radiation industry or interventional neuro suites
Meningioma Symptoms
Symptoms depend on the location:
- Headaches
- Visual problems
- Vomiting
- Seizures
- Changes in behavior
- decreased sensation in the limbs
- bladder or bowel control incontinence
- Pain
- Language deficits
- Loss of coordination
- Slurred speech
- Difficulty with learned movements
- Intellectual difficulty
- Difficulty writing
Diagnosis & Treatment of meningioma
- MRI scan with and without contrast
- Angiogram – for the embolization if needed
- Electroencephalogram (EEG)
Management depends on the size and location of the meningioma, whether the tumor is malignant or benign.
Surgery for meningioma
If the tumor is accessible, then surgery is the primary gold standard treatment. Tumor size increases the complications, and difficulty in removal rises proportionately.
Embolization for meningioma
If the tumor is highly vascular, before surgery, endovascularly, the blood supply may be disrupted.
Radiation Therapy of meningioma
Radiation therapy is used either as a primary or secondary modality. Radiation is an alternative if the tumor locates in an inaccessible area and the swelling produces symptoms. Nowadays, treatment with conventional radiotherapy is infrequent.
Chemotherapy of meningioma
Chemotherapy is used for anaplastic meningiomas. Bevacizumab or other medication is available and is generally used in combination with surgery and radiation.
Stereotactic Radiosurgery of meningioma
Stereotactic Radiosurgery delivers radiation from multiple sources more accurately and precisely than conventional radiation therapy. It’s often recommended for tumors inaccessible to surgery or nonsafe surgical areas. The outcomes of the stereotactic Radiosurgery from Dr. Mohana Rao Patibandla’s series showed tumor control of almost about 92% with fewer complications compared to the conventional open surgery. This is a minimally invasive option without any surgical scar or incisions.
Meningioma arises from the meningeal layers. The presentation is primarily incidental and rarely causes compression on the neurovascular structures and complicates surgery. The treatment options include surgery and Radiosurgery. Looking for the best brain tumor or meningioma treatment center in Guntur and Andhra Pradesh, Dr. Rao’s hospital is the right choice, and Dr. Mohana Rao Patibandla is the best option. He did neurooncology, stereotactic Radiosurgery, and minimally invasive keyhole neurosurgery fellowships in the USA.