Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.
BRAIN TUMORS OPERATED BY PROF. SHAHZAD SHAMS BY ENDOSCOPIC MINIMALLY INVASIVE KEY HOLE BRAIN SURGERY :-
MENINGIOMAS , MALIGNANT Brain Tumour(Glioma, Astrocytoma, Metastatic), Cerebellopontine angle tumours, Acoustic Neuroma Schwannoma Tumor, Pituitary tumor, Prolactinoma, Colloid cysts, Craniopharyngioma, Rathke’s Cleft Cyst, Sellar and Parasellar tumors and Brain Tuberculomas.
Brain tumours are responsible for approximately 2% of all cancer deaths. Central nervous system tumours comprise the most common group of solid tumours in young patients, accounting for 20% of all paediatric neoplasms. The overall incidence of brain tumours in 4-5/10,0000 population per year.
A study by the United States Department of Health in 1966 showed the incidence to be 2/100000 per year at two years old and 1/100000 during the teenage years. The incidence increases after the 4th decade of life to reach a maximum of 13/100000 per year in the 7th decade.
The surgery of various intracranial tumours is obviously one of the main areas of a neurosurgeon’s work. There is a large number of different tumours that can occur in the brain, arising from a variety of different tissues. These include tumours of the nerve cells and their supporting structures, tumours of the lining membranes of the brain (meninges), various tumours associated with the pituitary gland, and tumours occurring on some of the cranial nerves (acoustic neuromas).
The brain can also be the site of tumour seedlings (metastases) from disease in other organs of the body.
Symptoms and Signs
Tumours can cause symptoms either by taking up space within the skull, leading to an increase in pressure within the head, or by interfering with the function of the adjacent brain or cranial nerves. Common symptoms therefore include headache, nausea and vomiting, epileptic fits or seizures or epilepsy and weakness or sensory loss in the face, arm or leg.
Brain tumours can be imaged using CT or magnetic resonance imaging (MRI). Some types of tumour may then need surgical treatment, such as diagnostic biopsy or, where possible, complete surgical removal. Adjuvant treatments such as radio and chemo therapy may also be needed.
The results of Brain tumor surgery are excellent specially after the Introduction of Endoscopes and endoscopy in brain surgery. Now it has become less invasive and hospital stay is less than 24 hours without any complications.