Diagnosis
Cerebral Cavernous Malformation
Patient:
Female, 32 years old, Kazakhstan
Physician:
Professor Martin Scholz, Head of the Department of Neurosurgery, Sana Kliniken Duisburg
Response from neurosurgeon Professor Martin Scholz
In this case, we are dealing with a cavernous malformation (cavernoma) located in the right parietal lobe, anterior to the central sulcus, relatively close to the basal ganglia and the brain’s motor cortex. Such lesions can be carefully removed; however, before surgery it is necessary to perform a diffusion-tensor MRI to visualize the pyramidal tracts — the major neural pathways responsible for motor, visual, speech, and language functions. In addition, the surgery will be performed using intraoperative monitoring and neuronavigation, which significantly reduces operative risks.
Patient’s Questions
- How soon should the surgery be performed?
- What surgical approach will be used?
- What possible postoperative consequences should be considered?
Doctor’s Responses
- Surgery should be performed as soon as possible due to the risk of cavernoma hemorrhage.
- The operation will be carried out via a frontal craniotomy under neuronavigation guidance.
- A potential complication is hemiparesis, but intraoperative neurophysiological monitoring and high-resolution imaging (fiber-tracking) are specifically used to minimize neurological risks. The overall complication risk is approximately 3%.
Estimated Treatment Cost: 30,000 EUR
Treatment Provided
A microsurgical removal of a large cavernoma of the right basal ganglia was carried out. The postoperative course was uneventful.
Three-month postoperative MRI shows the surgical access route and residual hemosiderin, with no remaining cavernoma.
Actual treatment cost: 24,235 EUR
Patient’s Review
Hello. I would like to share a few words about GHP PULSE and Konstantin. First of all, I was impressed by their speed and efficiency. Within one week, we received two consultations from Dr. Scholz. The team responded to all our questions promptly. I’m mentioning the organizational part because it is extremely important when your mind is occupied with other problems. The meeting, transfer, and arrangements at the clinic were handled at a very high level.
The details of the surgery and the medical part will be described by Anar herself. The surgery went extremely well. Everything is good. I recovered from anesthesia quickly, unlike in Kazakhstan. Previously, I had anesthesia several times and always had a hard time coming out of it. In Germany the anesthesia was long, yet I woke up quickly and had no unpleasant or painful sensations the next day. On the day after the surgery, I was already able to stand up. Thank you very much.
Many thanks to the team — Konstantin and the coordinator Andrey. On day 11 we are returning home happy and satisfied. We admire Dr. Scholz. He is very attentive and always answers all questions during the rounds. There is no “quick-quick” approach like we are used to back home. We were very lucky with the physiotherapist as well. He happened to speak Russian — his name was Valery. Very skilled. Everything was excellent.
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