Diagnosis
Volumetric formation in the pineal region of the brain. Secondary occlusive hydrocephalus. Condition following ventriculoperitoneal shunt surgery.
Patient:
Child, 3 years old, Kazakhstan
Physician:
Professor Martin Scholz, Chief Physician at the Duisburg Neurosurgery Clinic
Response from Neurosurgeon Professor Martin Scholz
The MRI images of the child's brain show a tumor in a complex location. In this case, it is not a typical pineal tumor, but rather a midline glioma located in the thalamus. The operation can be performed in two ways: supra-cerebrally or infra-tentorially. The former would cause problems with the upper layers of the brain.
Accessing the tumor supratentorially through the midline is also possible, but there is a risk of vision impairment because the tumor is close to the optic center. Access through the right ventricles of the brain is also possible. This is perhaps the simplest option. Operations can be combined if necessary. This is a complex procedure, but we can perform it using neuromonitoring. The most favorable prognosis is likely if the histological analysis of the removed tumor corresponds to a pilocytic astrocytoma.
Questions from the patient's parents
According to the earlier biopsy, the tumor is a pilocytic astrocytoma. Will the treatment strategy change in this case?
Doctor's response
In this case, it is necessary to attempt to remove the entire tumor. It is a complex and lengthy operation, but feasible. If necessary, we will use several different approaches. However, it will be worth it because if the tumor is completely removed, the child will be healthy.
Estimated cost of treatment: €33,000
The sooner you receive help, the better your treatment outcome will be. Submit your request now: +49 170 62 47 020.
Please note that the treatment examples provided on this website are not medical recommendations and are for informational purposes only.