Diagnosis
Suprasellar brain mass. Arachnoid cyst of the posterior and middle cranial fossa. Visual deterioration.
Patient:
Child, 6 years old, Kazakhstan
Physician:
Professor Martin Scholz, Head of the Department of Neurosurgery, Sana Kliniken Duisburg
Response from Neurosurgeon Professor Martin Scholz
It is necessary to remove the tumor in the suprasellar region using a pterional approach. Before the operation, the levels of beta-hCG (beta-subunit of human chorionic gonadotropin) and alpha-fetoprotein in the blood should be determined to exclude a germinoma.
Parent´s Question
Is it really necessary to perform the surgery now, or can it be postponed while observing the progression of the disease?
Response from the Physician
It is possible to monitor the growth dynamics of the tumor and perform a follow-up MRI in 2–3 months. However, we risk losing valuable time. In addition, the deterioration of vision is an additional factor indicating the need for surgery.