Abstract A brain tumor is an abnormal growth of tissue in the brain or central spine that can disrupt proper brain function. Doctors refer to a tumor based on where the tumor cells began, and whether they are cancerous (malignant) or not (benign). All brain tumors can grow to damage areas of normal brain tissue if left untreated, which could be disabling and possibly fatal. Brain and spinal cord tumors are different for everyone. They form in different areas, develop from different cell types, and may have different treatment options. In this book, we try to offer general guidance for both low grade (benign) and high grade (malignant) primary brain tumors for adults.
Here, we report a case of Brain Tumor in a male who was reported at Chandan Hospital in a state of unconsciousness, pain and weakness. The patient was unable to obey commands and respond normally prior to the diagnosis.
1. Introduction The brain is an elaborate, elegant, and sophisticated mass of tissue and nerve cells. It seamlessly controls our personality, our senses, helps regulate vital body functions, and controls how we move in our environment. When abnormal cells grow in the brain to develop a tumor, it can disrupt how we function and will require treatment considerations that balance how the tumor is treated with how well our brain operates. As part of the diagnostic testing, a doctor will measure nervous system functions, physical and mental alertness, and include the examination of normal brain functions from reflexes to judgment, smell and taste. If responses are not normal, a brain scan will be ordered, or a patient will be referred to a neurologist or neurosurgical oncologist for more tests. A scan is the first step to identify if a brain tumor is present, and to locate exactly where it is growing. A scan creates computerized images of the brain and spinal cord by examining it from different angles. Some scans use a contrast agent (or a dye) to allow the doctor to see the difference between normal and abnormal tissue. A patient may need more than one type of scan to diagnose a tumor, depending on its type and location. The World Health Organization (WHO) has created a standard by which all tumors are classified. There are over 120 brain tumor classifications defined by the WHO, based on the tumor cell type and location, making this a very complex diagnosis. Tumors are given a name based on the cells where they arise, and a number ranging from 1–4, usually represented by Roman numerals I-IV. This number is called the “grade” and it represents how fast the cells can grow and are likely to spread. This is critical information for planning treatment and predicting outcomes. Tumors can contain several grades of cells; however, the most malignant cell determines the grade for the entire tumor (even if most of the tumor is a lower grade). Some tumors can change the way they grow and may become malignant over time. Your doctor can tell you if your tumor might have this potential.
2. Case History The patient (male) was reported at Chandan Hospital Lucknow in a state of unconsciousness, pain and weakness. Prior to treatment/surgery by Dr. Mohammad Iqbal (Neurosurgeon), the patient was unable to obey commands and respond normally. Te patient was diagnosed with brain tumor, a mass or growth of abnormal cells in his brain.
3. Management An emergency case of Brain Tumor was reported by a male at Chandan Hospital, Lucknow, as he was hospitalized in a state of unconsciousness, pain and weakness. He was diagnosed and treated by a Neurosurgeon, Dr. Mohammad Iqbal, who did his surgery with the help of well equipped facility for neuro surgery, at Chandan Hospital. The patient had chief complaint of not being able to obey commands and respond normally. After successful surgery and treatment (post op) the patient is cured (100%) and is fully satisfied with his surgery and treatment.
4. Testimonial “My brain tumor diagnosis was done at Chandan Hospital. Before getting hospitalized, I was in a state of unconsciousness, pain and weakness. Here, I met with the most amazing and empathetic Neurosurgeon, Dr. Mohammad Iqbal, who did my surgery. I am so blessed to have had this type of care and support from the whole team. After successful surgery I was able to obey commands and respond normally. I am fully satisfied with my surgery and treatment taken place at Chandan Hospital. The quality of service offered by Chandan Hospital is excellent.”
– Mr. Satrughan Verma (Patient)