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Headache at the base of the skull

Headache at the base of the skull

Skull base tumors and treatments

Skull base tumors and treatment modalities with symptoms such as walking imbalance, facial pain, tinnitus …

Symptoms such as walking imbalance, facial pain, tinnitus, nasal congestion or runny nose may be caused by tumors of the skull base. Mixing the discomforts with different diseases and skull base tumors do not show signs in the early period can delay the diagnosis. Memorial Sisli Hospital, Department of Brain, Nerve and Spinal Surgery. Dr. Gokhan Akdemir, skull base tumors and gave information about their treatment.

Can occur at any age

The brain, which is under the protection of the skull, performs its functions by moving outwards through the holes in the lower part of the skull, nerves and spinal cord. Although the skull is mostly understood; nose, eye, ear, and spinal cord. Nerves, vessels and spinal cord in this region, the disorders that occur, both anatomically and regionally complex diseases. Skull base tumors, which can be seen at any age, appear as craniopharyngioma in childhood, pituitary tumors, meningiomas and Schwannoma in 30-40s and sometimes 50s.

Consider these symptoms

Skull base tumors, which are usually benign, usually do not show symptoms in the early period because of their slow growth rate. Tumors of the skull base with severe facial pain in the future;

– Double or blurred vision
– Hearing loss or ringing in the ear
– Nasal discharge or congestion
– Symptoms such as walking imbalance.

Feelings may be mistaken for different diseases. When these complaints occur, patients first consult their eye or ear, nose and throat doctors. After a comprehensive neurological examination, the diagnosis can be made after radiological examinations such as computed tomography (CT), brain tomography and MRI.

Blot and care about me

Among the skull base tumors, it is known that genetic transmission is effective especially in Schwannom’s neurofibromatosis. Generally, patients with Schwannoma tumors developing in the brain, ears and surrounding nerves have common spots on their skin such as flesh and large spots such as milk coffee.

Advanced technology makes operations safer

Tumors that occur in the lower part of the skull are in an anatomically difficult region and therefore need to be treated in specialist hands. When the disease is in the shell of the brain, this part can be reached by removing the dome of the skull. However, when the problem is at the base of the head, traveling from top to bottom can cause undesirable effects in the brain. With the advancement of the technology, endoscopically; through the nose, through the eyes, through the ear, neck and nasal area without damaging the brain. Advanced technologies such as neuromonitoring and neuronavigation, which maximize safety during surgery, are utilized to prevent nerve damage such as olfactory, visual and facial movements during surgery.

Additional treatment may be required in some cases

Surgical skull base tumors are usually benign, so no additional treatment is needed. However, Gamma knife, cyber knife, and LINAC may be used in some formations deep in the skull base, for example in tumors located in the main carotid artery.


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