Treatment of Neck Neurinoma in Germany

Surgical procedures for neck neurinoma treatment

A neck neurinoma that is growing or causing symptoms requires surgical removal. Surgery is the best treatment option. It is performed using an operating microscope and microsurgical techniques.

Neurinomas do not grow from the nerve itself but from its sheath. The trunk itself is compressed but usually viable. Whenever possible, surgeons preserve it. If the nerve has no functional significance or is irreversibly damaged as a result of a long course of the disease, it is possible to remove the tumor along with the nerve.

If the disease affects the cervical and brachial plexuses or a functionally significant nerve, then doctors perform intratruncal tumor enucleation with the removal of the capsule.

When performing an operation, the doctor can make incisions on the skin in different places depending on the location of the neoplasm, for example, in the anterior or lateral cervical triangle, under the collarbone, under the arm, on the back, etc. The location and size of neurinomas vary significantly from patient to patient, so there are many options for their removal. Each operation is unique in its own way, but, in any case, German specialists strive to make it minimally traumatic while maintaining the function of the areas innervated by the affected nerves. When removing a neck tumor, German surgeons safely separate it from large blood vessels so as not to damage them and provoke bleeding.

Features of the treatment of neurinomas of the cervical spinal cord

Approximately half of the neck neurinomas grow from the roots of the spinal nerves. Operations to remove these tumors are performed by spinal surgeons. Spinal surgery is required to gain an approach to these neoplasms.

If the posterior roots are affected, doctors perform a laminectomy, during which they remove vertebral arches to gain an approach to the tumor and remove it. German hospitals often use minimally invasive treatment methods, namely a hemilaminectomy. Surgeons remove only one vertebral arch, which significantly reduces the invasiveness of the surgical intervention and improves the stability of the spine, which is especially important if the tumor has reached a large size and spread to several levels at once.

If the anterior root is affected, and in the case of tumor growth of the "hourglass" type, when the neurinoma penetrates through the intervertebral foramen, the operation becomes more traumatic. Doctors have to remove all or part of the facet joint. The stability of the spine is often affected, and in order to maintain it, doctors connect two vertebrae motionlessly or implant dynamic stabilization systems.

Radiation therapy for neck neurinomas

In the case of the treatment of neck neurinoma in Germany, radiation therapy is considered an alternative treatment option for neurinomas. This may be used if:

• the operation is contraindicated (for example, due to problems in the field of cardiology);
• the tumor could not be completely removed, and the remainder of the neurinoma is growing;
• neurinoma recurrence;
• refusal of the operation.

Hospitals in developed countries use the latest radiation therapy methods, including stereotactic radiotherapy, which allows for the destruction of spinal tumors or neck tumors in 1-5 radiation sessions instead of the usual 30-33 sessions. Radiation therapy in Germany is very accurate, so post-radiation complications from the spine, spinal cord, neck organs, and large blood vessels develop very rarely. A similar procedure is used in neurosurgery and can be performed for cancer treatment, namely malignant neuromas.

You are welcome to use the Booking Health service to undergo your diagnosis, treatment of neck neuroma in Germany, and neurological rehabilitation. On our website, you can find out prices and book a medical care program with a favorable cost of treatment in Germany. The Booking Health specialists will select the most suitable German hospital for you and take care of all the arrangements for your trip. Simultaneously with neurinoma treatment, patients can undergo procedures in other areas of medicine, including the diagnosis of unclear clinical cases, cardiology, neurosurgery, neurology, etc.

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

Sources:

National Library of Medicine

Johns Hopkins Medicine

Google Scholar