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University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Meningioma Diagnosis
2814
Radiotherapy by meningioma
24752
Surgical treatment of meningioma with resection
21406
location_onCountry: Germany
location_searchingCity: Muenster
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Gamma Knife and Radiotherapy Center Krefeld

10/10 from 2 Votes

The Gamma Knife and Radiotherapy Center Krefeld is the advanced Сenter for Neurosurgery and Radiation Therapy, specializing in radiosurgical treatment of tumors and metastases.

Radiotherapy by meningioma
21366
location_onCountry: Germany
location_searchingCity: Krefeld

University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Meningioma Diagnosis
2424
Surgical treatment of meningioma with resection
18734
location_onCountry: Germany
location_searchingCity: Cologne
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Gamma Knife and Radiotherapy Center Hannover

10/10 from 23 Votes

The Gamma Knife and Radiotherapy Center Hannover is the best clinic for radiosurgery and radiation therapy in Germany. The clinic enjoys authority in the medical world. The treatment of tumors is carried out with the use of an innovative approach.

Radiotherapy by meningioma
21267
location_onCountry: Germany
location_searchingCity: Hannover

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Meningioma Diagnosis
3672
Radiotherapy by meningioma
28385
Surgical treatment of meningioma with resection
24415
location_onCountry: Germany
location_searchingCity: Munich
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Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.   There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds.

Meningioma Diagnosis
3566
Radiotherapy by meningioma
27954
Surgical treatment of meningioma with resection
24156
location_onCountry: Germany
location_searchingCity: Berlin

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Meningioma Diagnosis
2823
Surgical treatment of meningioma with resection
21422
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Meningioma Diagnosis
2743
Radiotherapy by meningioma
24446
Surgical treatment of meningioma with resection
21661
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques.

Radiotherapy by meningioma
23195
location_onCountry: Germany
location_searchingCity: Karlsruhe

Charite University Hospital Berlin

9/10 from 95 Votes

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe.

Meningioma Diagnosis
4409
Radiotherapy by meningioma
38434
Surgical treatment of meningioma with resection
33329
location_onCountry: Germany
location_searchingCity: Berlin
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Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Meningioma Diagnosis
2615
Surgical treatment of meningioma with resection
19758
location_onCountry: Germany
location_searchingCity: Munich

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Radiotherapy by meningioma
24355
location_onCountry: Germany
location_searchingCity: Hamburg

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

With 900 beds and approximately 2,050 employees in two branches, the Alfried Krupp Hospital is one of the larger hospital institutions in Essen.

Meningioma Diagnosis
2716
Radiotherapy by meningioma
24590
Surgical treatment of meningioma with resection
21811
location_onCountry: Germany
location_searchingCity: Essen
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Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Meningioma Diagnosis
0.00
Surgical treatment of meningioma with resection
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties.

Meningioma Diagnosis
0.00
Surgical treatment of meningioma with resection
0.00
location_onCountry: Israel
location_searchingCity: Haifa

Vivantes Auguste-Viktoria Hospital Berlin

9.7/10 from 23 Votes

The Vivantes Auguste-Victoria Hospital, has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions.

Radiotherapy by meningioma
28124
location_onCountry: Germany
location_searchingCity: Berlin

About the disease

Meningioma is a tumor, which develops in brain and spinal cord. This type of cancer accounts for almost 25% of all brain tumors. Typically, meningioma is benign and it grows slowly, that`s why in most cases it is operable. In rare cases meningioma can become malignant and in that case not only does it grow quickly, but it also invades surrounding tissues and bones.  Malignant meningioma can also metastasize to other parts of body. There are typical and atypical types of meningioma. The only difference is that atypical meningioma requires not only surgery, but also radiation therapy. Meningioma was first described by American neurosurgeon G. Cushing in the early twentieth century. It can be singular or multiple. Multiple meningioma brain tumors in some cases are difficult to treat. Meningiomas are more common in women. Mainly it occurs in adulthood, however, teens and children can also develop it. Meningioma does not always require immediate treatment. Tumors, which are small, do not usually cause any pain. If such tumor does not grow and there are no malignant meningioma symptoms, a patient may never require treatment.

Symptoms

As it was mentioned above, usually meningioma does not cause any symptoms. Symptoms of meningiomas develop gradually and may be very unpronounced. Clinical symptoms include:

  • Enlarged skull size
  • Increased intracranial pressure
  • Tumor`s pressure on other organs

Other signs of brain tumor meningioma are:

  • Headache, which gradually becomes stronger. It may be aggravated at night
  • Blurred, double  vision
  • Nausea
  • Memory impairment
  • Changes in mental behavior
  • Seizures
  • Weakness in arms or legs, usually on one side

A person can also develop unilateral or bilateral blindness, which happens because of tumor pressure. If there are other problems with vision, one of the eyes can bulge out. There can also be problems with sensitivity and certain mental disorders. If meningioma has paracentral localization, patients experience problems with urination. Lobe meningioma causes speech and hearing disorders

Diagnosis

Diagnosis of brain tumors usually begins with a neurological examination of vision, hearing, coordination and reflexes. Depending on these results a doctor can refer to such diagnostics methods as:

Magnetic resonance imaging (MRI). This is gold diagnostic standard for detecting brain tumors, because it gives clear delineation of cancerous malformation. Doctors can also use MR - angiography, which permits better visualization of blood vessels, that are supplying growth of tumor. Computed tomography renders most meningiomas, but right now this method is coming out of use because of more modern diagnostic techniques. To confirm histologic type of tumor, doctors do biopsy. This procedure studies segments of tumor tissue under a microscope. A biopsy can be performed both before surgery and during surgery, when part of the removed malformation is sent for histological examination. Properly defined type of tumor is crucial for the final choice of treatment.

Treatment

  • Surgical treatment is primary choice for meningioma treatment, because only during surgery neurosurgeon can remove the tumor completely. However, in some cases, if tumor is located near vital structures, it is not always possible to remove it completely. In such cases, surgeons try to remove as much of cancerous malformation as possible. This can lead to future tumor recurrence (approximately 10% of cases) and then patients would have to either have second surgery or course of radioactive therapy. Furthermore, there is always a risk of infection and internal bleeding after surgical intervention. To minimize complications, surgery is usually performed under operating microscope with neuronavigation control and ultrasonic aspirator. Recovery period after surgery usually takes several months.
  • Radiosurgery is a type of radiation therapy, in which a powerful beam of ionizing radiation is directed at a specific point inside human body. Radiosurgery may be choice for people with meningiomas, which can not be removed by conventional surgery. Even though radiation therapy is effective, it has many side effects, such as fatigue, weakness, nausea, hair loss. Brain tissue may also swell considerably after radioactive intervention, which means that headaches may become even more severe and unbearable. In that case a patient is prescribed special analgesics that can ameliorate pain. Radiosurgery is also likely to cause some kind of necrotic processes, when not only malignant cells die, but also healthy ones. Radiation therapy is prescribed sometimes along with chemotherapy.  Radiosurgery is usually carried out in several sessions. Radiation therapy increases likelihood for longer life span for each patient with meningioma brain tumor. In some cases neurosurgery uses modern treatment called gamma knife to eliminate the number of cancerous cells. Such treatment can sometimes be used instead of surgery, if meningioma case is not too severe.
  • Radiotherapy is recommended after or before surgery.



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