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Treatment of Meningioma of Brain | Best Europen Hospitals | Doctors, Prices | Booking Health

Meningioma of Brain Treatment

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Best hospitals and doctors for meningioma of brain treatment abroad

Leading hospitals

Cost for treatment

Meningioma Diagnosis
954
Radiotherapy for meningioma
14064
Surgical treatment of meningioma with resection
9752
Neurological rehabilitation Phase C
2000
According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
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According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
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The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
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According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
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According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
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According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
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University Hospital Bonn

University Hospital Bonn

Overall rating9.2 / 10
According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
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According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
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University Hospital Ulm

University Hospital Ulm

Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
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According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
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University Hospital Essen

University Hospital Essen

Overall rating9.6 / 10
According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
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University Hospital Jena

University Hospital Jena

Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
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The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
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According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
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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.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko