Friday, 4 October 2019

Brain Tumor: Symptoms, Types, Diagnosis And Treatments

Brain Tumor is the accumulation of abnormal or cancer cells in the brain. Usually, the normal cells in the body will age, die and will get replaced with new cells. But cancer cells proliferate, and unlike normal cells, do not die. They grow uncontrollably becoming a threat to our life. 

Not all tumours are, however, cancerous. Some are benign, and do not pose a threat to life. 

If diagnosed in the early stage Brain Tumour can be treated. Below mentioned are the symptoms of Brain Tumor.
brain tumor treatment delhi

  • Balance problems
  • Changes in mental ability
  • Vision problems
  • Hearing problems
  • Headaches
  • Numbness
  • Sleep problems
  • Memory problems
  • Facial Paralysis
  • Vomiting
  • Muscle jerking 

Brain Tumors are categorised into two: 

  • Primary Brain Tumor: Here the tumor forms in the brain and does not spread to other parts of the body.
  • Secondary Brain Tumor (Metastatic Brain Tumor): Here the tumor forms somewhere else in the body and travels to the brain. 

Methods For Diagnosis: 

  • Neurologic Exam: Your specialist will analyse your vision, hearing, muscle strength, alertness, coordination and reflexes. He also will check your eyes for swelling.
  • MRI Scanning: A machine with a magnet is linked to a computer which can show the detailed pictures of areas inside your head. These pictures can show if there is any abnormalities. Sometimes they inject a liquid (contrast material) into the blood vessels of your arm or hand to spot the differences in the brain tissues. 
  • CT Scan: X-ray machine which is linked to a computer will take detailed pictures of the areas inside your head. They inject contrast material into the blood vessel of your arm which can show the affected area.
  • Biopsy: Here a tissue is removed from the brain and is observed under a microscope for any abnormality. 


After diagnosis, a treatment will be suggested by the specialist depending on the person's age, type of tumor, location, size and general health.
  • Surgery: The surgeon will make an opening in the skull and remove the entire tumor.
  • Radiation Therapy: They use high powered rays which can damage cancer cells and stops further growth.
  • Chemotherapy: Drugs which can kill cancer are given orally or by injection into the blood vessel or muscle. 

At BRAIN AND SPINE DELHI, our expert strives to provide the best treatment for neuro-related problems.
Blog Reviewed By: Dr Manish Vaish
Mail us:

Saturday, 6 October 2018

Things to know about Gliomas Brain Tumor

Gliomas is a general term used to describe tumors that start from "Glial" cells (the gluey, supportive tissue of the brain). A glioma is a type of brain tumor that originates in the brain, a so-called "primary brain tumor." This is different than a brain tumor that has spread from another area of the body, which is called metastatic brain tumors. Gliomas are also called intra-axial brain tumors because they grow within the substance of the brain and often mix with normal brain tissue. Gliomas account for about 80 percent of all malignant brain tumors and include all tumors arising from the supportive tissue of the brain.

Types of gliomas

Tumors such as “brain stem glioma” and optic nerve glioma” are named for their locations, not the tissue type from which they originate. There are a number of different types of gliomas which are named based on the type of glial cells from which they arise: 

Astrocytomas – Astrocytomas are the most common form of glioma, originating from star-shaped brain cells called astrocytes. They can occur anywhere in the brain but are most commonly found in the cerebrum, the largest part of the brain responsible for higher brain functions like speech, memory, sensory function and movement. Astrocytomas are often cystic (cyst-forming).

Oligodendrogliomas – slow-growing transformations of the oligodendrocytes, which can occur anywhere there is myelin sheath. About 3% of brain tumors are oligodendrogliomas. This type of tumor is most common in men between 35 to 40 years of age. Patients with oligodendrogliomas have a higher survival rate than most other brain tumors.

Ependymomas – usually benign and lower grade tumors of ependymal cells that line the center of the spinal cord and the ventricles of the brain. However, they can sometimes spread rapidly via the pathways that transport the cerebrospinal fluid (CSF). Ependymomas are more common in adolescent males.

Mixed Gliomas: In some cases, tumors can have mixed features and therefore be named mixed glioma.  oligoastrocytoma, for example, is a “mixed glioma” tumor, which contains both abnormal oligodendroglioma and astrocytoma cells. These tumors can be found primarily within the cerebral hemispheres of the brain. The frontal lobes are the most frequently affected region, followed by the temporal lobes.


Symptoms of gliomas

Glioma symptoms appear slowly and may be subtle at first. Some gliomas do not cause any symptoms and might be diagnosed when you go to check-up for other reasons. The brain has specialized areas that help us control movement, speech, sensation, memory, vision, and many other functions. For example, if you have a tumor in the part of the brain that controls language, you may have trouble speaking or understanding. If a brain tumor grows in the part of the brain that controls the right arm, you may have weakness, numbness or seizures that involve the right arm.

The symptoms of glioma depend on the grade, size, and location of the glioma, but the general symptoms are:
  • Persistent  Headaches
  • Nausea and vomiting
  • Drowsiness
  • Small Seizures resulting in strange smells, weird feelings in your stomach or brief spells that you can’t explain. 
  • Larger seizures that lead to trembling movements of your arms and legs. They may also affect your ability to talk.
  • Changes in personality
  • Memory loss
  • Changes in speech
  • Weakness or loss of feeling in limbs and walking difficulties
  • Double or blurred vision and abnormal eye movements.

Treatment for gliomas

Treatment options for gliomas can include:

Surgery – There are 3 main goals of surgery:

1) create a diagnosis of glioma and establish the grade; 2) decrease the size of the glioma and improve symptoms; 3) accomplishing recovery (when possible) or, when treatment by surgery alone is not possible, reduce the tumor size to boost the efficiency of other treatments.

Craniotomy is a procedure performed by a neurosurgeon to diagnose and treat a brain tumor. Most symptoms from gliomas are due to either by compression of normal brain tissue or increased pressure in the brain. Pressure and compression are decreased by removing some (if not all) of the tumor and thereby improving the symptoms. A hole is incised into the skull in order to provide access to the brain. This allows a biopsy of the glioma and the chance to take out some of the tumors at the same time.  The biopsy provides tissue samples to the neuropathologist, which helps him to make an exact diagnosis of the tumour’s composition, which is significant to get the best treatment.

You may wonder what determines whether a tumor can be removed completely by surgery. The answer is “location". If a tumor is located in the speech and language or motor center, for instance, complete removal of the tumor may not be possible without damaging speech, language, or movement. In other areas of the brain, it may be safe to remove the entire brain tumor. Consult with your neurosurgeon if you have questions about whether or not a tumor can be safely removed in its entirety.

Radiotherapy – High-grade Gliomas are treated with fractionated radiation, which is the type of radiation therapy where small, precise doses of radiation are used to target and destroy cancer cells. Radiation therapy uses high-precision ionizing radiation (such as X-rays or protons) to destroy cancerous cells. There are different types of technology used in radiotherapy to deliver radiation to treat brain tumors, such as a gamma knife, adapted linear accelerators (LINAC) and proton beam systems.

The amount of radiation to the tumor accumulates during the treatment period and cancerous cells are destroyed. Radiation therapy is also performed after surgery for high-grade gliomas. It is also used to treat for recurrent Gliomas and in locations where surgery is deemed unsafe. Consult your radiation oncologist about the details of your treatment and about the possible side effects.

Chemotherapy – Chemotherapy can either be a pill that you take by mouth (orally) or a liquid that is given through an IV into the bloodstream (intravenous). For chemotherapy to be able to kill glioma cells, it must be able to pass from the bloodstream into the brain.   Only certain chemotherapy medicines are able to cross the blood-brain-barrier. Chemotherapy is usually used together with radiation therapy to treat gliomas.

Dr. Manish Vaish and Dr Bundela at brain and spine ppl offers the best of neurosurgery treatment and cares for all types of neurological diseases. Helmed by the best brain surgeon in NCR/North India, the hospital today is recognized for its expertise & experience in the treatment of complex neurological conditions. They offer the best cancerous brain tumor treatment in India by the top neurosurgeons and a team of dedicated staff, bringing a wealth of experience and wide-ranging expertise that has helped them emerge into the best neurosurgical care center in the region. The hospital is committed to provide best glioma treatment in NCR/North India.
contact us
Visit @
Mail us:
Book appointment:

Thursday, 5 July 2018

Meningiomas – Surgical Removal

Meningiomas grow on the brain surface and push the brain instead of growing from within it. Most of the meningiomas are “benign” because they grow very slowly with low potential to spread. The meningiomas occur in the brain but also can grow on the spinal cord parts.

meningioma surgery noida

There are different types of meningiomas such as Simple convexity meningioma, Complex skull base meningioma and, Intra-ventricular meningioma.
Grade 0 and Grade 1 methods are quite curable by removing the same. The tumor causes pressure on the brain and spine. Specific parts of the brain, blood vessels, nerves, surrounding the tumor may be affected directly by the pressure of the tumor. Meningiomas cannot be determined unless symptoms are noticed.
  • Severe headaches
  • Blurred vision
  • Seizures
  • Changes in the memory
  • Vomiting

Different site meningiomas cause different symptoms

  • Falx and Parasagittal Meningiomas: Located adjacent to the dural fold which separates the two brain hemispheres
  • Olfactory Groove Meningioma:  It forms in the nerves that connect the nose to the brain.
  • Posterior fossa Meningioma: Occurs at the back of the brain.
  • Suprasellar or planum Meningioma: Located near the skull area where the pituitary gland is present
  • Spinal Meningioma: Located in the spine, in some cases against the spinal cord.
  • Intraorbital Meningioma: This kind of meningioma forms in the eye socket or around the eye socket
  • Intraventricular Meningioma: Located in the chambers through which cerebrospinal fluid is carried throughout the brain.
Diagnosis is done through CT and a contrasted MRI Scan as other medical conditions possess the same symptoms.

meningioma surgery noida

Treatment Options


The best option for a brain tumor is the microsurgical removal of the tumor. The main goal of the surgery is to remove meningioma entirely with the Dural attachment and the penetrated bone. Removing the entire tumor is quite risky when it has veins or small arteries or brain tissue penetration. The patient’s safety is taken as the main priority in the meningioma surgery. If the entire process is found to be at risk, the surgery will be abandoned. If there are any changes found in the residual tumor through imaging tests then, the patient is administered with a stereotactic radiation therapy.

Dr. Manish Vaish is the famous Neurosurgeon in India offers the best treatment for all brain tumor types in Uttar Pradesh. His Gurukripa Advanced Neuro Care Institute is the top choice for Meningioma surgery in Noida.

contact us
Visit @
Mail us:
Book your appointment:

Monday, 14 August 2017

Save Your Life From Brain Tumor

Brain tumor can occur at any stage of life. Brain tumor is of two types primary and secondary. Primary brain tumor is again of two types malignant (cancerous) or benign (non-cancerous). If the tumor occurs in any part of the body and spread cancer cells to the brain then these types of cancerous tumors are known as secondary tumors. The exact cause of brain tumor is still not known. Brain tumor symptoms are depending on their type, size and location. The symptoms include headaches, memory problems, mood changes, personality changes, numbness, walking and balancing problems, vomiting and problem in vision and speech. The risk factors for brain tumors include ionizing radiation from X-rays and family history of brain tumors. Treatment options for brain tumor may include radiation therapy, chemotherapy, or surgery.


Surgery is considered as primary treatment option for brain tumors. Craniotomy is known as a procedure to open the skull for surgery. The surgeon makes an incision in the scalp and uses a unique type of equipment to remove the bone piece from the skull. During surgery, the surgeon may ask several questions to the patients such as count a number, shake a leg, or tell something to protect important parts of the brain. After removing the tumor, the surgeon shields the opening of skull with a piece of bone or a piece of fabric or metal. The incision in the scalp is closed by the surgeon.

Brain surgery may cause several infections, swelling, fluid accumulation, or harming normal tissues. These problems may cause many other problems such as problems in seeing, thinking, or speaking. Radiation therapy is used to destroy brain tumor cells with the help of gamma rays, x-rays, or protons. There are two types of radiation therapy external and internal. Resting is important after surgery but it is advised to stay active after the surgery to avoid many problems related to brain.

Dr. Mainsh Vaish is a qualified and experienced surgeon to treat brain tumors and one of the Best neurosurgeon in Delhi . Dr. Vaish provides his services in Max Super Specialty Hospital, New Delhi.


Wednesday, 14 June 2017

Micro endoscopic surgery in India

    Micro endoscopic Discectomy or surgery is a minimally invasive surgical procedure performed through a tubular device. This is an outpatient surgery for relieving pain caused by herniated discs pressing on nerve roots and other neuro spine problems.
    The following are the steps of Micro Endoscopic Surgery:

Step 1: First, through a small incision a guide wire is inserted and pushed to the affected area. Using an X-ray machine called a fluoroscope the surgeon ensures the route to the herniated disc.

Step2: The guide wire is removed after inserting a series of dilating tubes which is passed over the guide wire to push down to the vertebrae.

Step3: A tubular reactor which is used to perform the surgery, is then slid over the dilating tubes. Once it is positioned over the bone surface, all the dilating tubes are removed.

Step 4: Then a surgical light and a small camera is used to see through the tube. By using surgical instruments the soft tissues and bone will be cleared to access the spinal canal.

Step 5: The surgeon then moves away the nerve from the herniated disc.

Step 6: The area is then cleared by removing the herniated disc and allows room for the nerve to move back to its normal position.

Step 7: Finally, the tubular reactor is removed and allows the body tissues to close around the surgery area and the surface is closed with a small bandage.

Advantages of Micro Endoscopic Surgery
  • Shorter hospital stay
  • Reduced post operative pain
  • Shorter recovery time
  • Less blood loss during the surgery
  • Reduced chance of infection 
  •  A few tiny scars instead of one large scar in a traditional surgery

         Gurukripa Advanced Neuro Care Institute of Dr Manish Vaish, one of the best Micro endoscopic neuro surgeon in Delhi offers advanced Microendoscopic spine surgery for herniated discs and other nerve problems with the help of top experts and advanced facilities. The doctor also provides recovery assistance for the patients who have undergone Micro endoscopic surgery in Delhi at an affordable cost.
    Mail Us:

    Friday, 12 May 2017

    Scoliosis Surgery for Straightening Spine Curve

    Surgery is mainly used to treat severe scoliosis. The main aim of surgery is to improve a severe spinal curve. The result might not be a perfectly straight spine, but the main aim is to balance the spine and to make sure the curve does not get as worse as before. Surgery mainly involves stabilizing the spine and from keeping the curve from getting worse by permanently joining the vertebrae together.

    Which are the things to be considered before surgery?
    Things which are considered before surgery include:
    • The age of the child.
    • The size, direction, and location of the curve present in the spine.
    • Whether any other treatment option such as bracing, has failed.
    When is surgery really considered?
    Surgery may be considered if:
    • The child has a moderate to severe curve and the curve is getting worse with time.
    • The child has pain or trouble doing his or her daily activities.
    Which are the different Surgery options?
    The main type of surgery for scoliosis involves the attaching of rods to the spine and doing a spinal infusion. Spinal fusion is mainly used to stabilize and reduce the size of the curve and also to stop the curve from getting worse. This is done by permanently joining the vertebrae into a solid mass of bone.
    Other techniques may also be used, including instrumentation with fusion. In this technique the devices such as metal rods to the spine are attached to stabilize a spinal curve. In this procedure there is no fusing of the spine together. This is only done in very young children when a fusion which stops the growth of the fused part of the spine is not desirable. The child has to wear a brace full-time after this surgery.
    Gurukripa Advanced Neuro Care Institute in Noida offers treatment and surgery for various kinds of the brain or neurological problems. Here, the doctor’s approach is based solely on the patient comfort.

    Visit Us:
    E-mail Us:

    Tuesday, 25 April 2017

    Micro Endoscopic Neuro Surgery

    Nowadays problems like stressful lifestyle, environmental degradation are some of the leading conditions causing Neuro Spine health related diseases and their acquired  fatal stages which leads to surgery. For a healthy living Neuro Spine health is immense, so we need proper treatment for Neuro Spine Disorders. Micro Endoscopic Spine Surgery or MES are setting new remedial paradigms to alleviate the sufferings.
        Over the past 30 years the consequent to the development of Microneurosurgical Instrumentation and procedures, currently we are enjoying the ''next step" in the evolution of Neuro Surgical capabilities with the introduction of Minimally Invasive Neurosurgery techniques. The main goal of the surgery is "Limited Exposure" which means limited injury to the surrounding tissues.

    Microendoscopy which uses optical fibers in conjunction with microscopy techniques to obtain microscopic images of tissue immediately adjacent to the imaging end of the endoscope inserted into the body. Compared with open surgeries Endoscopic Surgeries offers a faster recovery to the patients, less pain and helps them to resume normal activities faster.

        In this surgery we intend to reach pathology like a tumor through natural openings, like nostril or small incisions with minimal brain retraction. The endoscope inserted into this opening is used to visualize and perform the neurosurgical operation. While the surgery is performed with the help of the endoscope which displays real-time  video in the monitor. The rest of the surgery is done with similar techniques of open surgery, but  they will use special instruments and allows for less retraction and chance of injury to the brain.

    Compared to open surgery Minimally Invasive endoscopic brain surgery requires small openings and less brain retraction. The better visualization and less retraction makes the surgery safer. In addition less tissue disruption makes endoscopic neuro surgery less painful.    
        Dr. Manish Vaish has a  comprehensive experience in Neuro Surgery, Spine Surgery, Neurovascular Surgery, Minimally Invasive Neurosurgery (MIINS), Endoscopic Brain and spine surgery, Skull Base and Intracranial Neuroendoscopy.  Gurukripa Advanced Neuro Care Institute of Dr Manish Vaish situated in Noida, Uttar Pradesh is the best choice for advanced treatment for neurological and brain disorders.

    Visit Us:
    E-mail Us: