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  Brain Tumors

Malignancies has became a global problem particularly in Iraq as a result of environmental pollution and other factors. Brain tumors dose not differ from other body tumors parts from classification points as there is benign and malignant tumors. But the brain tumors has it's particular from being  to handle. So the brain tumors is the night mares for the most people. With a great advances in the early detection of the tumors by imaging techniques such as CT scan and MRI as well as the new modalities of treatment such as endoscopic surgery, steriotactic and Gamma knife surgery give easy access for excision of brain tumors.

 

 

 

Mohmmed ali abdalhussain

19 years old

basra

 

A case of headache with right side weakness. Brain MRI showed right cerebellar mass (PFT). Posterior fossa approach with complete excision of the mass done at 7-6-06. Histopathologycal results show medulloblastoma. The patient completely freeing from any symptom until 6-3-07 when he complain from repeated vomiting and right side weakness. Brain MRI showed recurrent tumour at the posterior fossa. Urgent ventriculoperitoneal shunt inserted was done to decrease intracranial pressure. At 14-3-07 re-exploration and complete excision was done. The  histopathologycal results show medulloblastoma nodylar type.

 

Brain MRI

showed PFT

Brain MRI 6-3-07

showed recurrent PFT

 

Brain MRI postop. PFT disappear

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rasmia Salh

35 years old

Basra-Alqurna

 

Headache with visual deterioration for 3 months. Repeated vomiting and inability to walk for one month. Brain CT scan revealed a 7x4 cm mass at left frontal region. Surgical intervention on 13-2-07 with very vascular tumor and she received 9 pints of blood. The mass removed completely and sent for histopathology.

 

 

 

Brain CT scan without contrast

Brain CT scan with contrast

Hashmia  Hettee

70 years old

Alamara

 

Headache for one year, complete paralysis of left side of the body and weakness of the right side. Brain MRI showed anterior foramen magnum mass severely compressing the junction of brain stem and spinal cord. Total excision was done on 11-2-07, and sent for histopathology.

 

 

Brain MRI without contrast

Brain MRI with contrast

Abdalhussein kalaf

65 years old

Right sided weakness for one month with headache. Brain CT scan revealed a big right frontal mass.  Operated on 4-2-07,  total left frontal lobectomy was done and sent for histopathology. The result showed diffuse astrocytoma grade 2.

 

 

Brain CT scan

 

Brain MRI with contrast

Mohammad Ali

17 years old

Basra- Alqurna

A case of headache with repeated vomiting for 3 months. Brain CT scan showed a posterior fossa mass compressing the fourth ventricle causing hydrocephaly. Urgent ventriculoperitoneal shunt was done on 7-1-07.The   vomiting and headache disappeared. On 22-1-07, total removal of posterior fossa mass and sent for histopathology which revealed desmoplastic medulloblastoma.

 

Brain CT scan before surgery

Brain CT scan after surgery

Zaher  Mohammad

25 years old

Alnassiriyah

 

Complaining  of generalized tonic clonic attack of fit. He had history of meningitis in the first year of  his life.  In last 6 months, he received medication for  submandibular tuberculosis.  Brain MRI showed left frontal suprasylvien mass. Subtotal excision was done on 21-1-07, postoperatively the patient  became very well. Histopathology revealed diffuse astrocytoma grade 2 ,so he was sent  for radiotherapy to complete his management.

 

 

Brain CT scan

Brain MRI T1

Ali aeralla

12 years old

 Basra-5mile

 

Presented as scalp mass at right temporal area. Brain CT scan revealed a bony erosion with soft tissue swelling. Surgical total excision with removal of  unhealthy bony margin. Histopathology result showed a histiocytosis mass.

 

 

Brain CT scan bony defect

 

Nadra Sultan

45 years old

Basra-Alkebla

 

Headache for 2 years. In the last 6 months she developed right sided parasthesia and numbness with visual deterioration on the right eye. Brain MRI showed  parasellar mass engulfing the right optic nerve and optic chiasm with pressure on the left optic nerve. Surgical intervention under  microscopical field was done on 18-12-06. Complete freeing of the right optic nerve, right carotid artery and left optic nerve. She was very well in the post operative period and her vision  improved gradually. Histopathological result showed meningioma.

 

 

 

Brain MRI tumour engulf right optic nerve and carotid artery

Brain CT scan after surgery disappear tumour

 

 

Hessna jlaw

70 years old

 Aumra

 

One year history of right sided weakness. Treated as cerebrovascular accident. In last one month she  became Unable to speech.  Brain CT scan showed left convexity meningioma. Surgery was done at 29-10-06 with complete excision with dural base, dural graft use to close the dural defect. In the 1st postoperative day she started to have normal speech. In the 7th postoperative day, she was discharged home with normal gait.

 

 

Brain CT scan

left convexity meningioma

 

 

Mohammad Shaker

33 years old

Basra -Alharthee

 

4 months history of headache with vision deterioration, and  hearing loss in the left ear. On examination, bilateral papilledema with left sided facial palsy and absent left corneal reflex . Brain CT and MRI scan showed cerebellopontine angle tumor. Surgery was done on 13-10-06 with left sub occipital approach and debulking was done. On the 1st postoperative day ,the patient  was very well with on more headache and gradual improvement of his vision. Histopathology result revealed schwannoma (a benign tumor with a very response to gamma knife) ,so he was sent  for gamma knife for removal of ruminant part of the tumour. 

 

 

Brain CT scan

Brain MRI

Ashwaq Dakal    

26 years old

Alnassiriyah-Alssader city

 

A case of severe backache for 4 months not responding to medication. When she visited my private clinic, she was severely ill with severe tenderness at dorsolumber region. She had rapid response to steroid. Dorsolumber MRI showed extradural hyperintese lesion extend from D11-D12. Dorsal laminectomy with complete excision of mass was done on 15-5-06 histopathology revealed spinal cord lymphoma. she was sent for chemotherapy . On 11-1-07, she visited my  private clinic and her new MRI showed complete resolution of the mass.

 

 

 

MRI extradural hyperintese lesion extend from D11-D12

 

 

 

11-1-07  MRI complete resolution

 

 

 

 

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