Pain in the face, tinnitus and nasal congestion can be caused by tumors!

Symptoms such as imbalance in walking, facial pain, tinnitus, nasal congestion or runny nose can be caused by skull base tumors. Confusing the felt discomfort with different diseases and skull base tumors not showing symptoms in the early period can delay the diagnosis. Brain, Nerve and Spinal Cord Surgery Specialist Prof. Dr. Gökhan Akdemir gave information about skull base tumors and their treatments.

can occur at any age

The brain, which is under the protection of the skull, carries out its functions by advancing outwards through the holes in the lower part of the skull, with the nerves and spinal cord. Although the upper part is understood when the skull is mentioned; It also has a structure that descends towards the nose, eyes, ears and spinal cord. Disorders that occur in this region, where the nerves, vessels and spinal cord are located, are complex diseases both anatomically and regionally. Skull base tumors, which can be seen at any age, appear as craniopharyngioma in childhood, pituitary tumors, meningiomas and Schwannoma in the 30s and 40s, sometimes in the 50s.

Loss of balance and blurred vision may be a sign of a brain tumor

Pay attention to these symptoms

Skull base tumors, which are generally benign, usually do not show symptoms in the early period because their development rate is slow. Skull base tumors that occur with severe pain, especially on the face, in the later period;

  • double or blurred vision
  • Hearing loss or ringing in the ears
  • runny or stuffy nose
  • It can give symptoms such as imbalance in walking.

Discomforts can be confused with different diseases. When these complaints occur, patients first apply to their ophthalmologist or otolaryngologist. After a comprehensive neurological examination, the diagnosis can be made after radiological examinations such as Computed Tomography (CT), brain tomography and MRI.

Take care of blemishes and moles

It is known that genetic transmission is effective in the neurofibromatosis of Schwannoma, among skull base tumors. Patients with Schwannoma tumors, which generally develop in the brain, ear and peripheral nerves, have common moles such as skin moles or large spots such as coffee with milk on their skin.

Surgeries are safer with advanced technology

Tumors that occur in the lower part of the skull should be treated in expert hands since they are in an anatomically difficult area. When the disease is in the shell of the brain, this part can be reached by removing the skull dome.

However, when the problem is at the base of the skull, traveling from the top down can cause undesirable effects on the brain. With the advancement of technology, endoscopically to skull base tumors; It can be entered through the nose, between the eyes, inside the ear, from the neck and nasal region without damaging the brain.

Double vision could be a sign of a tumor!

Advanced technologies such as neuromonitoring and neuronavigation, which increase safety in surgeries, are used to prevent damage to nerves such as smell, vision and facial movements during the surgical procedure.

In some cases, additional treatment may be required.

Since surgically removed skull base tumors are usually benign, additional treatment is not needed much. However, Gamma knife, cyber knife and LINAC treatment can be applied in some formations located deep in the skull base, for example in tumors located in the main carotid artery.




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