What happens during brain surgery for glioma?

Written by: Ms Anna Miserocchi
Published: | Updated: 09/11/2023
Edited by: Laura Burgess

Gliomas, tumours originating in the brain's glial cells, present a complex challenge in the realm of neurosurgery. While surgery is often a primary treatment option, non-invasive techniques like Gamma Knife radiosurgery and radiotherapy have emerged as invaluable tools in the hands of specialists. These treatments offer new hope and effective alternatives for glioma patients. We’ve asked one of our top consultant neurosurgeonsMs Anna Miserocchi, about the different types of glioma and the types of available treatment options.

A 3D model of the human brain

 

What are the different types of glioma?

The three main types of glioma include:

  • Astrocytoma – these are the commonest types of glioma brain tumour to occur in adults and children. They appear in any part of the brain and nervous system, including the spinal cord. From astrocyte cells, they regulate electrical impulses in the brain.
  • Oligodendroglioma – they develop from oligodendrocyte cells, which insulate nerve cells to help send nerve signals.
  • Ependymoma – from ependymal cells that line the cavities of the brain (ventricles).

 

Gamma Knife Radiosurgery

Gamma Knife radiosurgery stands out as a precise and non-invasive method to treat gliomas. This specialised technique employs focused radiation beams to target and eliminate brain tumours, including gliomas. Expertise in this field ensures the highest standard of care for patients.

Gamma Knife treatment is particularly attractive for its ability to:

  • Deliver a concentrated dose of radiation with pinpoint accuracy, minimising damage to surrounding healthy brain tissue.
  • Serve as an alternative to conventional surgery, especially when tumour location or other factors make surgery less desirable.
  • Complement traditional surgery to address residual tumour tissue, enhancing the odds of a successful outcome.

 

Radiotherapy

Radiotherapy plays a pivotal role in glioma treatment. This approach harnesses targeted radiation to eliminate cancer cells and curb their growth. It can be employed post-surgery to eradicate any remaining tumour cells or serve as the primary treatment when surgery is not a viable option.

Mastery of radiotherapy guarantees that treatment plans are meticulously tailored to individual patient needs, maximising the prospects of tumour control.

 

The Combined Approach

In numerous cases, a comprehensive strategy involving surgery, radiotherapy, and Gamma Knife radiosurgery emerges as the optimal treatment plan. This multifaceted approach heightens the likelihood of complete tumour removal, minimises the risk of recurrence, and safeguards critical brain functions.

Glioma treatment is a nuanced and interdisciplinary field. The combined prowess of specialists, armed with advanced techniques such as Gamma Knife radiosurgery and radiotherapy, opens new doors of hope for patients. These advanced modalities promise better outcomes and personalised care for your unique glioma journey.

Gliomas may be formidable adversaries, but with these sophisticated treatments in your corner, the path to recovery becomes clearer.

 

If you would like to book a consultation with Ms Anna Miserocchi, yo ucan do so today via her Top Doctors profile. 

By Ms Anna Miserocchi
Neurosurgery

Ms Anna Miserocchi is a highly regarded consultant neurosurgeon based in London who specialises in epilepsy, brain tumours, GammKnife radiosurgery, peripheral neuropathy, carpal tunnel syndrome and brain biopsy procedures. She privately practises at the renowned Queen Surgery (GammaKnife) Radiosurgery Centre and at Cleveland Clinic London, while her NHS base is at University College London Hospitals.

Ms Miserocchi originally qualified from the University of Milan, completing both her medical degree in addition to higher specialist training in neurosurgery. As a leading figure in her specialty, Ms Miserocchi is renowned for her use of integrative cutting-edge technology, including neuronavigation and diffusion tensor imaging, to maximise patient outcomes and enable effective neurosurgical resections. She has particular expertise in awake craniotomy operations within the range of interventional MRI, as well as in robotic-assisted surgery for the insertion of multiple-depth electrodes. 

Further to her main areas of expertise, Ms Miserocchi also performs various hand and spine procedures, such as vagus nerve stimulation, to relieve myelopathy and spinal stenosis. Ms Miserocchi, who is an honorary associate neurosurgery professor at University College London, has also published extensively in peer-reviewed scientific journals and remains actively involved in the development of neurosurgery practice.

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