Neuroma

Neuroma

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Neuroma- benign tumor emanating from the sheath of nerve trunks.
Most often found in the auditory nerve. Neurinoma of the skin is usually located on the limbs, painful. When acoustic neuroma noises appear in the ear, hearing loss until complete deafness; the further development of neuromas occur dizziness and weakness of facial muscles, eyes and trembling, headache, and a number of other symptoms associated with increased intracranial pressure.
Neuroma treatment
It is treated the same way as brain tumors.
Conservative treatment

When intracranial hypertension:

  1. Mannitol (mannitol) 1 g / kg (as 20% solution) / drip for 10-15 min for the emergency lowering of ICP in combination with glucocorticoids. Control of diuresis and water-electrolyte balance is obligatory. If necessary, repeat the introduction of mannitol in lower doses (0.25-0.5 g / kg). Mannitol is applied to the short course of glucocorticoids or curative treatment effect because it can cause a secondary increase in ICP.
  2. Glucocorticoids: dexamethasone 16-24 mg / day (orally or parenterally) in 4 doses or prednisone 60-80 mg / day. After radical treatment (surgical decompression or radiation therapy), the dose of the hormone is gradually reduced.
  3. Means that improve cerebral circulation, such as cavinton, nicergoline.
  4. The appointment of highly active sedatives and neuroleptic substances is undesirable, because they can mask the deterioration of the patient.


Surgery

  • Contraindications: severe somatic condition, metastasis
  • Intervention is performed to remove a tumor, biopsy and determine treatment tactics or as a palliative measure (for example, decompressive trepanation)
  • The essence of the operation - the most radical removal of the tumor

For tumors located on the surface and deep in the hemispheres, most often - osteoplastic trepanation. In the formation of the posterior cranial fossa - resection trepanation. If it is impossible to completely remove the tumor, it is desirable to have its most extensive resection possible.
Comprehensive treatment (radiation and chemotherapy) is used in the case of an immature (malignant) tumor and with the impossibility of radical removal.
A terrible complication - insertion - displacement and hernial protrusion of the brain through rigid intracranial formations (sickle, swelling of the cerebellum, large occipital foramen) with depletion of protective mechanisms and the continuing increase in the size of the tumor.

Neuroma images, pictures

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