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SAVING A PATIENT WITH RECURRENT MENINGIOMA, PROMPTLY PREVENTING HEMIPLEGIA
At American International Hospital (AIH), Dr. Nguyen Manh Hung, Specialist Level I – Head of the Department of Neurosurgery and Spine, performed a successful surgery on a patient with a third recurrence of a right-hemisphere meningioma, promptly preventing hemiplegia and preserving the patient’s mobility.
Patient Tram Bich Van (68 years old, Tay Ninh) underwent two brain surgeries over two years. Initially, the patient only presented with hand spasm, then felt hand weakness gradually. Primary diagnostic imaging detected a meningioma in the right parietal region, directly related to the motion region. The first surgery completely removed the tumor, with the pathological report confirming tumor grade 3. After six months of monitoring, recurrent symptoms, including headache, hand spasm, and hand weakness, appeared more severe compared to the first time. The second surgery was performed promptly, managing the complications.
Before the third surgery, within two months, the patient consecutively re-experienced severe symptoms like prolonged headache, reduced sensation, weakening, and left-bodily convulsion.
The patient rushed to the examination at AIH with Dr. Nguyen Manh Hung, Specialist Level I – Head of the Department of Neurosurgery and Spine. Based on clinical symptoms and MRI results, Dr. Hung diagnosed the patient with recurrent right-hemisphere meningioma (grade 3), affecting perception, mobility, and sensation.
Managing complicated brain tumor and preserving mobility and sensation
With a history of two brain surgeries, Dr. Nguyen Manh Hung, Specialist Level I, stated: Regarding the third recurrence of meningioma, the patient presented with signs of weakness and hemiplegia, muscle flaccidity, indicating severe progression. If surgery is postponed, there are high risks of severe episodes of epilepsy, coma, or even death.
Immediately, Dr. Nguyen Manh Hung, Specialist Level I, created a comprehensive treatment plan, including craniotomy combined with advanced microsurgery techniques.
The recurrent tumor had a large size (42×36×41 mm), adherent to the healthy brain parenchyma, and was dissected under the operating microscope, enabling complete removal of the tumor, maximal preservation of healthy tissue, and reduced risk of complications. Simultaneously, the surgeon reconstructed the dura and skull using titanium mesh, helping protect the brain, stabilizing the skull shape, and ensuring appearance for the patient.
“The strategy for this surgery focused on 2 objectives: first, to remove the tumor completely under the microscope. This is a complicated tumor with multiple adhesive scar tissues from previous surgeries, requiring an extremely meticulous technique to avoid damaging benign tissue. Second, optimally preserving and repairing mobility, sensation, which help the patient to reintegrate into daily life” - Dr. Hung shared.
One of the significant humanitarian “signatures” in most of the brain surgeries performed by Dr. Nguyen Manh Hung is that he does not shave the patient’s head – this operation is no exception. This is not only a subtle approach but also demonstrates devotion to achieving comprehensive care for patients. According to Dr. Hung, the top priority is always to safeguard life, mobility, and sensation; along with that, keeping patients’ hair intact helps reduce psychological trauma, boosting their confidence when meeting beloved ones post-op.
“Without Dr. Hung, I might stay disable for the rest of my life”
Before the surgery, the patient could barely move the left side body, presented with convulsions, accompanied by severe numbness and a significant reduction in consciousness; ambulation required others’ assistance.
When awakening, the patient felt fully alert and could follow the doctor’s order, slightly move the limbs. After three days of hospitalization, the patient showed improvement in movements and communication.
Following up after 10 days, the patient illustrated nearly normal ambulation, clear communication, and significantly improved consciousness. Especially, thanks to the skillful technique of Dr. Nguyen Manh Hung, Specialist Level I, the patient’s hair was kept intact, helping the patient look as if she had never undergone any life-threatening operation.
Feeling happy post-op, the patient shared, “I fully trust Dr. Hung. I feel peace of mind having Dr. Hung here. Thanks to Dr. Hung, my life has been saved from that disease. Otherwise, I would suffer from paralysis, not be able to move around – it seems hopeless to me”.
Applying top advanced techniques in cranial neurosurgery
At American International Hospital (AIH), advanced techniques in neurosurgery and cranial surgery, such as microsurgery and endoscopy, are well applied, making treatment for brain tumors safe, less invasive, and shorter recovery time, optimizing costs for patients. With an international-standard OR1 system as well as modern facilities at AIH, every surgery is ensured with the highest level of safety.
With the profound expertise in neurosurgery, cranial surgery, and spine surgery, Dr. Nguyen Manh Hung, Specialist Level I, directly performed various complicated surgeries, saving and improving quality of life for many patients. Thanks to meticulous surgical skills and sharp evaluation ability, Dr. Hung always provides optimal and comprehensive treatment, aiming for one single thing: bringing the best for patients.
The unit of Neurosurgery and Spine at American International Hospital (AIH) specializes in comprehensive diagnosis, treatment, and care for complicated diseases related to the brain, spine, and peripheral nerves.
Brain: Traumatic brain injuries (hematoma, skull fracture, cerebral edema), cerebrovascular diseases (intracerebral hemorrhage, cerebral infarction, arteriovenous malformation, etc.), brain tumor, brain abscess.
Spine – Spinal cord: Spinal injuries (fracture, dislocation, etc.), spinal diseases (disc hernia, degenerative disc, scoliosis, spondylolisthesis, spinal canal stenosis, spinal cord tumor, spinal deformity.
Peripheral nervous system: peripheral nerve injuries due to trauma, surgery, nerve compression disease (carpal canal, cubital tunnel, tarsal tunnel, etc.); neuroma, etc.
To schedule an appointment with Doctor Nguyen Manh Hung, Specialist Level I, please contact the hotline at (028) 3910 9999 or send a message via our Fanpage.
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