Gamma Knife Surgery For Malignant Glioma

WHAT YOU SHOULD KNOW:

Gamma knife surgery for malignant glioma uses radiation to remove a tumor in the brain.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

You may need open brain surgery if problems occur during gamma knife surgery. Your brain, eyes, bones, blood vessels, or nerves may get damaged during surgery. Radiation may cause nausea, vomiting, skin or blood problems, or seizures. Surgery may not completely remove your tumor, or your tumor may come back. You may get a blood clot in your leg or arm. This may become life-threatening.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Local anesthesia is a shot of medicine put into the areas of your head where the frame will be placed. It is used to numb the area and dull the pain. You may still feel pressure or pushing during surgery.

During your surgery:

The head frame will be attached to a helmet placed over your head. A computer will show pictures of your brain to your healthcare provider. When your surgery starts, the bed you are lying on will be moved inside the treatment hood. Your healthcare provider will use the computer to aim beams of radiation into the holes of the helmet. These beams will pass through your skull and brain until they reach your tumor. After treatment, your bed will be moved out of the hood. The head frame and helmet will be removed.

After your surgery:

You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will then be able to go home or be taken to your hospital room.

  • You may need to walk around the same day of surgery or the day after. Movement will help prevent blood clots. You may also be given exercises to do in bed. Do not get out of bed on your own until your healthcare provider says you can. Talk to healthcare providers before you get up the first time. They may need to help you stand up safely. When you are able to get up on your own, sit or lie down right away if you feel weak or dizzy. Then press the call light button to let healthcare providers know you need help.

  • You will be able to eat and drink gradually after surgery. You will begin with ice chips or clear liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then eat soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.

  • Medicines:

    • Antibiotics help prevent a bacterial infection.

    • Anticonvulsant medicine help control seizures.

    • Antinausea medicine helps calm your stomach and prevents vomiting.

    • Diuretics help decrease swelling in your brain. This may help increase blood flow to your brain.

    • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Gamma Knife Surgery For Malignant Glioma (Inpatient Care)

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