Ependymoma

Ependymoma Treatment in Orange County

Robert Louis, MD treats EpendymomaEpendymoma is a type of glioma, which starts in the glial cells. Glial cells support and protect nerve cells in the brain (neurons). Ependymomas develop from ependymal cells, a sub-type of glial cells. These cells line the fluid-filled ventricles or spaces in the brain and the center of the spinal cord. Surgical removal is the best treatment for ependymoma, which is resistant to chemotherapy.

 

Like other brain tumors, what causes ependymoma is unknown. Although relatively uncommon, the disease occurs within any age group.
Ependymoma symptoms may include:

  • Headaches
  • Seizures
  • Nausea or vomiting
  • Weakness or loss of sensation in the arms and/or legs
  • Speech difficulty
  • Vision problems
  • Loss of memory
  • Personality changes
To help diagnose an ependymoma, Orange County neurosurgeon Robert Louis, MD will thoroughly evaluate your health and symptoms and find a path to the tumor that is least disruptive to your brain, critical nerves, and ability to return to normal functioning. Special imagings of the brain will be required to find confirm and locate the tumor.

Magnetic resonance imaging (MRI): An MRI uses magnetic fields to produce detailed images of the brain. A special dye called a contrast medium is injected into a patient’s vein before the scan to create a clearer picture.

Biopsy: Dr. Louis will perform this technique, which uses a needle guided to the tumor or it can be done during surgery when the surgeon can look at the tumor directly. This process is crucial as it will dictate the best course of treatment and will also give important information about prognosis.

After diagnostic tests are done, Dr. Louis will review all of the results with you and describe the tumor stage, grade and best treatment options.

The main treatment for ependymoma is surgical removal. However, there are certain cases that ependymoma treatment may include a combination of surgical and non-surgical approaches. Orange County neurosurgeon Robert Louis, MD specializes in minimally invasive procedures such as keyhole approaches and stereotactic radiosurgery to remove ependymoma.

Minimally Invasive Keyhole Brain Surgeries
Orange County neurosurgeon Robert Louis, MD specializes in minimally invasive removal of chordoma. Less invasive keyhole surgical approaches incorporates Dr. Louis’ experience and education with cutting edge technology and instrumentation.

Endoscopic Endonasal Approach-Chordoma of the skull base may be approached directly using the Endoscopic Endonasal Approach. Robert Louis, MD specializes in this state-of-the-art, minimally invasive surgery in accessesing and removing the tumor through the natural corridor of the nose. Read more about Endoscopic Endonasal Approach.

Sterotactic Radiosurgery- Gamma Knife®
Your Orange County neurosurgeon Robert Louis, MD may also treat your ependymoma with stereotactic radiosurgery using a linear accelerator-based system called Gamma Knife®- a painless procedure that delivers hundreds of highly-focused radiation beams to a tumor or lesion within the brain without any surgical incision. This treatment may be an option for for treating residual tumor after surgery or recurrent ependymoma brain tumors.

Robert Louis, MD, a fellowship-trained Orange County Neurosurgeon, is the Director of the Skull Base and Pituitary Tumor Program at Hoag Memorial Hospital in Orange County, California. Dr. Louis has particular expertise in endoscopic and minimally invasive treatment of benign and malignant brain tumors, sellar and parasellar tumors and skull base tumors.

Dr. Robert Louis specializes in minimally invasive endoscopic transsphenoidal surgery for the removal of pituitary tumors. For appointments, please call (949) 274-7336 or Contact Us.