Dear Cristian Dinu, the MR images show a large tumor of ...



Dear Cristian Dinu, the MR images show a large tumor of the fossa posterior, most likely a benign meningeoma. It must be operated because of the compression of the brain stem. On Monday I will present these images to Professor Samii and will come back to you latest on tuesday.

Best regards,

Dr.T.Brinker

Professor of Neurosurgery

Neurosurgical Department

International Neuroscience Institute Hannover

Rudolf-Pichlmayr-Str. 4

30625 Hannover

Phone: ++49 (511) 27092813

From: Brinker, Prof. Dr. Thomas

Subject: AW: AW: MRI no. 2

To: dmariusciprian@, "Samii, Prof. Dr. Dr. Madjid - Office"

Date: Thursday, July 3, 2008, 12:20 PM

Dear Mr Dinu, we discussed tghe case of your father this morning, sorry for the delay. Professor Sammi recommends very clearly surgery, because this is the only chance to help your father definitvely. It is however not certain whether the tumor can be removed completely, this depends on the tissue properties, if the tumor is soft complete removal should be possible. If the tumor tissue  is not soft, complete resection may be impossible.   There are also considerable risks of surgery,  they are however even greater without surgery because of the complications that will occur from the untreated tumor.

 

Of course Professor Samii is willing to perform surgery personally.  Costs for treatment will amount to 40000 €, hospital stay will be 2-3 weeks.

Please call ++49 511 270 92 270 92 157 to make an appointment. Please avoid aspirin or other antiplatelet drugs ten days before admission.

 

 

Thank you for the confidence you trust in us,

 

Sincerely,

 

 

Prof. Dr.med.M.Samii                                                          Prof. Dr.med.T.Brinker

President              

|Dear Prof.Dr. Thomas Brinker, |

|I kindly thank you and Prof.Dr. Madjid Samii for the prompt reply. Thank you again for understanding my impatience. |

| I acknowledge that I am scared by this sentence : "There are also considerable risks of surgery". When you have the time, |

|please, be more specific. Is it death? Total palsy? Loosing the ability to speak, to hear or to see...? Please, excuse my |

|ignorance in these matters. |

|So the total resection depends on the tissue itself and you will decide it during the operation, when you get to the tumor. But |

|there is (a big?) chance that, even though the tissue is soft, complete removal of the tumor could be impossible. In this case, |

|how much and for how long would a partial removal of the tumor help my father ? Will you further destroy the pieces of the tumor|

|left in? If so, is he going to stay in the hospital for more than 3 weeks? Or maybe come back after some time? |

|In the end, I want to thank you again for your support in such a difficult case. |

| |

|Sincerely, |

|Cristian Dinu |

Dear Mr Dinu, we understand your concerns very well. The major surgical problem is to preserve the function of the cranial nerves running along the tumor. Therefore there are some special risks of this kind of surgery, they include problems with swallowing which may be so strong that a tracheotomy may be necessary following surgery just to prevent pneumonia. Other cranial nerve problems include double vision. It is always a challenge in such cases to achieve complete tumor removal without such complications. Even if we cannot exclude the possibility of such complications, as I said in my email, in the hands of Prof. Samii surgery is as safe as possible, therefore we do recommend it. We do this because we know that there is no alternative treatment possible. The spontaneopus course of this tumor carries definitively life-threathening complications.

Sincerely,

Dr.T.Brinker

Professor of Neurosurgery

Neurosurgical Department

International Neuroscience Institute Hannover

Rudolf-Pichlmayr-Str. 4

30625 Hannover

Phone: ++49 (511) 27092813

-----Ursprüngliche Nachricht-----

Von: Dinu Marius-Ciprian [mailto:dmariusciprian@]

Gesendet: Donnerstag, 3. Juli 2008 19:24

An: Brinker, Prof. Dr. Thomas

Betreff: Re: AW: AW: MRI no. 2

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