How to treat brain tumor coma?

Usually, if the condition of a brain tumor is serious, the patient may fall into a coma, so the treatment of brain tumors must be taken seriously. Generally, it is a comprehensive treatment with surgery as the main treatment. After the operation, attention should also be paid to providing correct care to the patient.

1. Basic treatment principles

Comprehensive treatment with surgery as the main method, supplemented by symptomatic treatment according to the condition, such as controlling high intracranial pressure, applying corticosteroids and anti-epileptic drugs, correcting metabolic abnormalities and supportive treatment.

2. Surgery

(1) Surgical methods are classified into direct surgical resection of the tumor and palliative surgery (internal decompression, external decompression, and cerebrospinal fluid shunt).

(2) The principle of surgical treatment is to remove the tumor as much as possible while protecting the integrity of the surrounding brain tissue structure and function.

(3) Resection method: Surgical resection of benign intracranial tumors is almost the only effective treatment method. Malignant tumors should also be resected intensively. However, due to their invasive nature or their location in important functional areas and other areas that are difficult to reach during surgery, they can only be resected subtotally, partially, or biopsied.

(4) Alternative methods and technologies can help significantly improve the level of surgical resection and treatment effect of intracranial tumors: ① Microneurosurgical surgery assisted by bipolar electrocoagulation, ultrasonic aspiration, laser and neuroendoscopy; ② Precise tumor localization assisted by stereotactic technology and real-time CT/MRI-based neuronavigation system; ③ Electrophysiological mapping and evoked potential technology of the cerebral cortex make it possible to remove tumors in the language or motor cortex under local anesthesia; ④ Multidisciplinary collaboration such as otolaryngology, maxillofacial surgery, and plastic surgery to treat skull base tumors.

3. Radiation therapy

(1) A comprehensive radiotherapy plan must be completed by a multidisciplinary collaboration including neurosurgery, neuroimaging, radiation oncology, and radiation physics.

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