1. BRAIN TUMORS

3. BRAIN ANATOMY

4. CLASSIFICATION

5. I- SECONDARY (METASTATIC) II- PRIMARY :
1- GLIOMAS :
a- ASTROCYTOMA (GRADE I-IV)
b- MEDULLOBLASTOMA
c- OLIGODENDROGLIOMA
d- EPENDYMOMA
2- MENINGIOMAS
3- BLOOD VESSEL TUMORS :
a- ANGIOBLASTOMA
b- ANGIOMA

6. 4- PITIUTARY & 3rd VENTRICLE TUMORS :
a- CHROMOPHOBE ADENOMA
b- CHROMOPHIL ADENOMA
c- CRANIOPHARYNGIOMA
d- PINEAL BODY TUMOR
e- COLLOID CYST OF THE 3RD VENTRICLE
5- EIGTH NERVE TUMOR (ACCOUSTIC NEUROMA OR SCHWANNOMA)

7. EPIDEMIOLOGY ACCORDING TO AGE

8. SITES OF BRAIN TUMORS

9. I- SECONDARY (METASTATIC) II- PRIMARY :
1- GLIOMAS :
a- ASTROCYTOMA (GRADE I-IV)
b- MEDULLOBLASTOMA
c- OLIGODENDROGLIOMA
d- EPENDYMOMA
2- MENINGIOMAS
3- BLOOD VESSEL TUMORS :
a- ANGIOBLASTOMA
b- ANGIOMA

10. COMMON SITES OF CANCER METASTASIS

11. METASTATIC BRAIN TUMORS SAGGITAL MRI

12. I- SECONDARY (METASTATIC) II- PRIMARY :
1- GLIOMAS :
a- ASTROCYTOMA (GRADE I-IV)
b- MEDULLOBLASTOMA
c- OLIGODENDROGLIOMA
d- EPENDYMOMA
2- MENINGIOMAS
3- BLOOD VESSEL TUMORS :
a- ANGIOBLASTOMA
b- ANGIOMA

13. LOW GRADE GLIOMA (INTRAOPERATIVE)

14. LOW GRADE GLIOMA MRI’S

15. LOW GRADE GLIOMA AXIAL MRI

16. ANAPLASTIC ASTROCYTOMA AXIAL MRI’S

17. GLIOBLASTOMA MULTIFORMI

18. GM AXIAL MRI

20. I- SECONDARY (METASTATIC) II- PRIMARY :
1- GLIOMAS :
a- ASTROCYTOMA (GRADE I-IV)
b- MEDULLOBLASTOMA
c- OLIGODENDROGLIOMA
d- EPENDYMOMA
2- MENINGIOMAS
3- BLOOD VESSEL TUMORS :
a- ANGIOBLASTOMA
b- ANGIOMA

21. EPENDYMOMA CORONAL MRI

22. I- SECONDARY (METASTATIC) II- PRIMARY :
1- GLIOMAS :
a- ASTROCYTOMA (GRADE I-IV)
b- MEDULLOBLASTOMA
c- OLIGODENDROGLIOMA
d- EPENDYMOMA
2- MENINGIOMAS
3- BLOOD VESSEL TUMORS :
a- ANGIOBLASTOMA
b- ANGIOMA

23. OLIGODENDROGLIOMA AXIAL MRI

24. I- SECONDARY (METASTATIC) II- PRIMARY :
1- GLIOMAS :
a- ASTROCYTOMA (GRADE I-IV)
b- MEDULLOBLASTOMA
c- OLIGODENDROGLIOMA
d- EPENDYMOMA
2- MENINGIOMAS
3- BLOOD VESSEL TUMORS :
a- ANGIOBLASTOMA
b- ANGIOMA

25. MEDULLOBLASTOMA

26. MEDULLOBLASTOMA AXIAL MRI

27. CEREBELLUM AFTER SURGERY FOR MB

28. I- SECONDARY (METASTATIC) II- PRIMARY :
1- GLIOMAS :
a- ASTROCYTOMA (GRADE I-IV)
b- MEDULLOBLASTOMA
c- OLIGODENDROGLIOMA
d- EPENDYMOMA
2- MENINGIOMAS
3- BLOOD VESSEL TUMORS :
a- ANGIOBLASTOMA
b- ANGIOMA

29. MENINGIOMA

30. COMMON SITES OF MENINGIOMAS

31. OLFACTORY GROOVE MENINGIOMA MRI’S

32. I- SECONDARY (METASTATIC) II- PRIMARY :
1- GLIOMAS :
a- ASTROCYTOMA (GRADE I-IV)
b- MEDULLOBLASTOMA
c- OLIGODENDROGLIOMA
d- EPENDYMOMA
2- MENINGIOMAS
3- BLOOD VESSEL TUMORS :
a- ANGIOBLASTOMA
b- ANGIOMA

33. VENOUS ANGIOMAS

34. CEREBELLAR CAVERNOUS ANGIOMA AXIAL MRI

35. 4- PITIUTARY & 3rd VENTRICLE TUMORS :
a- CHROMOPHOBE ADENOMA
b- CHROMOPHIL ADENOMA
c- CRANIOPHARYNGIOMA
d- PINEAL BODY TUMOR
e- COLLOID CYST OF THE 3RD VENTRICLE
5- EIGTH NERVE TUMOR (ACCOUSTIC NEUROMA OR SCHWANNOMA)

36. PITIUTARY & PINEAL GLANDS

37. 4- PITIUTARY & 3rd VENTRICLE TUMORS :
a- CHROMOPHOBE ADENOMA
b- CHROMOPHIL ADENOMA
c- CRANIOPHARYNGIOMA
d- PINEAL BODY TUMOR
e- COLLOID CYST OF THE 3RD VENTRICLE
5- EIGTH NERVE TUMOR (ACCOUSTIC NEUROMA OR SCHWANNOMA)

38. PITIUTARY GLAND EFFECTS

39. PITIUTARY ADENOMA PRESENTATION

40. PITIUTARY ADENOMA

41. PITIUTARY TUMOR (AUTOPSY)

42. SKULL X-RAY FOR A PATIENT WITH PITIUTARY TUMOR (ERROSION OF SELLA TURSICA)

43. PITIUTARY TUMOR AXIAL & CORONAL MRI’S

44. PITIUTARY ADENOMA SAGGITAL MRI

46. 4- PITIUTARY & 3rd VENTRICLE TUMORS :
a- CHROMOPHOBE ADENOMA
b- CHROMOPHIL ADENOMA
c- CRANIOPHARYNGIOMA
d- PINEAL BODY TUMOR
e- COLLOID CYST OF THE 3RD VENTRICLE
5- EIGTH NERVE TUMOR (ACCOUSTIC NEUROMA OR SCHWANNOMA)

47. CRANIOPHARYNGIOMA

48. CRANIOPHARYNGIOMA (INTRA-OPERATIVE)

49. CRANIOPHARYNGIOMA CORONAL MRI

50. CRANIOPHARYNGIOMA CT-SCAN

51. 4- PITIUTARY & 3rd VENTRICLE TUMORS :
a- CHROMOPHOBE ADENOMA
b- CHROMOPHIL ADENOMA
c- CRANIOPHARYNGIOMA
d- PINEAL BODY TUMOR
e- COLLOID CYST OF THE 3RD VENTRICLE
5- EIGTH NERVE TUMOR (ACCOUSTIC NEUROMA OR SCHWANNOMA)

52. PINEAL GLAND

53. PINEAL BODY TUMOR

54. PINEAL TUMOR SAGGITAL MRI

55. 4- PITIUTARY & 3rd VENTRICLE TUMORS :
a- CHROMOPHOBE ADENOMA
b- CHROMOPHIL ADENOMA
c- CRANIOPHARYNGIOMA
d- PINEAL BODY TUMOR
e- COLLOID CYST OF THE 3RD VENTRICLE
5- EIGTH NERVE TUMOR (ACCOUSTIC NEUROMA OR SCHWANNOMA)

56. VENTRICULAR SYSTEM OF THE HUMAN BRAIN

57. COLLOID CYST OF 3rd VENTRICLE

58. C. CYST OF 3rd VENTRICLE T2 MRI

60. 4- PITIUTARY & 3rd VENTRICLE TUMORS :
a- CHROMOPHOBE ADENOMA
b- CHROMOPHIL ADENOMA
c- CRANIOPHARYNGIOMA
d- PINEAL BODY TUMOR
e- COLLOID CYST OF THE 3RD VENTRICLE
5- EIGTH NERVE TUMOR (ACCOUSTIC NEUROMA OR SCHWANNOMA)

61. SCHWANNOMA PATHOLOGY

62. VESTIBULAR SCHWANNOMA AXIAL MRI

63. MANAGEMENT

64. HOW TO DEAL WITH A BT PATIENT !!

65. SURGERY FOR BRAIN TUMORS

66. SURGICAL BRAIN SURFACE ANATOMY

67. BRAIN SURGERY

68. BIFRONTAL CRANIOTOMY

69. CRANIOTOMY FOR A BRAIN TUMOR

70. SITTING POSITION FOR POSTERIOR FOSSA SURGERIES

71. POSTERIOR FOSSA CRANIECTOMY

72. TRANSSPENOIDAL APPROACH FOR A PITIUTARY TUMOR

73. RADIOTHERAPY MACHINE

74. GAMMA KNIFE RADIOSURGERY

75. BENIGN INTRACRANIAL HYPERTENSION (BIH) -PSEUDOTUMOR CEREBRI-

76. AT HIGH RISK ?!

77. DEFINITION It is a syndrome that is defined by five criteria:
1-Increased intracranial pressure
2-Normal or small sized ventricles by neuroimaging
3-No evidence of an intracranial mass
4-Normal CSF composition
5-Papilledema

78. CLINICAL PRESENTATION OF BIH

79. DIAGNOSIS

80. CT-SCAN OF BIH (NORMAL CT)

81. TREATMENT 1- STEROIDS 2- ANALGESIA 3- DIURETICS 4- LUMBAR PUNCTURES
5 - LUMBO-PERITONEAL SHUNT

82. LUMBER PUNCTURE POSITION

83. LUMBER PUNCTURE TECHNIQUE

84. SITE OF LP

85. LP & CSF COLLECTION

86. LUMBO-PERITONEAL SHUNT

87. AND FINALLY ….

88. THERE SHOULD BE ALWAYS HOPE

89. THANK YOU