Neuro-oncology concerns tumours of the brain, spinal cord and the nerves, which may start there or spread from cancer elsewhere. Symptoms depend on the location. They include headaches that worsen over time, seizures, weakness, vision or speech changes, personality change and morning vomiting.

Diagnosis begins with a neurological examination and MRI or CT imaging, which show the size and position of the growth. A tissue sample, obtained during surgery or by biopsy, is usually needed to identify the tumour type. The type and grade decide the treatment.

Care is planned by a team. Neurologists manage symptoms such as seizures and swelling, while neurosurgeons, oncologists and radiation specialists plan surgery, chemotherapy or radiotherapy. Some tumours are benign and can be cured by surgery, and others need combined treatment and long-term follow-up.

Apex offers the following neuro-oncology services:

• Symptom Evaluation: Assessment of headaches, seizures, weakness and other symptoms that may point to a tumour, with imaging when the findings call for it.
• Seizure and Swelling Control: Medicines to prevent seizures and reduce brain swelling, which often improve symptoms before or after definitive treatment.
• Multidisciplinary Planning: We coordinate with neurosurgery and oncology colleagues to plan surgery, radiation and medicines together for each patient.
• Supportive and Follow-Up Care: Monitoring of recovery, medicine effects and scan changes, with rehabilitation and counselling for patients and families.