Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor, I am a patient of brain tumor and was operated at Max Saket , New Delhi, India in May , 2008. It was a conventional open brain surgery. The doctors team was led by Dr Ajay Jha. The tumor was maninjoma ( bening) and was of 5cmx 4.5x 4.5 cms in size. Now after almost 3 years it has again resurged and in the month of August 2011 the MRI showed 27x24x27 mm and MRI on 10th Nov, 2011 showed 33x31x34 mm . I was on Ayurvedic treatment for the last three months. Yesterday my Neuro friend has advised me to go for the gama knife surgery. Would you also advise for the same. The MRI impression mentions as :- 1. Interval mild increase in size of welldefined homogeneously enhancing soft tissue lesion arising from left side of interhemispheric fissure/convexity in left frontal region measuring 33x31x34mm as against 27x24x27 mm in previous scan. 2. Post operative changes with craniotomy on left side with large focal area of encephalomalacia/gliosis in left posterior frontoparietal lobe. Thanks and regards. Vijay Ghelani +0000
[|AI|]  Hello, Those measures of meningioma are at the upper border of the gamma knife treatment. Since there is increase of the tumor, it should be removed. I think to that gamma knife surgery may be tried since it possesses less possible adverse effects with high chances of tumor shrinking. Discuss with the Neurosurgeon for these issues. Hope I have answered your query. Let me know if I can assist you further.