Can Spinal Cord Ependymoma be Cured? Definition: Spinal cord ependymoma is a type of tumor that originates from the ependymal cells in the spinal cord.
Occurrence: Spinal cord ependymomas are relatively rare, accounting for approximately 40-60% of all spinal cord tumors in adults and about 20-30% in children.
Prognosis: The prognosis for spinal cord ependymoma depends on various factors, including tumor location, size, grade, and patient age.
Treatment Options for Spinal Cord Ependymoma
Surgery: The primary treatment for spinal cord ependymoma is surgical removal of the tumor whenever feasible. Complete surgical resection is associated with better outcomes and higher chances of cure.
Radiation Therapy: Radiation therapy may be used before or after surgery to treat spinal cord ependymomas that cannot be completely removed, or to target any remaining tumor cells. It is often an important part of the treatment plan.
Chemotherapy: Chemotherapy has limited effectiveness in curing spinal cord ependymomas and is typically not the primary treatment option. However, it may be considered in some cases, particularly for high-grade or recurrent tumors.
Prognosis for Spinal Cord Ependymoma
Grade and Resectability: Grade I ependymomas are typically considered benign and have a favorable prognosis with a high chance of cure, especially when completely resected. Grade II ependymomas have a variable prognosis, and complete surgical resection is associated with better outcomes. Grade III ependymomas are considered malignant and have a lower chance of cure.
Location: The location of the spinal cord ependymoma also impacts prognosis, with some locations being more challenging to treat due to their proximity to critical structures in the spinal cord.
Age: Prognosis may also vary depending on the age of the patient, with better outcomes seen in pediatric patients compared to adults.
Follow-Up and Monitoring
Follow-Up Care: Regular follow-up appointments with a healthcare provider are important for spinal cord ependymoma patients to monitor for any signs of recurrence or complications.
Imaging and Neurological Examinations: Follow-up appointments may include imaging tests such as MRI or CT scans, as well as neurological examinations to assess the tumor’s status and the patient’s overall well-being.
Rehabilitation: Rehabilitation and supportive care may be needed for some spinal cord ependymoma patients, particularly those who experience neurological deficits or functional limitations as a result of the tumor or its treatment.
Conclusion
Spinal cord ependymoma can be cured in some cases, particularly when diagnosed early and treated with a combination of surgery, radiation therapy, and chemotherapy as appropriate.
Prognosis depends on various factors, including tumor grade, location, resectability, and patient age.
Regular follow-up and monitoring are essential for detecting any signs of recurrence or complications.
It’s important to work closely with a qualified healthcare team to develop an individualized treatment plan and receive appropriate follow-up care.
Medical Disclaimer
It’s crucial to consult a qualified healthcare professional for accurate diagnosis, treatment, and management of spinal cord ependymoma or any other medical condition. This PowerPoint presentation provides a general overview and should not be considered as medical advice.
welcome back to this training session for emergency operative neurosurgery in this session we’ll discuss regarding how do you operate or operate upon a patient with frontal and temporal contusions what is the conclusion conclusion is bleeding within the brain parent conclusion is bleeding which is intermixed with some normal brain parent care so contusions are usually almost always because of head injury that is a traumatic they are components of traumatic brain injury so let us let us know how to operate upon these serious conditions of the brain okay and let me share my screen so we’ll be discussing saturday for several conditions of the frontal and temporal bones and also i will speak about the low bar resection in case of a temporal condition so before i go into the operative procedure per se let us discuss regarding the indications for surgical intervention these cases and operative interventions indicated in the setting of the frontal are a temporal condition which is greater than 20 centimeter tube in volume which is more than 20 cubic centimeters in volume and which is also associated with with one of the following glasgow comma scale of six to eight midline shift of at least five mm and cisternal compression any lesion irrespective of a location which is greater than 50 cubic centimeter also also requires surgery and also any lesion irrespective of size which is causing progressive neurological decline which is causing refractory intracranial hypertension which is defined as icp more than 20 millimeters of mercury which is not responsive to maximum medical therapy or when you see mass effect on a ct scan and also a temporal lobe hematoma greater than 30 cc in volume with or without any midline shift or elevation of the middle cerebral object these patients are particularly prone for transcendental herniation because the space of the middle cranial fossa is very limited so these are all the classical indications for a patient with frontal or temporal for required search so this is a patient with frontal contusion obviously this volume appears to be more than 30 cc in volume you can see the midline shift you can see the ipsilateral cortical sulci being obliterated similarly this is a patient with temporal condition the volume is more than 20 cc again the sylvan fissure is obliterated you can see the ventricles they are compressed they are not seen obviously the intracranial pressure is very high in both these patients one important action which you have to take is the choice of surgical approach two different approaches are described one is a bicarbonate and the modified tyrional approach for frontal lobe conclusion which are medially located which is medially located frontal conditions a bicarbonal approach is more appropriate but for a condition which is which is located lateral in the frontal lobe or when the frontal contusion is associated with a temporal lobe or when the patient has a temporal contusion alone then modified territorial approaches preferred in this episode i will speak about periodontal approach modified t real approach in my next session i’ll be speaking about by frontal approach so as everything as any operative neurosurgical procedure positioning makes an important difference important part of the procedure so you can see the position over here this position is almost similar to the position which you keep for either for decompressive cranial for decompressive cranectomy are for evacuation of an acute subdural hematoma so i am not speaking much about this particular step you can refer to our previous videos on decompressive cranictomy our previous videos on evacuation of an acute subdural hematoma it’s nearly same as that even the skin flap for a modified tereonal is nearly same as a classical falconer flap which you take for decompressive craniotomy but depending on incision you can taper the extent of the posterior extent of the flow if it’s a frontal if it’s a lateral frontal contusion the flower need not be so large you can tailor the poster extent of the flop but when you are deciding the extent of flow you should take into consideration the location and volume of the frontal contusion and also you should take into consideration the location of the edema around the conclusion the flap which are taking into taking into consideration the flow which are planning should take into consideration the combined volume of the conductor along with the very contusional edema it should encompass both of them elevation the temporalis muscle similar as the decompressive cranictomy the bone removal which is almost similar as evacuation of a decompressive cranictomy are evacuated evacuation required subdued hematoma the bone flap remover almost same as the previous procedures opening of the dura mater almost same now now once you have opened up the temporal country opened up the edura mata now come comes the temporal condition into view so what are the steps for evacuation of the temporal condition first identify this silicon beneficial so step one is identify sylvian fissure so how do you identify sylvan fission identification of the sylvan pressure is best done in relation to the location of the sphenoid bridge so this is the sphenoid ridge if necessary you may drill the base of the sphenoid bridge until flush with the anterior middle cranial fossa to augment the surgical exposure then inspect the cortical surface second step inspect the cortical surface identify the ideal area of entry an area of obvious confusion or cortical disruption is the ideal site of entry once you have identified the site of entry so second step was identify the site of entry once you have identified the site of entry cauterize is supervision vessels and the parameter is the planned entry side use a number left level blade or 15 blade approach the hematoma cavity in the sub pile plane with a combination of gentle suction and bipolar electrocautery once you enter into the hematoma cavity use a gentle section to evacuate any liquid clot and also the solid plot in a piece with in a piecemeal fashion continue evacuation until you see the gliotic brain are the normal brain are the edematous brain now what are the important [Music] pearls are important hints in this phase you can identify the sylvan fissure either with the help of a spinod ridge or with the help of the middle cerebral vein but of both the landmarks phenol ridge is a more reliable landmark when you are entering into the cortical cavity you can use a malleable retractor which is supported by cotton with a cotton party which is moistened with saline so you can use your malleable retractor over this cotton party gently so this helps in retraction it helps in illumination going into the cavity at the same time protects the underlying brain and one more important this part of the surgery that is evacuation hematoma is always done and is always at the best done in our ensuite it’s always done with the help of the operating microscope coming to the next step some cases where the temporal condition is very large in the event that the temporal lobe is severely confused you may plan for an anterior temporal lobe one you are operating on the non dominant temporal lobe that is on the right side usually we can remove up to five to six centimeter of the temporal lobe if it is on the non dominant side that is on the left side try to remove the less amount which is less than three to four centimeter in any cases the usually the posterior limit is the junction of the sylvan feature and the central sulcus but these are just guiding points but not always and depending on the extent of contusion extent of permanent damage to the plane extent of edema the operating surgeon can take addition up to the extent of temporal lobectomy so once this is done ensure perfect hemostasis use a combination of surgical cell combination of abjal sometimes you can use pressure from cotton party ensure complete hemostresses once you have done with complete hemostasis plan just like uh you plan for the bacterial actual subdural hematoma assess what is the extent of edema in the brain assess whether the brain is below the surface of inner table of the skull or above above that if you feel there is no edema if you feel that the chances of developing an edema in the future date is less you can do a primary primary closure not develop edema in available future days you can do an expansive uroplastic expansion uroplasty some of the surgeons in my place they prefer not to do a water type duroplasty but they closely deal of attack of sutures and then augment their neuroplasty with archer in our experience it’s a beautiful technique when we open up the open up the brain for boom plow replacement bone flap replacement we usually say perfect layer which is formed over it similarly just like the previous in previous sessions this session of decompressive green activation of acute subdural lymphoma you can decide whether to remove the bone flap or replace it black back then you close the temporalis muscle and the skin in layers after placing a closed suction drain so this completes my session on operator session operative session on evacuation of frontal and temporal conditions with the approach being a modified tyrional approach in that in my next session we’ll discuss the by frontal approach for medial frontal confusions so let us complete our session over here thanks for attending this session thanks for subscribing to my channel do share this videos with your neurosurgery colleagues your junior colleagues this will be definitely useful and as we all know these emergency neurosurgical techniques are life-saving and when done meticulously this can although they say still a high mortality depending on the presenting jesus of the patient this technique is life-saving and it can save lives of hundreds of people enough in our career so bye for now thank you let’s meet again in our next session for by frontal decompressive cranictomy for medial frontal contusions thank you
Training module for neurosurgeons Dr.Kalyan Description Dr.Kalyan Bommkanti is one of the best neurosurgeons in hyderabad and is also one of the best spine surgeons in hyderabad. He received training in endoscopic spine surgeries, also known as key hole spine surgery or minimally invasive spine surgery. He has experience in treating a number of complicated brain surgeries, complicated spine surgeries like complex brain tumors, complex spine tumors, complicated spine fractures, complicated head injuries. He has an extensive experience in teaching junior doctors. He consults and operates at: (For appointment WhatsApp on 8520003683) Global Gleneagles hospital,Lakdikapul, Hyderabad. Aware Global Gleneagles hospital, L.B. Nagar, Bairamulguda, Hyderabad. Kalyan’s Neuro and Spine clinic, Kharkhana, Secunderabad. Shenoy hospital, East Marredpally, Hyderabad. Prasad Hospitals, Nacharam, Hyderabad. Brain tumor clinics For appointment see details below (+91-8520003683). Brain tumors are serious disorders and should be treated as soon as possible. Many patients have a lot of doubts and queries regarding brain tumors, symptoms of brain tumors, diagnosis of brain tumor, surgery for brain tumor, treatment options for brain tumors. Patients also like to know regarding latest and advanced treatment options for brain tumor surgery like intraoperative neuromonitoring, awake craniotomy, ultrasonic aspirator, microsurgery, endoscopic surgery for brain tumors. Dr. Kalyan Bommakanti is a famous neurosurgeon from hyderabad and will try to answer these queries at leisure as a part of brain tumor clinics on you tube live Disclaimer The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. We make no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this web site with other sources, and review all information regarding any medical condition or treatment with your physician. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE or video. All Tags #best neurosurgeon in hyderabad, #best neurosurgery hospital in hyderabad, #best neurosurgeon in hyderabad reviews, #neurosurgeon in hyderabad, #best hospitals for neurosurgery in Hyderabad, #best neuro doctor in hyderabad,# best hospital for neurological problem, #best neurology hospitals in hyderabad,# Neurosurgeon in Hyderabad, #best neurosurgery hospitals in hyderabad,# brain surgery what to expect, #Micro surgery of Brain tumor in hyderabad, #best neurosurgery hospital hyderabad, #neurosurgeon brain tumor, #best hospital for neurosurgeon in hyderabad,#best hospital for neurosurgery in hyderabad, # best hospital for brain surgery in hyderabad, #best hospital for brain tumor in hyderabad, #best brain hospital in hyderabad, #best neuro hospital in hyderabad, # Best Neurosurgeon Hyderabad, #famous neurosurgeon in hyderabad, #best epilepsy surgeon in hyderabad, # doctor, #best spine surgeon,# best hospital for brain tumor surgery in Hyderabad,# Best brain surgeon in Hyderabad, #best brain tumor surgeon in Hyderabad. #brain tumor surgery videos, #best brain tumor surgery hospital in india, #awake surgery for brain tumors, #best brain surgeon, #brain tumour symptoms,brain tumour surgery in india, #meningioma surgery, #brain tumor surgery hyderabad, #Micro surgery of Brain tumor, #best hospital for brain tumor surgery,#a complex brain tumor surgery,#best neurosurgeon in hyderabad,#glioma surgery in hyderabad,#best brain surgeon in hyderabad, #best brain tumor surgeon in Hyderabad, #brain tumor symptoms #best spine surgeon in hyderabad india, #best spine surgeon hyderabad, #best hospitals for neurosurgery in Hyderabad, #best spine hospitals hyderabad, #best spine surgeon in hyderabad, #Top 10 Best Spine Hospitals in India, #treatment of bulging disc in hyderabad, #best spine surgery hospital in hyderabad, #best neurosurgeon in hyderabad, #top spine hospitals hyderabad, #best neurosurgery hospitals in hyderabad, #best neurosurgeon in hyderabad reviews, #best neurosurgery hospital in hyderabad, #successful story of spine surgery, #best hospital for spinal cord surgery in hyderabad, #best neuro spine doctors in hyderabad, #best spine surgery doctors in hyderabad, #best spinal cord surgeon in hyderabad,
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Practical checklist for every session
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Reading momentum without chasing
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Where to start
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The practical goal of this article is simple: get you signed in, secured, and betting with confidence on Ninewin — whether you prefer the Ninewin app or the browser-based Ninewin casino. Below you’ll find a concise setup checklist, clear troubleshooting steps for common sign-in failures, and real-world security practices that prevent lost passwords, blocked accounts, and slow withdrawals.
Start-up checklist: set up your account the right way
Create a unique email address dedicated to gambling or financial accounts. This isolates risk and makes recovery easier.
Choose a long passphrase rather than a short password — aim for 12+ characters mixing three unrelated words plus a number or symbol.
Enable two-factor authentication where available. If the app offers an authenticator app (recommended) pick that over SMS — it’s more resistant to SIM swapping.
Complete identity verification early. Uploading a clear ID and proof of address within the app or site reduces friction later when you request withdrawals.
Record the important details: the exact username format, the email used, and the recovery method. Store these in a password manager — not a note on your phone’s home screen.
One-click access: where to sign in
If you just want to go directly to the official sign-in page, use this link to reach the site and proceed to your account: Ninewin login. Use it the first time to save the correct URL in your bookmarks so you avoid phishing clones.
Ninewin app vs browser: which to choose and when
Both options have strengths. The Ninewin app is faster for routine play, supports push notifications for promotions, and usually handles biometric sign-in (fingerprint or face ID). The browser-based Ninewin casino is better for troubleshooting — you can inspect cookies, disable browser extensions, or try a different browser quickly. When you face sign-in problems, test both: a successful sign-in in one helps isolate whether the issue is device, app, or account-specific.
Common sign-in problems and exact fixes
Wrong password repeatedly: don’t attempt dozens of guesses. Use the app’s password reset flow, wait the cool-down period if the account locks, and restore access using the verified email. If you no longer control that email, contact support immediately with ID verification ready.
App crashes during sign-in: clear the app cache (Android) or reinstall the app (iOS and Android). Reinstallation removes corrupted temporary files without affecting your server-side account data.
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Account flagged for suspicious activity: stop playing and gather recent receipts/screenshots of deposits and identity documents. Submit them via the official support channel rather than social media to keep the process traceable.
Payment method rejected: verify that your name exactly matches the name on the payment method and on your Ninewin account. Some operators require bank statements showing the same address as provided during registration.
Security habits that pay off
Smart account practices reduce the chance of losing access or having funds held up. Implement these and you’ll avoid the majority of common issues.
Use a password manager. It makes long, unique passwords practical and prevents you from reusing credentials across sites.
Never use public Wi‑Fi for deposits or withdrawals. If you must, use a reputable VPN and avoid saving credentials on a public machine.
Watch for phishing. Real emails from the platform will never ask for your password in plain text. Hover over links to check domain names before clicking and rely on your saved bookmark for sign-in.
Set withdrawal limits and self-exclusion options if you want stricter controls. These are available in many casinos’ account settings and help manage risk.
Speeding up withdrawals and avoiding holds
Withdrawals stall for obvious reasons: missing verification, mismatched names, or unprocessed wagering requirements. To minimize delays:
Verify ID and address before you deposit large sums.
Choose the same payment method for withdrawals as used for deposits when possible.
Keep evidence of deposit transactions and transaction IDs until the withdrawal clears.
If you encounter a hold, open a support ticket and attach documents immediately — that typically speeds resolution.
Troubleshooting checklist you can run in 10 minutes
Check server status on the platform’s updates page or social channels.
Attempt sign-in from desktop browser and mobile app to isolate the environment.
Clear the app cache or reinstall the app.
Reset password via the official recovery link; use your password manager to create a secure new passphrase.
If 2FA fails, use backup codes or reconfigure the authenticator app with the QR code provided when you first enabled it.
Real user case — quick example
A player updated their phone, copied apps but forgot to migrate their authenticator app. They were locked out due to missing 2FA codes. The fast fix: submit a support ticket, attach ID, and confirm recent deposit history. Because their identity and transaction record matched, the operator disabled 2FA temporarily and helped reconfigure the authenticator — access restored within 24 hours. The takeaway: keep recovery documentation accessible and never decommission an old authenticator device without re-linking.
Useful links and media
Use images or tutorial videos to walk through the exact interface steps when you first install the app. Below is a quick visual reference and a short walkthrough that explains where to find verification and security settings within the app.
Final takeaway — what to do now
Before you place your next bet, do three things: confirm your identity documents are uploaded, switch to an authenticator app for 2FA, and bookmark the official sign-in page. Those small steps cut the most common delays — and they keep your account available when you want to play. If anything goes wrong, collect screenshots, keep calm, and contact support with the concise evidence above. That approach resolves most issues within hours rather than days.
Safe play and swift access are a combination of good setup and consistent habits. Follow the checklist in this article and you’ll be ready to use the Ninewin app and Ninewin casino without repeated sign-in headaches.
