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imaging; later if seizures, CSF leak, neurological deficits or complications occur."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound check and suture or staple removal, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Pathology review and postoperative MRI to assess extent of resection, counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Surveillance MRI and neurological review for recurrence, counted from surgery; continues periodically afterwards."}}],"indications":["Symptomatic meningioma causing neurological deficits, seizures, headache or mass effect","Growing meningioma on serial imaging","Large meningioma or one with significant edema","Meningioma where histology is needed or atypical/malignant features are suspected"],"main_risks":["Bleeding or hematoma","Neurological deficit (weakness, speech, vision or cranial nerve problems)","Seizures","Infection or meningitis","Cerebrospinal fluid leak","Brain swelling","Venous sinus injury or thrombosis","Stroke","Blood clots in the legs or lungs","Incomplete tumor resection","Anesthesia-related risks"],"pain":"Moderate headache and scalp/incision pain for the first days to weeks, usually controlled with analgesics; jaw pain may occur with temporal approaches.","preparation":["MRI with contrast, sometimes CT or angiography","Anesthesia and medical assessment, blood tests","Medication review, including blood thinners and anti-seizure drugs","Fasting before general anesthesia","Discussion of risks, goals and consent","Steroids may be prescribed for edema"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Monitoring in ICU or high-dependency unit, neurological checks, early mobilization, postoperative imaging.","restrictions":["No driving","Assisted mobility initially"]},{"phase":"Early home recovery (weeks 1-6)","description":"Fatigue, headache and wound healing; gradual increase in walking and activity.","restrictions":["No heavy lifting or straining","No driving until cleared, especially if seizures","Keep the wound dry and clean"]},{"phase":"Return to activities (weeks 6-12)","description":"Return to work and normal activities for most patients after uncomplicated surgery; gradual return of exercise.","restrictions":["No contact sports until cleared by surgeon"]},{"phase":"Long-term (3-12 months)","description":"Continued neurological recovery and surveillance MRI.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated craniotomy; formal neurorehabilitation may extend this when deficits are present."},"result_longevity":"Complete resection of low-grade tumors often gives long-term control, but recurrence is possible and depends on the extent of resection and WHO grade; long-term MRI surveillance is needed.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation within 30-90 days for hematoma, CSF leak, infection or wound problems; excludes later recurrence surgery."},"scars":"A scalp incision scar, usually within or behind the hairline, is typically well hidden; the scar location and length depend on the approach, and some temporary hair loss may occur around it.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation for a typical accessible meningioma; staged surgery or adjuvant radiotherapy is not part of the usual protocol."},"stages":[{"code":"craniotomy_resection","label":"Craniotomy and tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation on the day of surgery."}}],"qualifier":"Single-stage surgery in the typical uncomplicated case."},"success":{"metric":"Progression-free survival after complete resection of WHO grade 1 meningioma","value":90,"unit":"percent","horizon":"5 years","population":"Adults with WHO grade 1 meningioma after gross total resection","evidence_status":"limited"},"techniques":[{"name":"Open craniotomy with microsurgical resection","suits_whom":"Most symptomatic or growing meningiomas, particularly convexity, falx and accessible skull base tumors.","recovery":"Hospital stay of several days; return to normal activities within about 1-3 months."},{"name":"Endoscopic endonasal or keyhole approach","suits_whom":"Selected small or midline skull base meningiomas, such as tuberculum sellae, in specialized centers.","recovery":"Often a shorter stay, though skull base reconstruction and CSF leak risks need attention."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for a typical craniotomy for a single accessible meningioma; complex skull base tumors can take longer."},"initial_assessment_documents":["Brain MRI with and without contrast (DICOM)","Brain CT scan (if available)","Radiology report of the tumor","Neurological symptoms summary and seizure history","List of blood thinners","Previous biopsy or surgery report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days including hospital stay and wound check. MRI follow-ups are usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will be doing the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the credentials of the facility where the procedure will be done","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Determine ahead of time how you will communicate with your clinician and others caring for you","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A facility where you do not speak the language fluently can cause misunderstandings about your care","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your small meningioma is not expected to grow or spread","name":"Observation","source":{"url":"https://my.clevelandclinic.org/services/meningioma-treatment","host":"my.clevelandclinic.org","quote":"Small meningiomas that aren’t expected to grow or spread may not need treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your meningioma is too deep or large for safe removal","name":"Radiation therapy","source":{"url":"https://my.clevelandclinic.org/services/meningioma-treatment","host":"my.clevelandclinic.org","quote":"We may recommend radiation therapy for meningiomas that are too deep or large to safely remove with surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"Your meningioma is small and benign","name":"Radiosurgery","source":{"url":"https://my.clevelandclinic.org/health/diseases/17858-meningioma","host":"my.clevelandclinic.org","quote":"It’s typically used for small, benign meningiomas.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"open-craniotomy","name":"Open craniotomy with microsurgical resection","how_it_works":{"text":"The surgeon removes part of the skull to reach the brain","source":{"url":"https://my.clevelandclinic.org/health/treatments/16802-brain-surgery&rut=f619414bcabdca9c27cffaef03dc784e3c3a097668e4259e86b91436f004f764","host":"my.clevelandclinic.org","quote":"A surgeon removes a piece of your skull to access your brain, then replaces the piece after surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"endoscopic-endonasal","name":"Endoscopic endonasal or keyhole approach","how_it_works":{"text":"A thin camera tube reaches the tumor through the nose","source":{"url":"https://my.clevelandclinic.org/health/treatments/16802-brain-surgery&rut=f619414bcabdca9c27cffaef03dc784e3c3a097668e4259e86b91436f004f764","host":"my.clevelandclinic.org","quote":"Your surgeon will insert an endoscope (a thin, lighted tube with a video camera on one end) into your nose or mouth.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/procedure=udalenie-meningiomy/"}],"questionsAndAnswers":[{"id":"5ed8fa0331e78b0abb286636","question":"Que faut-il savoir sur le Mexique avant votre voyage ?","answer":"<figure class=\"table\"><table><tbody><tr><td><p style=\"margin-left:0px;\">Devise</p></td><td><p style=\"margin-left:0px;\"> Peso mexicain (le paiement des services est également possible en dollars)</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Meilleure période pour voyager</p></td><td><p style=\"margin-left:0px;\"> décembre-avril</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Langue</p></td><td><p style=\"margin-left:0px;\"> Espagnol (la plupart du personnel médical parle couramment anglais)</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Visa</p></td><td><p style=\"margin-left:0px;\"> obligatoire pour <a href=\"https://embamex.sre.gob.mx/australia/index.php/visitorvisa\"><u>certains pays</u></a></p></td></tr><tr><td><p style=\"margin-left:0px;\"> Décalage horaire avec l&#39;Europe</p></td><td><p style=\"margin-left:0px;\"> 7 heures</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Décalage horaire depuis les États-Unis</p></td><td><p style=\"margin-left:0px;\"> 1 heure</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Capital</p></td><td><p style=\"margin-left:0px;\"> Mexico</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Centre de tourisme médical</p></td><td><p style=\"margin-left:0px;\"> Mexico</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Stations populaires</p></td><td><p style=\"margin-left:0px;\"> Centre et sud du Mexique</p></td></tr></tbody></table></figure>","is_active":true,"created_at":"2020-06-04T13:41:23.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]},{"id":"5ed8fa7c6f5798138223b285","question":"Quels services hôteliers sont proposés ici ?","answer":"<p>Au Mexique <a href=\"https://www.tripadvisor.co.uk/TravelersChoice-Hotels-cTop-g150768\">, il existe des hôtels de différentes</a> gammes de prix et niveaux de service. La plupart des touristes choisissent des hôtels 4 et 5 étoiles avec repas tout compris. De tels hôtels ont tout pour un séjour confortable : restauration variée, grands jardins bien entretenus, animations pour enfants et adultes. Certains hôtels disposent de leur propre parc aquatique, que les clients peuvent utiliser gratuitement. Les voyageurs à petit budget peuvent se permettre de réserver un hôtel 3 étoiles économique avec demi-pension ou sans repas du tout.</p>","is_active":true,"created_at":"2020-06-04T13:43:24.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]},{"id":"5ed8fab531e02c46c85d4676","question":"Quels documents sont requis pour demander un visa pour le Mexique pour un traitement médical ?","answer":"<p>Les visas pour voyager au Mexique nécessitent <a href=\"https://www.mexicocity.com/v/visa-requirements/\">un certain nombre de documents</a> . La liste des documents comprend :</p><ul><li> Carte d&#39;identité</li><li> confirmation de l&#39;inscription en ligne et remplissage du formulaire</li><li> attestation de revenus et disponibilité des fonds</li><li> police d&#39;assurance pour la durée de votre séjour au Mexique (original et copie)</li><li> 2 photos (5x6)</li><li> obtenir un visa</li><li> réserver un vol et un hôtel</li><li> l&#39;avis du médecin sur la nécessité d&#39;un traitement.</li></ul>","is_active":true,"created_at":"2020-06-04T13:44:21.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]}],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turquie","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-11T07:40:10.703Z","activeCountries":["MX","TR","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}