Brain Tumor Treatment & Management in San Diego, CA 

Expert Neurosurgical Care: From Microsurgery to Radiosurgery to Skull-Base Approaches 

A brain tumor diagnosis can be overwhelming. But with the right team, you don’t have to face it alone. Dr. Sanjay Ghosh offers advanced, compassionate care for patients facing brain tumors, covering every major treatment option: modern surgery, high-precision radiosurgery, and skull-base procedures tailored for complex tumors. 

Call (619) 810-1010 or request a consultation online to take the first step toward clarity and care. 

Why Choose Dr. Ghosh for Brain Tumor Care 

• Board-certified neurosurgeon with specialized training in brain tumor and skull-base surgery 

• Extensive experience treating benign, malignant, deep-seated, and complex intracranial tumors 

• Offers full-spectrum treatment options: microsurgery, minimally invasive skull-base approaches, Gamma Knife, and CyberKnife radiosurgery 

• Uses advanced technology, including neuro-navigation, intraoperative monitoring, and modern surgical suites 

• Provides clear explanations and realistic, honest expectations before any procedure 

• Builds personalized treatment plans based on each patient’s diagnosis, goals, and lifestyle 

• Coordinates care with neuro-oncology, radiation oncology, and rehabilitation when needed 

• Delivers accessible, ongoing follow-up and support for patients across San Diego County 

• Known for a calm, compassionate, patient-first approach that prioritizes safety and long-term quality of life 

Whether it’s a small meningioma, a deep-seated glioma, or a complex skull-base lesion, Dr. Ghosh evaluates each case thoroughly — always aiming for maximum safety and quality of life. 

What Is a Brain Tumor? 

A brain tumor represents an abnormal growth of cells in the brain or its surrounding structures. Tumors vary widely: 

• Benign vs Malignant — Some tumors grow slowly and remain localized; others are aggressive and may spread. 

• Primary vs Metastatic — Primary tumors begin in the brain; metastatic tumors originate from cancer elsewhere and spread to the brain. 

• Location & Growth Pattern Matter — Tumors on the brain surface, deep inside, at the skull base, or near critical structures affect treatment and outcomes differently. 

Because each tumor is unique, personalized evaluation and care are essential. 

Common Symptoms That Warrant Evaluation 

Brain tumors may cause a wide range of symptoms, depending on size and location. Seek evaluation if you experience: 

• Persistent or worsening headaches, especially in the morning or at night 

• Seizures or new-onset convulsions 

• Changes in vision, double vision, or blurred vision 

• Balance problems, dizziness, or difficulty walking 

• Nausea or vomiting, especially with headaches 

• Weakness, numbness, or tingling in arms, legs, or face 

• Cognitive changes, memory issues, confusion, speech or concentration difficulties 

• Unexplained fatigue, mood changes, or personality shifts 

Even if symptoms are mild, early diagnosis often leads to better outcomes. 

How Brain Tumors Are Diagnosed 

1. Thorough Neurological Evaluation

A detailed review of symptoms, medical history, and a neurological exam to assess strength, coordination, balance, vision, and reflexes. 

2. Advanced Imaging

Magnetic Resonance Imaging (MRI), often with contrast, remains the gold standard for detecting and defining brain tumors. In some cases, CT scans or functional MRI may be used to map critical brain areas. 

3. Biopsy (IfNeeded)

When imaging alone doesn’t offer a definitive diagnosis, a small tissue sample may be taken to determine tumor type and guide treatment. 

4. Personalized Treatment Planning

Based on tumor type, size, location, and patient goals — treatment options are reviewed with clarity and compassion. 

Comprehensive Treatment Options: Magnetic Neurosurgery, Radiosurgery & Skull-Base Techniques 

Traditional Surgical Resection 

When feasible, surgical removal of the tumor aims for maximal safe resection while preserving neurologic function. Craniotomy or microsurgical techniques may be used depending on tumor location and complexity. 

Skull-Base & Cranial-Base Surgery 

For tumors located at the base of the skull or near critical nerves and blood vessels, Dr. Ghosh uses specialized skull-base approaches. These techniques allow safe access to deep brain regions while minimizing impact on surrounding structures. 

Stereotactic Radiosurgery (Non-Invasive): Gamma Knife & CyberKnife 

For many tumors — especially small, well-defined, or hard-to-reach lesions — non-invasive radiosurgery offers a powerful alternative. 

• Gamma Knife Radiosurgery delivers highly focused gamma-ray beams with sub-millimeter precision, targeting the tumor while sparing surrounding healthy tissue. It’s often used for benign and malignant tumors, vascular abnormalities, and functional disorders. 

• CyberKnife Radiosurgery employs a robotic arm and real-time tracking to deliver radiation from multiple angles, without requiring a rigid head frame. It’s versatile, comfortable, and extends treatment to complex or sensitive tumor sites.  

These radiosurgery options may be used as standalone therapy or combined with surgical resection and/or radiation therapy, depending on what’s best for each patient. 

Integrated Oncologic & Supportive Care 

For malignant or complex tumors, treatment may involve a multidisciplinary team including neuro-oncology, radiation oncology, pathology, and rehabilitation for optimal long-term results. 

What to Expect: From Consultation Through Long-Term Care 

Initial Visit & Work-Up 

• Review symptoms and medical history 

• Neurological exam + advanced imaging 

• Clear discussion of diagnosis, treatment options (including risks vs benefits) 

• Personalized care plan 

If Surgery Is Recommended 

• Safe removal or reduction of the tumor 

• Post-operative monitoring and imaging 

• Neurological assessment and rehabilitation if needed 

If Radiosurgery Is Chosen 

• Non-invasive, outpatient procedure 

• Minimal discomfort and downtime 

• Regular follow-up imaging to monitor tumor response 

Long-Term Care & Monitoring 

• Periodic MRI scans, neuro-checks, and follow-ups 

• Collaborated care with oncology, rehabilitation, and support services 
• Ongoing communication and compassionate care every step of the way