A large brain tumor case was successfully treated at Mandaya Royal Hospital Puri. A 51-year-old female patient from Karawang underwent surgery to remove a glioblastoma brain tumor measuring more than 5 cm, performed by Dr. dr. Mardjono Joy Tjahjadi (Dr. dr. Mardjono Joy Tjahjadi, Sp.BS, Subsp. N-Vas, F. N-Onk, PhD, FICS, IFAANS). The procedure was carried out using microsurgery techniques aimed at removing the tumor as completely as possible while preserving essential brain functions.
“After the surgery on Wednesday, I was able to see again on Thursday. I could see the TV, my vision returned. My hands and feet were already able to move and walk again. By Friday, everything was back to normal. Before, I couldn’t do anything at all. Thankfully, after being operated on by Dr. Joy, I am now back to normal,” said the patient.
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Early Symptoms and Warning Signs
The patient’s initial symptoms began with headaches after daily activities at home. At first, the condition was considered mild and treated with common headache medication. However, within a short time, the patient experienced seizures, which indicated a serious problem in the brain.
She was taken to a nearby hospital, but seizures recurred upon arrival at the emergency department. After receiving initial treatment, her condition improved temporarily. About a month later, the symptoms returned. A CT scan eventually revealed a mass in the brain.
Over time, her condition continued to worsen. She experienced vision problems, weakness in her arms and legs, as well as cognitive decline such as memory loss and difficulty recognizing people. Although surgery had been recommended earlier, the decision was delayed due to concerns about undergoing brain surgery.
Patient Condition Upon Arrival at the Hospital
According to Dr. dr. Mardjono Joy Tjahjadi (Dr. dr. Mardjono Joy Tjahjadi, Sp.BS, Subsp. N-Vas, F. N-Onk, PhD, FICS, IFAANS), many brain tumor symptoms are often overlooked because they resemble everyday complaints. Persistent headaches, visual disturbances, and changes in thinking or speech should not be ignored.
When the patient arrived at Mandaya Royal Hospital Puri, her condition was already severe. She experienced seizures, decreased consciousness, and weakness on the right side of her body, making it difficult to move her arm and leg.
Examination results showed a brain tumor measuring more than 5 cm. The large size of the tumor caused pressure on areas of the brain responsible for speech, motor function, and vision, leading to the symptoms experienced by the patient.
Microsurgery Treatment and Postoperative Recovery
Dr. dr. Mardjono Joy Tjahjadi (Dr. dr. Mardjono Joy Tjahjadi, Sp.BS, Subsp. N-Vas, F. N-Onk, PhD, FICS, IFAANS) and his team decided to proceed with immediate surgery. The procedure was performed using microsurgery techniques supported by intraoperative monitoring (IONM) to preserve neurological function during the operation.
This approach allows precise tumor removal while minimizing damage to surrounding healthy brain tissue. Thanks to this technique, the patient showed very rapid improvement after surgery.
Within less than 24 hours, the patient’s vision and motor strength improved significantly. Just a few hours after surgery, she regained consciousness, was able to interact, and began performing light activities.
The recovery process was also relatively quick. Within a few days after the procedure, the patient was able to resume daily activities and was discharged home. This outcome shows that timely and appropriate treatment, supported by modern medical technology, can provide significant hope for brain tumor patients, even in severe conditions.
Expertise Profile and Practice Schedule of Dr. Joy at Mandaya Royal Hospital Puri
Dr. dr. Mardjono Joy Tjahjadi (Dr. dr. Mardjono Joy Tjahjadi, Sp.BS, Subsp. N-Vas, F. N-Onk, PhD, FICS, IFAANS) is a neurosurgeon with subspecialties in neurovascular and neuro-oncology. He completed his doctoral studies at University of Helsinki, focusing on brain aneurysm research, which further strengthens his expertise in handling complex neurological cases.
In addition to clinical practice, Dr. Joy is also active in academia. He has written a book titled Memahami Aneurisma Otak (Understanding Brain Aneurysms), which comprehensively discusses the condition, from causes to treatment.
In his daily practice, he treats various neurological conditions, including brain aneurysms, narrowing of brain blood vessels, brain hemorrhage, brain tumors, and brain cancer. With extensive clinical experience and international training, he is recognized as one of the highly competent neurosurgeons in Indonesia.
Dr. dr. Mardjono Joy Tjahjadi (Dr. dr. Mardjono Joy Tjahjadi, Sp.BS, Subsp. N-Vas, F. N-Onk, PhD, FICS, IFAANS) is available at Mandaya Royal Hospital Puri on the following schedule:
- Monday: by appointment
- Tuesday: 14:00 – 17:00 WIB
- Wednesday: by appointment
- Thursday: 08:00 – 12:00 WIB
- Friday: 14:00 – 17:00 WIB
- Saturday: 08:00 – 12:00 WIB
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The information provided on this page is intended for educational and general purposes only and does not represent all medical services that may be performed by each doctor. To ensure appropriate treatment for your condition, it is recommended to consult directly with the doctor.
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