UPMC: Minimally Invasive Brain Surgery

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Matthew Carls

Meet Matthew Carls

"We couldn't ask for a better surgical team. They are godsends."

- Jody Carls
Matthew's mom

The Challenge

Matthew Carls was a typical 10-year-old boy who enjoyed basketball, computer games, and just having fun. But when he began developing debilitating headaches and prominent swelling in his face, his world began to change. The Flanagan, Illinois family visited many area doctors, and finally went to Children's Memorial Hospital in Chicago.

There he was diagnosed with an angiofibroma (an invasive, noncancerous tumor composed of blood vessels) the size of a grapefruit. The tumor was spreading into his sinus area and pressing on his optic nerve, causing visual disturbances. Matthew's family was told the only way to remove this tumor was through a large craniotomy, with a lengthy incision through his scalp and the removal of a large piece of his skull. Both the doctor and the Carls family were apprehensive about proceeding this way.

The Path to UPMC

The doctor told them of a revolutionary technique of removing brain tumors through the nasal passages, and recommended that the family visit the surgeons at UPMC.

Although Matthew was initially anxious about meeting "big-wig" doctors in Pittsburgh, his attitude changed when he met with the physicians. He found the doctors to be down to earth, and said that they explained every step of the procedure to him in a way he could understand.

The Solution

Matthew's surgery took nine hours, which seemed like a lifetime to his mother, Jody. As her only child lay on the operating room table, the surgical team kept Jody informed throughout the procedure and tried to alleviate her anxiety. Jody says, "We couldn't ask for a better surgical team. They are godsends." She adds, "Everyone, from the nursing staff to the doctors, was there for us. The care was above and beyond what we expected."

Because of the type and location of the tumor, the surgeons needed to leave a small portion of the tumor intact. Matthew later returned to Pittsburgh for two subsequent procedures after the tumor began to re-grow. Matthew now has an MRI every six months to monitor the small amount of tumor that remains.

The Results

Today, Matthew is back to normal, playing basketball and baseball, as well as trombone in the school band. He has participated in the Scholastic Bowl at his school and made the Honor Roll. Matthew advises anyone facing surgery to be courageous and to trust in the doctors. He says, "I've had three surgeries and I've lived to talk about them. It's amazing."

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Matthew Thriving Five Years after Surgery


To watch Matthew Carls play on the high school football team or sing in the school chorus, you’d never know that five years ago, this athletic honor student had a grapefruit-sized brain tumor that was threatening his vision. Since UPMC neurosurgeons removed the angiofibroma from Matthew’s brain via his nasal passages, he has made a remarkable recovery. He has no lingering symptoms, and the surgery left no scarring. Once a year he gets an MRI, just so doctors can ensure the tumor does not return.

These doctor visits serve as a reminder of that uncertain time in his life that he’s too busy to think about otherwise. An active 15-year-old high school sophomore, Matthew plays football and basketball, and runs track, sings in the school chorus, and plays trombone in the school band. He has his learner’s permit, and he’s looking forward to getting his driver’s license. Although it makes his mother nervous, she knows her son is responsible, and that he’ll be a good driver.

Matthew feels lucky that all of this is behind him, and he focuses on the things he enjoys most—his school activities and sports—rather than his illness. His surgery has not inhibited him physically or mentally, and he doesn’t place any limits on what he can achieve. “I play the most violent sport you can play,” he said. “If you can play football, you can do anything.”