Demystifying Brain and
Spine surgery for people
This is an example if how a very very deep seated Brain Tumour, which was threatening life like a ticking time-bomb, can be removed with the help of Modern Technology. Better Brain Endoscopy instrumentation has developed only recently here is the full use of it.
You can see a large white looking Tumour on the MRI (Red Arrow)
A short video clip will show you the central-most part of the brain through an endoscope.
The patient, after brain tumour surgery is seen sipping tea after 24 hours.
(Identity erase marks on the face)
The area we operated on was a critical one with memory and consciousness circuits just a few millimetres away.
Daily advancements in modern technologies is helping surgeries in such critical areas of brain and spine.
In the next post I will showcase how spine surgery can be done endoscopically and patients discharged within a day.
Public at large has to be aware about these possibilities to increase the general awareness resulting in progress.
Large PEAR in the brain!
Giant brain tumour presenting with psychological depression and suicidal ideation!
At the Brain tumour center, we came across a very large... or rather massive... brain tumour occupying nearly one half of the brain diameter in the section... shown here by yellow arrow.
These tumours are most challenging due to their high vascularity and the structures involved by them.
This patient was being treated by psychiatry department outside Pune for a long time as it presented with behavioural abnormalities.
A psychiatrist in Pune suspected something more and ordered a brain MRI... much to this patients relief.
We resected this giant tumour with 5 hours of tedious surgery preserving all the important structures.
Such surgeries need careful planning and perfect resection with modern neurosurgical technique.
You can see the patient on the third post operative day...without any deficits...at our brain tumour surgery center.
We need to remember that such tumours... at times... can present with psychiatric symptoms and need to be suspected and investigated to be diagnosed in time.
You can see pre operative planning by drawing the tumour on the surface (red lines). And the excised tumour in another photo.
Pain originating in the neck and travelling down into arm and forearm...and Sometimes fingers is termed as cervical radiculopathy.
It is similar to "Sciatica"...(where the pain starts in waist and travels down the buttock, back side of thigh and calf).... but occurs in the upper limb.
Along with pain there could be weakness at shoulder, elbow, wrist or fingers.
If this is because of slipped disc in the neck area of the spine...it needs careful neurosurgical treatment.
Many cases do settle without surgery...but if pain is severe and weakness develops...surgery should not be avoided.
In this case one can see a big disc pressing on the right sided nerve.
The young man (patient) had severe unrelenting pain un the shoulder and arm and forearm for more than a month. He also had weakness at elbow.
You can see the disc slippage shown with the red arrow.
The disc was microscopically removed followed by restoration of disc height with titanium cage. Stability achieved by titanium plate and screws.
This patient was fully mobile eight hours after surgery with complete subsidence of the severe pain and return of the elbow power.
Radiculopathy should be taken seriously if simple measures do not work. Compression of the spinal cord
Compression of the spinal cord in neck region due to advanced spondylosis is not uncommon.
The spinal cord is an electrical cable taking information from the brain to the hands and legs and vice versa.
So..any compression here causes serious disturbances in this process.
The symptoms are
...Loss of balance while walking
...Loss of dexterity of the hands
...And if not treated in time...
Loss of power in hands and legs making the person chair and bed bound.
The clinical condition is known as Cervical Spondylotic Myelopathy. (CSM)
Such symptoms need Neurosurgeon's evaluation and MRI scan of the spinal cord.
The compression needs to be removed either from back side (Laminectomy) or from front side (surgery called ACDF)
This patient came with Severe loss of balance while walking and loss of power in both the hands.
The symptoms were neglected and subjected to neck movement exercises due to over-ethusiastic but misplaced advice... which caused further damage to the spinal cord.
In the left picture one can see how severely the cord was compressed (Red Arrow). Normal cord is shown with the Green arrow.
The right sided picture shows the portion of the compressed cord totally decompressed after surgery at the Neuro-Spine Centre. (yellow arrows).
This person is now neurologically back to near normal and functionally improved.
Few things to remember..
1. Do not take such symptoms lightly
2. Exercises and physiotherapy could prove dangerous in such situations.
My name is Seetohul Deemawtee. I am from Mauritius. I had Trigeminal Neuralgia. I suffered from this for nearly 6 years. The pain would aggravate when I swallowed, or talkef or drank water or brushed teeth or even when the breeze of the fan used to touch my cheek. The pain was electric shock like kind of pain. I am writing this and giving this interview on the twelfth day after the microvascular decompression operation done as treatment for my Trigeminal Neuralgia. I feel excellent and I am very happy. I have a smile on my face, I can talk, I can eat, I am happy. I was actually taking a course in singing before this operation and I had very much difficulty in actually singing when I had the pain. But now so soon after the operation I have a smile on my face and I am able to sing and I can enjoy my singing.
There are many patients who suffer from Trigeminal Neuralgia and they are not aware about the treatment options that are there. I would like to make all these patients aware that surgery is the only permanent option as treatment for Trigeminal Neuralgia. How many patients are afraid of surgery because it is brain surgery, after all. There is no need to be afraid of operation
I have undergone the operation and I know. Surgery is surgery after all. There will be some pain at the site of the operation. There will be some difficulties, but the relief that is there from the neuralgic pain is almost immediate, and I am very happy. I write this on the 12th day after my operation. So right now I feel a little weak on the whole, maybe because of the antibiotics and other things, but overall, I am fine.
My name is Samudyata Bhat. I am from Bangalore. I suffered from hemifacial spasm on the right side for more than three and half years. I am a trained classical dancer. It used to embarrass me very much because I have to interact with people as well as dance and perform on stage. I am also a dance teacher. My profession needs me to interact with my students as well as perform in front of the audience. This hemifacial spasm used to close my eyes and caused me a lot of embarrassment. This used to cause me a lot of trouble and made me lose my confidence that I could perform on stage or interact with people. at this stage I realised that the only permanent solution for me was MVD or microvascular decompression surgery as a treatment for my hemifacial spasm. Through social media I came to know about Dr Jaydev panchwagh. So I came to Pune to meet him in consult with him. Seeing his confidence and expertise on the subject I decided that he was the only person who could operate on me. I got more confidence because of him. I was very much impressed by him and I decided to undergo the surgery. Immediately after the surgery the spasms disappeared. I was completely spasm free immediately after the operation. It has been 10 months now and I am doing great. I have regained all my confidence. I am back to my dancing, and teaching dance, and interacting with the audience and my life is completely normal now. A very big thank you to doctor Jaydev panchwagh and his team in Pune who help me to come out of my problem and bring me back to normal in society. Thank you very much to Dr Jaydev panchwagh and his team in Pune for giving me back my life and my social interaction.
I have no problem to publish my interview either in the written form or in the form of a video interview on YouTube. I give my full consent. A big thank you once again to doctor Jaydev panchwagh.
My name is Zayar Lin. I am a medical doctor. I am from Myanmar. Previously I had left sided hemifacial spasm. I found a video by Dr Jaydev Panchwagh on YouTube for his treatment of hemifacial spasm. So I came to Pune from Myanmar for treatment. I got operated in the hospital here in Pune by Dr Jaydev Panchwagh. I got my face back to normal immediately after the operation. The Hemifacial spasms have disappeared completely. Special thanks to Dr. Panchwagh, Mrs Savita, the neurological and neurosurgical team, and all the mamas and maushis who helped me in my recovery. I am very happy I have got my normal face back again. Also my wife has got her husband's normal face back again!!!
I allow and consent for my interview and vidro to be uploaded on the internet for the benefit of other patients. Thank you once again!
I am Dr Dinesh Kumar Mishra from Gwalior. I am an associate professor in mathematics. I have been suffering from Trigeminal Neuralgia for the last 3 years. The pain was in my right side forehead region. It was in the right side of the eyebrow. It was an electric shock like pain. I connected with Dr Jaydev Panchwagh in Pune. He suggested MicroVascular Decompression surgery for my Trigeminal Neuralgia. I agreed with him and underwent the surgery on 7th February 2020. I am now on the 11th day after operation and I am fine and well. I have given full consent to publish my testimonial video on YouTube for helping other patients.