Erfolgreiche Operationen
Spine surgery for people
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.
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.
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.
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.
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.
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.
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!